Form

HabitAware--BlueLogo-1000x1000-transparent

This form is form is for therapists, the medical community and anyone who treats or services the BFRBs. Together, we can help people suffering from hair pulling, skin picking and nail biting live better! After you hit submit the you'll the Keen2 info will display for you to print or save.

We believe Keen2 compliments treatment and we love working with treatment professionals and others who support the BFRB community, such as salons and hair stylists.

Any questions? Email ellen@habitaware.com

Email*

First name*

Last name*

Phone number*

Number of BFRB Clients?*

Would you like to schedule a demonstration call? We'll send you a link.*

Would you like a Free Keen Care Package that includes brochures for clients, discount code for 15% off and other helpful BFRB materials? Include your full mailing address below.*

Street address

City

State/Region

Postal Code

For which compulsive & excessive behavior might you recommend Keen to your clients: * (select all that apply)*

What is your Degree (ie: Ph.D, Psy.D, LPC, MD Psychiatrist, Dermatologist, etc)*

How did you hear about us?*

What is your Website URL

Anything else you'd like to share right now?