Mooditude Award
At Mooditude it’s our mission to make mental health treatment accessible to all. We understand life can be hectic sometimes, but we encourage you to make your mental health a top priority.

We’ve created this grant to aid those who are experiencing financial hardships or extenuating circumstances. If you cannot afford to pay, we can help. This financial assistance is possible thanks to our paid customers.

Fill out the form below and we will get back to you on whether or not you’ve been approved.
Sign in to Google to save your progress. Learn more
Your Name: *
Your Email: *
This email should be the same email that you used to create an account with the Mooditude app. If you haven't created an account yet, please do so before submitting this request.
Why should you receive the financial grant? *
Please take a moment to explain why you require the financial grant. A more straightforward way to answer this question is to envision how using the Mooditude app will change your life.
Would you participate in a customer research study? *
This choice has no bearing on our decision to award a grant.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pyntail. Report Abuse