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?

Know that your big three exists, but don't know what they mean

Semi Meme proficient (know some stereotypical qualities of your sign)

Know what is going on when the horoscope starts talking about specific planets and their signs

Able to navigate a birth chart (know symbols, understanding of houses)

What year do you want to discuss?

A

Your current birth year (If you want to reflect on the energies that are shaping this moment)

B

Your upcoming birth year (If you want to consider possible themes to explore in the coming year)

C

Your previous birth year (If you want to reflect on how the last year has impacted you with a different lens)

D

Another year in the past (If you feel like that specific year was formative, please include dates in the next response box)

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

Yes

B

No

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

A

Yes, I am a nerd and I love homework.

B

I would prefer a one page summary of the big ideas that we covered a few days after our chat.

When would you like to have this conversation?

Within three weeks of your confirmation email.

On your half birthday.

Within a few weeks of your upcoming birthday.

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.