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Rate the Cognitive Impact of Your Application
About You
First name
Corporate Email
Last name
Country Code
Phone
About Your Organization
Company Name
Organization's Website
Street Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Country
Country
About the Application
Application Name
Choose an option
Choose an option
Number of Active Users
Download Source
*
Apple App Store
Google Play
Other
App Website
Does your App Terms and Conditions allows your Organization to retrieve personal user data from the app users?
*
Yes
No
About the Request
Choose The Type of Assessment
*
Initial Cognitive Assessment - $45
Yearly Assessment Revalidation - $15
Observations
Discounts applied for the Assessment are only Valid for the period of the Pilot: 01/06/2024 - 01/09/2024
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