Thank you for saying yes to this little adventure in self-discovery.

This form collects the details I need to create your True Sidereal Human Design Profile and send it straight to your inbox. Your information is kept completely private and will only be used to create your profile.

Fill this out in a few minutes, hit Submit, and I’ll take care of the rest.

Here’s to seeing yourself and your life with new eyes. 💫

First + Last name/initial:

The name you’d like on your chart.

I’ll send your chart to this email. Double-check for typos so it doesn’t get lost in the void

So I can match you with your comment and say hi if needed. (Example: @new_eyes_open)

📆 Birth details (for your True Sidereal Human Design chart):

Please use your exact birth date.

Exact time of birth (if known)

Include AM/PM if you know it (for example: 3:27 PM).
If you only know ‘around 3 PM’ or ‘morning/afternoon/evening,’ you can write that here.

How accurate is your birth time?

This helps me understand how precise certain parts of your chart may be.

How accurate is your birth time?

Exact (from birth certificate or hospital record)

Approximate (within about 1 hour)

Very approximate (more than 1 hour off)

I don’t know my birth time

City + country of birth

Please include city, state/province (if applicable), and country. Example: Austin, Texas, USA

Anything I should know about your birth data? (Optional)

If there’s anything unique about your birth details (adoption, time guessed by a parent, time zone questions, etc.), share it here.

How you’d like to use your chart

(Optional but nice for you)

What are you most curious about right now?

(Select one) Choose the one that feels most alive for you right now.

What are you most curious about right now?

Life purpose / direction

Parenting + my kids

Deconditioning old patterns

Living more in alignment with my energy

Other (I’ll share below)

If you chose ‘Other’ or want to share more, tell me about it. (Optional)

Anything you want me to know about where you’re at or what you’re moving through is welcome here.

Consent + email preferences

Can I email you your chart and occasional resources from New Eyes Open?

You’re always free to unsubscribe at any time. No spam, just soul-inspired messages and weekly True Sidereal Sun/Earth transit information & contemplation guides. (Select one)

Can I email you your chart and occasional resources from New Eyes Open?

Yes, send my chart & subscribe me to the newsletter.

Terms + disclaimer acknowledgment

I understand this chart and any accompanying notes are for personal growth and educational purposes only and are not medical, legal, or financial advice.

Terms + disclaimer acknowledgment

I understand and agree

See yourself with New Eyes 💫

Your Free True Sidereal Human Design Chart

📝 Contact info:

First + Last name/initial:

Email address:

Instagram handle

📆 Birth details (for your True Sidereal Human Design chart):

Date of birth

Exact time of birth (if known)

How accurate is your birth time?

City + country of birth

Anything I should know about your birth data? (Optional)

How you’d like to use your chart

What are you most curious about right now?

If you chose ‘Other’ or want to share more, tell me about it. (Optional)

Consent + email preferences

Can I email you your chart and occasional resources from New Eyes Open?

Terms + disclaimer acknowledgment