ResonantVibe Pre-Sale Sign-Up Form

ResonantVibe Pre-Sale Sign-Up Form

Thank you for your interest in VAVE™ and ResonantVibe. Please complete the form below so we can understand your needs and guide you through the pre-sale process.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Which product(s) are you most interested in?? Please select your intended use*

VAVE Platform (Bed / Chair / Floor)VAVE Bio-MatVAVE Bolster (Vibroacoustic Pillow)
How do you plan to use VAVE? Please select your intended use*

Personal UseWellness Business / Healing CenterClinical Setting (Medical / Allied Health)Research Institution / Academic Use:
What’s the name of your wellness center or healing space?*
Example: Sacred Bud
Where is your practice located?*
City, State, or Country
What types of services or modalities do you currently offer? *
What inspired your interest in VAVE™ frequency therapy technology? *
Do you have a website or social media presence you'd like to share? *
How long have you been in business? *
How many centers or spaces do you currently operate or facilitate?*
On average, how many clients or sessions do you facilitate each week?*
How do you currently incorporate (or plan to incorporate) multisensory or nervous system-based therapies?*
What are your top curiosities or questions about the VAVE system?*
What type of clinical facility are you representing?*
Example: Physical therapy clinic, mental health practice, integrative medical
Where is your practice located?*
What are your primary areas of focus or specialties?*
6. How do you currently support nervous system regulation or somatic-based therapies?*
Are you looking for FDA-cleared or research-backed tools for integration into treatment plans?*

YesNoNote Sure
Are you interested in using VAVE as: Select all that apply:*

Adjunctive tool in patient therapyPreventative wellness offeringMental health or trauma recovery aidPain relief / Physical rehabilitation
What’s the name of your institution or lab?*
Where is it located?*
What type of research are you conducting or planning?*
Ex: Neuroscience, somatics, trauma, consciousness studies, psychophysiology
Are you looking to integrate VAVE into an existing protocol or develop a new study around it?*

Existing protocolNew studyExploratory phase
Would you like access to:Select all that apply:*

Technical specificationsFrequency libraries / stimulation protocolBiofeedback integration optionsData recording/export capabilitiesResearch collaboration or co-authorship opportunities
8. Estimated project timeline / desired implementation window?*