JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
dermie.AI early adopters sign up
We're thrilled to have you on board for early access! We'd love to know more about what specifically excites you or what goals you hope to achieve by being among the first to use the dermie.AI app.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Are you:
*
Interested in tracking your skin health?
Interested in investing in Dermie.AI?
Interested in corporate partnership?
Other:
Are you currently facing any specific skin diseases, concerns or conditions?
*
Yes
No
Prefer not to say
Not relevant
If you answered "Yes" to the previous question, what specific skin diseases, concerns or conditions are you currently facing?
Your answer
Have you used any similar apps or tools related to skin health before? If Yes which app ?
Your answer
What features are you most excited about in our app?
Your answer
Are there any specific features you believe would be valuable but are not commonly found in existing apps?
Your answer
Would you be interested in participating in user surveys or focus groups to provide further feedback?
*
Yes
No
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Base Plus.
Report Abuse
Forms
