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We are casting real people who have experience using telehealth or online pharmacy services. ^*

We are not collecting medical records or diagnoses. This form only helps us determine on-camera fit.

If selected, you will receive compensation for your time and be required to sign release documents before filming.

I understand

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Are you located in the NYC Area? ^*

Yes

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First & Last Name ^*

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Age Range (not DOB)

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How often do you use telehealth or online pharmacy services?

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What type of services have you used?

Please select all that apply.

Virtual doctor visits

Telehealth Services

Online Pharmacies

Mental wellness apps

Prescription refills

Other

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Which category best describes your telehealth usage?

Preventative care

General wellness

Ongoing support

Occasional needs

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Have you ever been filmed or interviewed before?

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How comfortable are speaking on camera?

1 → Not comfortable

5 → Very comfortable

Not comfortable Very comfortable

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Would you be open to sharing a personal experience related to telehealth?

Yes

Maybe

Prefer general discussion

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Please fill the following

Phone Number

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Thank you! 🙌

We will be in touch ASAP.

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