All Is Well

Pilot intake

Tell us about the person you care for and how to reach you. This form is for invited pilot households. If you haven’t been invited, please contact us instead.

About the person we’d be checking on

First name

First name only.

Your relationship to them

For example: my mother, my neighbor, my father-in-law.

City

State

Do they know about this?

We only install with their agreement.

Yes, we’ve talked and they’re on board Not yet, but I will talk with them before anything is installed No, they don’t know about it

Their home

What kind of Wi-Fi do they have?

A regular home router A mesh system (several units around the house) Building or community Wi-Fi that asks you to sign in on a web page A phone or mobile hotspot I’m not sure

Does the Wi-Fi have a separate 5G network name? (optional)

If you know, tell us. If not, leave it blank.

Where would the device sit? (optional)

A room or a spot, such as the kitchen counter or by the front door.

Routine

When in the day suits a daily check-in?

Morning Midday Evening Another time

Anything about timing we should know? (optional)

For example: up by 7, naps after lunch.

Anything else about their routine? (optional)

You (primary contact)

First name

Last name

Mobile phone

A US or Canadian number that can receive texts.

Your relationship to them

All Is Well pilot alerts: text message program

Program: All Is Well pilot alerts, sent by CopusLabs LLC d/b/a All Is Well.

What you’ll receive: check-in alerts and device status notices about your loved one’s All Is Well device — for example, a text when a scheduled check-in is missed or the device loses power or Wi-Fi.

How often: Message frequency varies; typically 0–3 messages per day, only when something needs your attention, plus an occasional weekly summary. Message and data rates may apply.

To stop or get help: Reply STOP to cancel at any time. Reply HELP for help or contact us at contact@get-aiw.com or +1 (913) 388-2194.

Consent is not a condition of any purchase.

See our Privacy Policy and SMS Terms.

SMS terms v1 · 2026-10-14

I agree to receive text message alerts from All Is Well at the mobile number I provided. I understand message and data rates may apply, frequency varies, and I can reply STOP to opt out.

A second contact (optional)

Someone else who should hear if something’s wrong. If you add them, we need their first name, email, and mobile number.

First name (optional)

Last name (optional)

Email (optional)

Mobile phone (optional)

Their relationship to the person (optional)

They’d like text alerts too. We’ll email them to confirm. Nobody is texted until they confirm for themselves.

One last thing

How did you hear about us? (optional)