Simplihere Caregiver Mobile App Usability Testing

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Hello! Thank you for showing interest in taking part in this study.

We are conducting a test of our mobile app and how it helps patients with Amyotrophic Lateral Sclerosis (ALS) communicate with their caregivers.

This test will be conducted virtually in a 45 minute session.

If you’d like to participate, please fill out the form below and we will contact you to set up a time that is most convenient.

Full Name

How would you like to be referred to as?

Email address

Please confirm if you are, or were a caregiver for someone with ALS (Amyotrophic Lateral Sclerosis)

Yes

Clear selection

How long have you been a caregiver to someone with ALS?

Less than 2 years

2 to 5 years

Greater than 5 years

Clear selection

What stage of ALS does the person you care for live with?

Early

Middle

Late

I do not know

Clear selection

Submit

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