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Osin Starter Expression of Interest Form
We'll be selecting an exclusive group of participants. Please complete the form to see if you're eligible.
13
Questions
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1
Name
*
This field is required.
First Name
Last Name
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2
Email
*
This field is required.
example@example.com
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3
What's your phone number?
*
This field is required.
Country code (+64) is not required
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4
How did you first hear about Osin?
Social media
Personal connection
Google
I don't remember
News coverage
Other
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5
Where are you located?
*
This field is required.
Auckland
Wellington
Christchurch
Other
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6
Which company do you work for?
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7
What's your position?
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8
Do you work at least four days a week from the office?
*
This field is required.
Do not include days you work from home.
YES
NO
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9
Do you spend 80% of more of your working hours inside the office?
*
This field is required.
YES
NO
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10
Select the option that best describes your working environment?
*
This field is required.
My desk is near a window
My desk is more than 3 meters from a window
My desk is in a room with no windows
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11
Do you currently pay for any health or wellness-related subscriptions?
Select all that apply
None
Gym membership
Supplement subscription
Digital subscription (Fitbit Premium, Apple Fitness +)
Other
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12
Do you do shiftwork as part of your professional role?
*
This field is required.
Shiftwork is defined as working for more than one hour between 7:00 pm - 6:00 am
YES
NO
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13
If selected, do you agree to share your experience with Loop?
*
This field is required.
This will involve a phone call with a member of our team during the trial, and possibly writing a review for our website or giving an on-camera testimonial at the end of your experience.
YES
NO
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