Name First Last ADAPTIVE HEALTH Consent Agreement* I am a participant in research activities conducted by the MentorHub research team. The research conducted will include data collection and analysis regarding my use of the Adaptive Health Applications. Such data will not include personal or financial information. I hereby authorize Adaptive Health Inc. to furnish MentorHub with data regarding my use of the Adaptive Health Inc. applications.My Role* Mentor Mentee Please indicate whether you are a Mentor or a Mentee.