Intake Questions

Birth Information:

Your Name (required)

Your Email (required)

Birth Date & Year (required)

Precise Birth Time (to the minute): (required)

City, State & Country (required)

Any extenuating birth circumstances?


Questions:

Have you ever had an astrology reading before?

This would be my first. _______
One to a few prior, here and there over the years… _______
Regularly, I’m into it! _______

Comprehension of the astro language?

Vaguely know about signs, very little… _________
Signs and planetary rulers, a bit. __________
Signs, planets & houses, I’m into it! _______
Signs, planets, houses, aspects… I’m a total astro geek!!! ______

Interest in learning the astro language?

Minimal – only as it applies to me… ________
Moderate -interested in learning. _______
Intense – really want to learn! _________

Area of particular interest?

I have a very specific question and it is:

I just want some general reflection & insight:

I’m in transition and really need a compassionate reflection:

Do you have a life philosophy? If so please share…

My life philosophy is that we‘re all here sharing this “human experience” in personal and uniquely individualized ways, yet life’s goal for each of us is self-love and acceptance (or realization that everything is divine) so that we may live in peace with ourselves and eachother.

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