Welcome to the Suvera 1.0 sign up form!
Should take no more than 2 mins, promise ;)
First Name *

What device do you use? *

Are you currently taking any medications or managing someone else's medications? *

On a scale of 1-5 how FRUSTRATING would you describe your current experience managing your medications (or someone else's medications) *

Please select ALL the methods you use to help manage your medications *

Has any of the above methods you selected worked for you to your complete satisfaction? *

Which method worked to your satisfaction?

Which app?

Do you still forget to take your medications with any of the above methods? *

On a scale of 1-5, how often do you forget to take your medications in an average week?

Finally, on a scale of 1-5 how much would you say you could rely on your current method of managing your meds (or someone you look after) *

Great {{answer_63831865}}, you're Done! Thank you for your time. We've now sent you instructions on how to download Suvera 1.0!!!
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