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!
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Your Name (first and last)
Which of the following best represents your gender?
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Which best reflects your age?
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Where did you hear about us?
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Which best represents your demographic?
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Your email
Would you be interested in participating in a recorded Q&A about your disease journey and (maybe) using Guava?
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What excites you about being a Guava Ambassador?
Social media handles (if you have any). i.e insta: guavahealthinc
What are things you'd want to change in how we receive healthcare (e.g. being taken more seriously, less prescription medications to keep track of, not filling out patient intake forms that never end...)
Which communities do you want to share Guava with?
Summarize Guava's product in your own words (go to guavahealth.com/home to read more!)
How would you like to connect with us and other Patient Advisory Board Members?
What are you most excited about with being a Guava Patient Advisor?
Is there anything else you want share with the Guava team?
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