Web Portal of questionnaires

Price quote request

We can send you one or more quotes about our cognitive training programs, whether you are interested in Clint (for independent seniors) or Scarlett (for seniors suffering from cognitive impairments).
Fill in this form to confirm your request.

The fields with an asterisk are mandatory.

Which program do you want to use ?

Scarlett, the easy one

Clint, the more difficult one

Both

On how many tablets or iPads do you want to use our programs ?

For how long ? *

I am interested in the web monitoring platform *

Yes No

Institution/ establishment name *

Your First name and last name

Address

Email address *

Phone number