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You're invited to join us in testing the new flok app!
We just need to collect a little information to make sure we have a diverse group of testers representative of our community.
As a tester, you’ll be expected to:
Regularly use the app
Test specific things in addition to regular use of the app
Provide feedback.
We thank you for your time commitment to making flok great for everyone!
Contact Information
First name
*
Last name
*
Postal code
*
flok role
*
Please Select
I have a metabolic condition
I am a caregiver
I am an ally (includes friends, RD's, MD's, Industry etc.)
Email address
*
Please note that for Android this should be your Google Play email.
Email of anyone testing with you
Such as a child or another caregiver.
Testing Information
Which flok are you a member of?
*
What is your community connection?
Please Select
flok
HCU
MSUD
Multiple - Industry
Multiple - Medical Professional
Organic Acidemias
Other
PKU
Tyrosinemia
UCD
Age of the person with a metabolic condition
If applicable. If an infant <1 just put 0.
Does this person ever take tube feeds?
Fully Tube Fed
Partially Tube Fed
Rarely (like sick day) Tube Fed
Has a port but only for Medications
Type of device being used to access the flok app?
Please Select
iOS (Apple)
Android
Are you a current user of How Much Phe?
Yes
How does your household currently track their metabolic diet?
Paper? Another app? Not at all?
Metabolic Interventions and/or Medications
For instance "Post Liver Transplant", Rx medications (e.g. Kuvan, Ravicti), other treatments
Clinic Name
For you or whoever is affected - who provides the metabolic clinical care?
Dietitian name
Or whoever you talk to most at the clinic
Dietitian Email
We want to invite them to test flok, too!
Do we have permission to tell your RD/clinic that you are testing flok?
We will not be sharing your information from the flok app, we will only notify them that you are testing and invite them to test as well!
We would like to see how it impacts your clinic experience!
Yes!
Submit