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Annual Profection Workbook Intake Form (Substack)

This form will help guide my preparation for your birth year workbook. 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 //

Phone Number

Email Address

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 would you like to reflect on?

Current Year (Starting at your last birthday)

Upcoming Year (Starting at your next birthday)

Another year in the past (Write the specific dates in the following box)

Why would you like to reflect on the year that you chose?

Ex: Key themes or astrological timing around specific events.

What questions do you have going into this process?

Include any "research questions" you may have, questions about the methodology, questions about how I plan to structure the workbook.

When would you like to receive the completed zine?

Three weeks after receiving a confirmation email

On your half birthday

A couple of weeks before your next birthday

This service is pay what you can. Please include an estimated amount you would be willing / able to pay for your handmade workbook.

Ex: $50 for handmade workbook.