Thank you for booking a reading with me!

I'm excited to dive into your astrological reading, but before we proceed, I'll need some essential information to ensure its accuracy. If you would like a written report along with the reading, an in person consultation is included in every astrological report bundle purchased. If Looking forward to hearing from you soon.

Name

First Name

Last Name

Phone

(###)

###

####

Date of Birth

YYYY

Precise Time of Birth

Hour

Minute

Second

Place of Birth

Do you have a specific question you would like to answer?

What is the source of your birth time?

Birth Certificate

Newborn hospital bracelet/baby book/ or other similar method

Rectification (when an astrologer works with you to establish the most likely birth time)

Other

If other, please specify