Guava's Patient Advisory Board Application
Fill out this form to apply to be part of the Patient Advisory Board for Guava! We want to collaborate with awesome people to help empower people to take control of their own health. We would like your ideas on how to improve Guava to help people organize their health, and help share Guava with different communities!
Sign in to Google to save your progress. Learn more
Your Name (first and last)
Which of the following best represents your gender?
Clear selection
Which best reflects your age?
Clear selection
Where did you hear about us?
Clear selection
Which best represents your demographic?
Clear selection
Your email
Social media handles (if you have any). i.e insta: guavahealthinc
What is the most helpful Guava feature for you?
If you use guava to track your health, like symptoms, why? asked another way, what are you hoping to get out of tracking your e.g. symptoms (or other health metrics)?
What is the biggest pain point for you in managing your health?
How has Guava helped you in your health journey? 
Which communities do you want to share Guava with?
Is there anything else you want share with the Guava team?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Guava.

Does this form look suspicious? Report