Wellness Software Tester Application
Thank you so much for your interest in helping us test our wellness software!
Please fill out the survey below so we can easily organize your information and contact you. This information is only being used to make sure that we have a diversity of testers with different backgrounds and experience levels. We take your privacy very seriously and will not use this information for anything outside of our usability tests.
The session will last one hour, and you will be paid $50 when we're done.
We can't guarantee that you'll be contacted immediately, but please do indicate if you would like to be contacted about future tests at the end of the survey.
Thank you again!
* Required
Name
*
Your answer
What email address can we use to contact you?
*
Your answer
How old are you?
*
18-24
25-30
31-36
37-42
43-48
49-55
56-60
61+
What is your profession?
*
Your answer
Are you an iPhone or Android user?
*
iPhone
Android
Other:
If you are an iPhone user, which iPhone do you own?
iPhone 3G
iPhone 3GS
iPhone 4
iPhone 4S
iPhone 5
iPhone 6
iPhone 6 Plus
Clear selection
If you are an Andriod user, which Android do you own?
Your answer
What is your experience level with technology?
*
I'm clueless when it comes to computers.
I can use a computer, but I'm no expert.
I consider myself very tech savvy.
What is your approach to new technology?
*
I'm a technical pioneer, and I install beta versions before they're officially released.
I'm the first one in line when it hits stores.
I wait for it to be mainstream before buying.
I'm a late comer.
Are you interested in losing weight?
*
yes
no
If yes, how much are you interested in losing?
0-5 lbs
6-10 lbs
11-15 lbs
16-20 lbs
21-25 lbs
26+
Clear selection
Please check any conditions that you've been diagnosed with:
Prediabetes
Diabetes
Prehypertension
Hypertension
Other:
Please share any additional information that we should know about you.
Hobbies, interests, extra details.
Your answer
How did you find out about our test sessions?
*
Your answer
If we don't reach out to you this time around, would you like us to contact you again in the future for more testing opportunities?
*
yes
no
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