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Annual Profection Intake Form (Substack)

This form will help guide our preparation for your birth year consultation. Disclaimer: Readings that address the future are not predictive, they are tools that can be used to think about thematic elements that have the potential to occur in a given period of time based on my interpretation of significations assigned to symbols in traditional astrology.

Name

BIRTH DATE //

BIRTH TIME // As precise as possible!

BIRTH PLACE // City, State or City, Country

Phone

Email

What is your level of familiarity with Astrology?

What year do you want to discuss?

A
B
C
D

Why would you like to have a conversation about the year that you chose?

What questions do you have going into this conversation?

Include any "research questions" you may have, questions about the methodology, questions about how I plan to approach this conversation.

Is having a recording of this session important to you?

A
B

Would you like a zine with key information and journal prompts that you can reference after our conversation?

A
B

When would you like to have this conversation?

This service is pay what you can. Please include an estimated amount you would be willing / able to pay for a 60-90 minute reading and accompanying workbook or one page summary.

Ex: $150 for the synchronous session and handmade workbook OR $100 for the synchronous session and one page summary.