LOTSWS Beta Tester Portal

LOTSWS Beta Tester Intake

Thank you for your interest in the Light of the Soil Wellness System. Your responses help us create a personalized starting protocol based on your hydration, minerals, fuel, warmth, and emotional soil patterns.

1. Contact Information Full Name* Email Address* Mobile Phone (optional) City / State / Country

2. Basic Background Age Sex / Gender (optional) Current Occupation / Daily Role

3. Health & Medical Context Current Diagnosed Conditions (if any) Current Medications & Supplements Any safety concerns we should be aware of?

4. Lifestyle Snapshot Daily activity level Average hours of sleep Current stress level (1–10) Describe your typical day

5. Hydration & Fuel Patterns Daily hydration pattern What do you usually drink besides water? Typical eating pattern Top 5 favorite foods Foods that cause issues / dislikes

6. Main Goals & Challenges Top 3 wellness goals What feels hardest or most frustrating right now? What systems or diets have you tried before?

7. Consent & Communication I understand this is a wellness beta program and not medical care. I agree that LOTSWS may contact me for protocol updates and check-ins. Preferred contact method

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LOTSWS Beta Tester Intake