Garbi's Beta Application
We're looking for Families & Individuals interested in testing our Smart Trash Can. For more information about Garbi, visit our website: www.garbican.com

Who we're looking for:
- People who buy Groceries (Preferably via delivery service)

What we’re offering:
- Prototype (No Cost)
- Free grocery delivery

What we’re asking:
- 15 minutes of Feedback per week (generally via phone call or survey)
- Patience as we build out foundational features

Please note that we're starting in the San Francisco Bay Area, but will be expanding over time. We add more units every month, so you might be contacted several months after applying.

If you have any further questions, feel free to reach out directly: Brandon@GarbiCan.com

Email address *
Contact Information
Who is the primary point of contact?
Name *
Your answer
City/Town *
Your answer
State/Province *
Your answer
Zip/Postal Code *
Your answer
Personal Information
This helps us to figure out what kinds of people are most interested in Garbi.
Gender *
Age *
Household Composition *
Occupation & Employment Status *
(i.e. Full Time Parent, Part time Accountant, Full Time Computer engineer, etc.)
Your answer
Approximate Annual Household Income *
What Age(s) is/are your children? *
Required
Which of the following devices do you own? (Check Any/All that apply) *
Required
How did you hear about us? *
Your answer
Which of Garbi's Features are you MOST excited about? *
In 1-2 sentences, why are you excited about Garbi? *
Your answer
Setup Questions
Help us get to know your current setup, and how you go about grocery shopping.
What is your current trash/recycling/compost arrangement? *
Stand-Alone (e.g. Next to the fridge, island, etc.)
Built into cabinet
Under Sink
On Countertop
In Pantry
Outside
No Formal Container
Trash
Recycling
Compost
Do you have a paid membership with any of the below grocery delivery services? *
Required
How often do you use the following services? *
Never
Monthly
Weekly
Multiple times per week
Grocery Delivery (Instacart, Amazon Fresh, etc.)
Restaurant Delivery (Door Dash, Uber eats, etc)
Meal Prep Delivery (Freshly, Plated, etc.)
In an average week, how many days/nights do you: *
None
1
2-3
4-6
7
Cook Dinner
Order Takeout
Eat Leftovers
Approximately how much do you spend in an average grocery purchase (If unsure, how much did you spend on your last grocery purchase?) *
In an average week, how many days do you: *
None
1
2
3
4
5
6
7
Go to the Grocery Store
Order Groceries Delivered
Longer Questions
I know it's a pain, but please answer at least 1 of these "optional" questions, as it gives us a chance to 1) get to know you and 2) see how you are about providing feedback, which is our primary objective during the beta.
Tell us about your current method of grocery shopping. For Example: How do you keep track of what you've run out of? Where do you go shopping? Why do you go shopping when you do? What services are you currently using to help with your process?
Your answer
Do you have any thoughts/questions/concerns about Garbi?
Your answer
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