Official Research Onboarding

Basic Information Please fill out the form below to request an observational Biometric Mapping Session. By providing specific details about your current state, you allow us to approach your autonomic system with data-driven precision.

First Name *

Last Name *

Phone *

Email *

1. Please check all that apply so we can categorize your autonomic needs:

Physical: Chronic pain, unexplained ailments, or low physical vitality.

Emotional/Mental: Overwhelming stress patterns, persistent negative thoughts, anxiety, or heavy fatigue.

Spiritual/Paranormal: Hearing voices, feeling "attached," or sensing external interference/phenomena.

Expansion: Seeking 12D alignment and a deeper connection to baseline oneness.

2. Symptom Assessment Primary Concern: In 2–3 sentences, please describe what you are currently experiencing. [ Text Box Area ]System Distress Scale: On a scale of 1–10 (10 being the highest), how much is this baseline issue currently impacting your daily life?

By checking this box, I consent to receive non-marketing transactional messages related to my account updates, research notices, or informational services I have requested from The 12D Foundation. These messages may include appointment reminders, protocol confirmations, and system notifications. Message frequency may vary. Message & data rates may apply. Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive educational updates, research findings, and community notifications from The 12D Foundation at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.