Intake Form

Please answer the questions below:

* Indicates required field

Name that the Astrology appointment has been booked under: *

First

Last

Please list your birth date, birth time, and place of birth below: *

Please list preferred pronouns below: *

What is your level of Astrological knowlege? *

I don't know anything about Astrology! I have had my chart read before but don't remember or know much. I have looked at my birth chart and I know my Sun, Moon, and Rising sign and have an intermediate understanding of the meaning of them in my chart. I have gone in deep to all of my planetary placements and have an advanced understanding of my own birth chart either through my own study or by working with an Astrologer in the past. I am an Astrologer and can speak the language with you.

Please let me know if there is anything specifically you would like to focus on in the session. Also please let me know if there are any subjects you wish to not talk about or that are particularly triggering for you. *

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Astrology Appointment intake form

Please answer the questions below:

Astrology Appointment
intake form