Name First Last (optional) Date of Birth Time Of BirthPlease provide your exact birth time. You will select am or pm directly below. An accurate birth time is essential for the Hellenistic techniques and Whole Sign house system I use in my Astrology practice. If your birth time is unknown or approximate, your chart may need to be rectified by an astrologer with that area of expertise prior to scheduling a reading. Thank You! am or pmLocation of Birth City State / Province / Region AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country BRIEFLY SHARE WHAT YOU WOULD LIKE TO WELCOME INTO YOUR LIFE AT THIS TIME. WHAT INSPIRES YOU MOST ABOUT HAVING AN ASTROLOGY READING?What is your experience with Astrology? Is this your first reading or perhaps you have had several? Maybe you are an astrologer yourself? Can you recall what house system you have had your birth chart read in? Like for example, Placidus/Equal House/Regiomontanus/Sidereal? It's Ok if you don't remember. This just gives me a basic idea of your background in astrology! WHAT WOULD YOU LIKE TO EXPLORE IN YOUR ASTROLOGY READING?ONE: Please share about what you would like to focus on for your reading. TWO: What themes and/or area(s) of life would you like insight, clarity, or reflection about? Generally speaking, what is most alive for you at this time that you would like guidance, clarity or confirmation upon? I will bring in current transits and use timing techniques that speak to what is happening in the sky at this time in relation to your birth chart as we set the compass in the direction you would like to go!WEAVING IN TAROT/ORACLE CARDS?Ok to weave in Tarot/Oracle Cards if ample time & intuitively inspired to support your Astrology Reading? Yes, Please! No, Thank You! ANYTHING ELSE TO SHARE BEFORE OUR ASTROLOGY READING TOGETHER?Anything goes here! Feel free to share what is most on your heart and mind at this time...This is a safe space to share as much or as little as you feel inspired to share!COMMUNICATION PREFERENCE? Zoom meeting Phone (audio only) PLEASE ENTER YOUR E-MAIL ADDRESS BELOW. Thank You!This field is hidden when viewing the formThis field is hidden when viewing the formUntitledThis field is hidden when viewing the formUntitledWOULD YOU LIKE AN (AUDIO) RECORDING OF YOUR READING FOR YOUR EARS ONLY? (available for zoom format only) YES, PLEASE! NO, THANK YOU! MAYBE Δ
