Koko Labs Sleep Program
Participant registration form 2021

See if you qualify:

Age 55 and older
Lives in the San Francisco Bay Area (Alameda county, contra costa county, Marin county, San Francisco county, Santa Clara county, Santa Cruz county, Solano county)
Must have a smart device (eg: iPhone, iPad, Android, and/or tablet)
Must have access to internet
Sleeps alone and in same bed during the duration of the program (4 weeks total)
No pets preferred; no pets in the bedroom during the program (device interference)
No fans (eg: ceiling fan, floor fan, table fan) A/c, central air is okay (device interference)
No mini/large refrigerators in bedroom (device interference)
Must have sleep issues (Eg: Insomnia, Restless leg Syndrome, Sleep Apnea, etc.)

*Disclosure: If you do have Sleep Apnea and use a Sleep Apnea machine (CPAP) unfortunately, you will not be able to participate in the program due to our device not supporting CPAP machines at this time.
Please continue to use any medical recommendations that your healthcare provider has given to you. Do not change or alter your doctor's prescribed prescription in order to join this program unless previously discussed with your healthcare provider.

Name *
Email address *
Phone number *
Age *
Employment status *
Gender? *
Height? *
Weight? *
City (Must live in the San Francisco Bay Area) *
Do you have your own internet? *
Do you know your wifi login information such as name and password? (We will need to know this information on the day of delivery in order to connect the device to your wifi.) *
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