Interest Form - WearLinq Study
Our study will be a decentralized digital clinical study. This form is not binding in any way, it's just to indicate interest, you'll hear back from us! Anyone 22 years or older that has a smartphone could be eligible, but we're not guaranteeing enrollment. The study is expected to start around Q3 2020 and we will be notifying selected people after our crowdfunding campaign is over. We are committed to making it easy for people to participate in medical research, because more cardiovascular data can lead to better disease management and save lives. Early detection of irregular heart rhythms may prevent more serious health issues.

The eWave and our app will be given to the participant during the length of the study, expected ~6 months. Participants will own their data and can share the recorded ECG data with their own physicians. The device for the study will not include the physician video-calls, but it will record irregular rhythm and potentially supply reports generated based on the rhythm, identifying specific types such as premature ventricular contractions (PVCs) and Atrial Fibrillation.

Please sign fill in the survey so we can keep you up to date!

CautionĀ­ - The eWave is Currently an Investigational Device, Limited by Federal (or United States) Law to Investigational Use.
Sign in to Google to save your progress. Learn more
Email *
What's Your Name?
What's your Country & State?
What's Your Age?
What's your gender?
Clear selection
Were you previously diagnosed with arrhythmias?
Clear selection
If you are diagnosed with arrhythmias, which one specifically?
How often do you have symptoms?
Clear selection
Do you have an ICD/Pacemaker?
Clear selection
Have you experienced an allergic reaction to an adhesive during longer term monitoring?
Other comments?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy