Hydrostasis Product Test
Thanks for your interest in participating in Hydrostasis testing.

Did you know that as many as 75% of American adults are chronically dehydrated? Dehydration affects your mood, cognition and physical performance, and can put you at risk for kidney problems, heart disease and urinary tract infections. We want to make it easier to stay at a healthy level of hydration by allowing users to monitor their hydration status hassle-free.

The consumer test will be happening on Saturdays from November - December 2021. We want to test how reliable our device is in detecting changes in hydration state - both when drinking water and when losing water through exercise. For this, we want to invite adults to join us in testing our device so that we can be sure that we can accurately predict hydration in people from different walks of life.

This questionnaire helps us establish a profile for each of our testers. We attach it to our data, so we can make our algorithms smarter. We will not share this data with any outside parties, and your data will be anonymous within our database. Please contact mhoogenhout@hydrostasis.com if you have any questions or concerns.
Email *
What's your age? *
What is your gender? *
What is your weight (lbs)? *
What is your height? For example, if you are 5 feet and 4 inches, please type 5'4". *
What is your race? *
What is your ethnicity? *
What is your skin tone?
We ask about age, skin tone, gender and race/ethnicity because we'd like to make sure that our product is reliable and accurate for all different groups.
Light
Dark
Clear selection
Have you struggled with hydration before? *
If you answered yes above, please explain.
On average how much water do your drink per day? One glass is 8 fl oz, a standard water bottle is 12 fl oz. *
Do you have any chronic health conditions such as heart disease, diabetes or high blood pressure? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hydrostasis.