Flutura Beta Program Application

Thank you for your interest in becoming a Flutura Beta tester!

Please complete the form below to apply.

1. Personal Information

Full Name *

Email *

Which age group do you belong to? *

18–24

25–34

35–44

45–54

55–64

65+

ℹ️ Why are we asking this? We want to ensure that Flutura is tested by a diverse group of people across different ages.

Years of experience in mental health *

Please select

1-2 years
3-5 years
6-10 years
10+ years
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2. Professional Information

Are you a mental health professional? *

Yes

What is your professional title? *

Why are you interested in joining the Flutura Beta Program? *

ℹ️ We’d love to understand what motivates you to take part in our Beta Program. Whether it’s improving your workflow, exploring new tools, or shaping the future of Flutura, let us know!

Do you currently use any digital tools in your practice? *

Yes

If yes, which tools do you use? *

Please select

TheraNest
SimplePractice
TherapyNotes
ClinicSource
Carepatron
Quenza
NovoPsych
Others
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3. Beta Testing Readiness

How often can you test and provide feedback? *

Please select

Daily
Weekly
A few times a week
Occasionally
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How comfortable are you with providing feedback on a new product? *

Please select

Very comfortable
Somewhat comfortable
Neutral
Not comfortable
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ℹ️ To make the most of the Beta experience, we’re looking for active participants. Let us know how often you’ll be able to test new features and share your insights.

Do you have an active WhatsApp account for Beta communication? *

Yes

ℹ️ We use WhatsApp for quick updates, bug reporting, and discussions. Please confirm if you have an active account so we can invite you to the Beta group.

WhatsApp Number

4. Additional Information

Would you like to receive early access to future Flutura features beyond the Beta Program? *

Yes

Is there anything else you’d like us to know about your experience or expectations? (Optional)

5. Consent & Agreement

I agree to the Beta Testing Terms & Conditions

I consent to be contacted by the Flutura team regarding the Beta Program