Heliocentric Hardware Assessment: Pre-Session Intake

Please complete this assessment at least 2 hours prior to our scheduled session. This data allows us to map your internal biological circuitry to the current solar frequency.

I. Source Data (For Orbital Mapping)

First name

Last name

Birthday

Month

Day

Year

Location of Birth

II. Biological Hardware Status (Current Frequency)

Primary System Friction: What is the main physical "symptom" or tension you are experiencing? (Focus on the physical sensation rather than a medical label).

Onset and Timing: When did this specific friction begin? Does it intensify at specific times of the day or during specific moon/solar cycles?

Neural & Sensory Sensitivity: On a scale of 1–10, how sensitive is your nervous system to external stimuli right now (light, sound, EMFs, crowd energy)?

Energy Conductivity: Describe your current energy levels. Are you experiencing "Biological Lag" (fatigue/heaviness) or "System Overload" (anxiety/jitzeriness/insomnia)?

III. Environmental & Chemical Resistance

Chemical Input: Please list any medications, supplements, or heavy dietary substances you are currently using. (This helps identify "interference" in your internal circuit).

Grounding Practices: How many minutes per day do you spend with your bare skin in contact with the Earth?

IV. The Objective

System Goal: Beyond "feeling better," what specific part of your biological function are you looking to align with the Heliocentric Source during this session?