Thank you for your interest in learning more about BlueStar. To best schedule your demo, please answer the questions below:

1.	Name
2.	Organization
3.	Title
4.	Phone Number
5.	Email
6.	Do you currently have a diabetes program in place?
7.	Do you current have any digital programs in place?
8.	How many covered lives?
9.	What PBM do you use?
10.	If an employer, what is your health plan?
11.	Are you self-insured?
12.	If an employer, do you work with an EBC group?

Thank you in advance for your response and we look forward to scheduling a demo for you soon.