Form cover

Page 1 of 2

Waitinglist for │Nevroth The App│

Thank you for your interest in Nevroth — the app designed to help you break free from harmful habits and addictions with accountability and support.

By signing up, you’ll be among the first to get notified when the app launches. No spam, no fluff — just updates that matter.

What’s your name?

*

What’s your email address?

*

Have you tried quitting a bad habit or addiction before?

Untitled multiple choice field

A

Yes

B

No

Were you able to stay quit for over a month?

Untitled multiple choice field

A

Yes

B

No

What are you currently struggling with? (Optional – choose all that apply)

Untitled multiple choice field

A

Drugs

B

Nicotine-pouches/Zyns

C

Cigarettes

D

Alcohol

E

Bad habits (e.g., nail biting)

F

Other (please describe below)

If your habit/addiction wasn’t listed, tell us more (optional)