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If you do not have an access code, please join the waitlist to be notified when space opens up.

This early access pilot involves:

Using the platform for 2 weeks
Providing feedback via short surveys
Optional 15-minute feedback interview

Are you willing to participate at this level? *

Yes, I am willing

No, I cannot participate right now

Basic Information

How can we reach you?

Full Name *

Email Address *

Phone Number (Optional)

City, State (Optional)

Your Age Group

Under 18

18 - 29

30 - 44

45 - 59

60 or older

Which best describes you? *

Patient managing a chronic condition

Caregiver or family member

Healthcare professional

Public health / policy professional

Student

Other:

Your Job Title (Optional)

Organization/Company Name (Optional)

Your Healthcare Experience

Tell us about your experience.

Have you ever left a medical appointment feeling confused about your diagnosis, medications, or care plan? *

Yes, frequently

Yes, occasionally

Rarely

Never

Which of these have been challenging for you? *

Understanding medical terminology

Knowing what questions to ask my doctor

Remembering what was said during visits

Understanding my test results

Medication instructions and/or side effects

None of the above

Other:

On a scale of 1 to 5, how valuable would a tool that explains your medical information in plain language be to you? *

1 - Not valuable 5 - Extremely valuable

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Early Access Details

Final questions about the pilot.

How comfortable are you using digital tools, apps, or websites? *

Very comfortable

Somewhat comfortable

Not very comfortable

Why are you interested in early access? *

What would make this tool truly useful for you? *

Early access users may receive discounted pricing (~$5/month). How does this price feel to you? *

Very reasonable

Reasonable

Unsure

Too expensive / I wouldn't pay

May we contact you with follow-up questions? *

Yes, that's fine

No, please just the early access instructions

Anything else you would like us to know?

How did you hear about Access Insight? (Optional)

Search Engine (Google, Bing, etc.)

Social Media (LinkedIn, X, etc.)

Colleague/Word of Mouth

Industry Event/Webinar

Newsletter/Publication

Other:

On a scale of 1 to 5, how interested are you in receiving early access updates? (Optional)

1 - Not interested 5 - Very interested

1 2 3 4 5