Try PM NOW for FREE

1

PM NOW pilot users may receive up to 4 FREE private therapy sessions with a licensed mental health professional. Users are required to complete a weekly feedback survey about their experience in using the app.

Please fill out the form carefully.

2

Full Name* This field is required.

First Name

Last Name

3

Date of Birth* This field is required.Must be 18 years or older to be qualified.

4

Email Address* This field is required.

example@example.com

5

State of Residence* This field is required.At this time this offer is only available in the regions listed below.

6

Do you have any prior experience with mental health therapy apps? (i.e. Betterhelp, Talkspace, etc.)* This field is required.

Yes

No

7

Do you have access to a smartphone or tablet and internet service?* This field is required.

Yes

No

8

Because therapy services are administered through the app, users must have access to a smartphone and internet service in order to download the app and participate in the pilot group. If you do not have access to a smartphone and internet service, you are not eligible to participate in the pilot group at this time.

9

What type of mobile device do you have?

iOS/Apple

Android

Other

10

At this time, the PM NOW app is available only on iOS/Apple and Android operating systems. If you do not have one of these types of devices you are not eligible to participate at this time.

11

Are you willing to participate in talk, video, and/or chat therapy through your mobile device with a licensed professional?* This field is required.

Yes

No

12

Therapy services in the PM NOW app are administered via video, audio, or chat. There is no face-to-face or in-person option through this platform. If you are not willing or able to receive services through one of these formats, you are not eligible to participate in the pilot at this time.

13

How would you rate your comfortability with accessing, downloading & using mobile applications?* This field is required.

Not Comfortable

Somewhat Comfortable

Very Comfortable

14

While we have a support team ready to assist our users with the setup and functional features of the app, users must have a basic understanding of how to access their App Store or Google Playstore, download an application, and create a user profile. If you are not comfortable completing these steps on your own, we recommend not participating in the trial at this time.

15

What times are you available for therapy sessions?* This field is required.Please select all that apply.

Mornings

Evenings

Afternoons

Weekends

16

I am willing to complete a weekly feedback survey regarding the features, functionality, and my experience while using the app.* This field is required.NOTE: Users will not be asked to specify details regarding their therapy services.

YESNO

17

For users participating in the pilot launch of the app, a weekly feedback survey is required. Users will receive therapy services through the app free of charge and complete a survey at the end of the week regarding their experience. If you are not willing or able to complete the weekly feedback survey, you may not be eligible to participate at this time.

18

Terms and Conditions* This field is required.