Cogo Attention Training Programme Advocates Form

Thank you for your interest in becoming an advocate for the Cogo Attention Training Programme!

Information we collect: By filling out this form, you consent Neeuro Pte. Ltd. to collect your name, email address, phone number, and geographic region (including City and Country) in becoming an advocate for the Cogo Attention Training Programme.

Purpose of Consent: By filling out this form, you agree to join our advocates programme and your feedback and testimonial shall be publish on our company website, promotional materials, or other related platforms for sharing this scientifically validated digital therapeutic and attention training programme with other parents and children.

Right to Revoke: You have the right to revoke your feedback and testimonial from publication at any time by providing written notice of your revocation and submitting it to us at support@neeuro.com or the mailing address stated in section 14 of Neeuro’s Privacy Policy. Please understand that revocation of your feedback and testimonial will not affect any action Neeuro Pte. Ltd. took in reliance on this publication before receiving your revocation.

Parent's Name*

Child's Name*

Email*

Phone number*

City*

Country*

1. Can you share some specific challenges or difficulties your child faced with their attention and focus before starting the Cogo programme?*

2. Can you share any noticeable change(s) in your child's behavior or attention span after they started using the Cogo programme?

3. Would you recommend Cogo to a fellow parent or caregiver of a child with attention problems?* Kindly expound your answer.*

Testimonial Publication Consent

We appreciate your willingness to share your testimonial about the Cogo Attention Training Programme.

I hereby authorize Neeuro Pte. Ltd. to use my feedback and testimonial contained herein in Neeuro’s website, promotional materials, or other related platforms. I understand that the testimonial may be accessible to the public and used for promotional purposes related to the Cogo Attention Training Programme. I also acknowledge that the testimonial, once published, may be indexed by search engines and shared on various online platforms.

I have read and understood the testimonial publication consent and give my consent for the use of my feedback and testimonial. Please indicate your preferences below:

1. Parents Name:*

I consent to publishing my testimonial with my real name.

I prefer to have my testimonial published anonymously (without my real name).

2. Child's Name:*

I consent to publishing my child's testimonial with their real name.

I prefer to have my child's testimonial published anonymously (without their real name).

Signature*

Date of Signature*

Month/Day/Year