Patient Advocacy Council
Sign up today to become a member of the FemInnovation Patient Advocacy Council! As a member of the Patient Advocacy Council, you’ll have the ability to sign up for femtech roundtables where companies will discuss and present their innovations and solicit your feedback and insights. You may also have the opportunity to participate in femtech surveys and conversations about the future of women’s healthcare. While there is no fee or compensation for joining and participating in the Patient Advocacy Council, if you’re selected for a company roundtable, you’ll be compensated for your time at a rate up to $50/hour (depending on your background and level of experience).
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Tell us about yourself and why you think you'd make a valuable member of our Patient Advocacy Council.
*
What areas of women's health do you have expertise in as a patient?
*
What areas of women's health are you interested in providing insights or feedback on (select all that apply)?
*
Reproductive Health
Breast Health
Cancer
Cardiovascular Health
Menopause and Longevity
Uterine Health / Fibroids
Brain Health
Maternal Health (Pregnancy / Pre-Natal Care / Post-Natal Care)
Autoimmune
Endometriosis
Polycystic Ovary Syndrome (PCOS)
Digestive Health
Mental Health
Eating Disorders / Nutrition
Sexual Wellness
Urinary Tract Infections (UTIs)
Other
Are you interested in participating in paid patient roundtables with founders to provide your opinion and feedback on products they are building?
*
Yes
No
Are you interested in participating in unpaid activities (e.g., webinars) where you offer your insights as a women's health advocate?
*
Yes
No
Where can we learn more about you (e.g., websites, social media, etc.)?
Submit
Should be Empty: