IBD (Inflammatory Bowel Disease) App Interest Form
Hi there IBD warrior! I am creating some amazing IBD content in the form of an app and looks like you are interested in what I have to offer. 

I am in the middle of finalizing all of the content development and all that fun stuff. I should be launching in the next 2 weeks, so if you want to be one of the first people in the know, please fill out this form!

This pilot round will be offered for FREE with then an option after 4 weeks to convert to a paying monthly subscription. My ask from you will be if you loved it, to tell all your friends and help me in making this even better. 
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Email *
What is your first and last name? *
Will you be able to commit to 4 weeks of using my new app? Tentative start date is: January 16, 2023? *
What kind of IBD do you have? *
When were you diagnosed with IBD? *
How would you rate the severity of your IBD on a scale of 1 to 5 (with 1 being mild and 5 being severe)? *
How often do you experience flare-ups?
What is the biggest challenge you face in managing your IBD?
What tools or resources do you currently use to manage your IBD (select all that apply)?
Have you used any mobile apps to help manage your IBD? If yes, what features do you find most helpful?
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