JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Sentinel Health - Member Waitlist Sign up
Thanks for your interest in becoming a member of Sentinel Health!
We're slowly adding new members to Sentinel. To get on our list, please answer the below questions. They should only take a couple minutes to complete.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What type of smartphone do you own?
*
iOS
Android
Other:
Do you use Apple/Google Health?
*
Yes
No
Other:
Which of the following health devices/services do you use? (Select all that apply)
*
Apple Watch
Fitbit
Garmin Watch
Other Smartwatch
Oura Ring
WHOOP
8 Sleep
Dexcom or Libre sensor
Smart scale (Withings or other brand)
23andMe
Other:
Required
Where do you currently get your primary care?
*
A primary care doctor
OneMedical
Forward Health
CVS or Walgreens clinic
An urgent care center
Other:
How satisfied are you with your current primary care?
*
Not at all satisfied
1
2
3
4
5
6
7
8
9
10
Extremely satisfied
Why are you excited to become a member of Sentinel Health?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Sentinel Healthcare.
Report Abuse
Forms