Healthzilla Form — Healthzilla

I want to start using Healthzilla Wellness Platform!

Happy to help - we’ll have you up & running once we have your info!

Your Name

First Name

Last Name

Your Email Address

Where are you based?

Country

I want to use Healthzilla with:

Choose 'Clients' if you need a view to individual end users' data (e.g. you are a personal trainer), and 'Employees' if you need an aggregate view to end users' data only (e.g. you are an HR person in an organization). NB: Access to requested data is subject to end users' approval. After filling this form, Healthzilla will provide you a link to a dedicated consent form with which end users' approval will be requested and documented.

Clients

Employees

I choose the following solution

Please choose which solution you want to get started with. No worries, you can always change it later if your situation changes!

Small (up to 15 clients/employees)

Medium (16-30 clients/employees)

I need something else, please contact me!

Please type here any questions you might have at this point

I give consent to collect my personal data in order to process my request

Yes

Your support & feedback means a ton to us. By submitting this form, you are accepting our terms of usage for the dashboard. We’ll do our very best to uphold our part!

NOTE: You will NOT be charged anything at all, unless you wish to keep using the dashboard after the first month! If you choose to keep using it, we will send you an invoice at the end of each month as per the pricing scheme of the service you have chosen. If you decide not to pay, we will just disable your account after another 30 days, no harm no foul!