READINGS INTAKE FORM

Thank you for booking a reading with me. I’m honored and excited to work with you in our session.

To help me prepare for our reading, please fill out the form below.

Everything you share here will be held with deep care and total confidentiality.

Please consider writing longer answers elsewhere (a note on your phone, Google docs) before copy-pasting here. Just in case your form doesn’t go through!

Name

First Name

Last Name

Preferred Name

Pronoun

Date of birth

YYYY

Which reading would you like to receive?

Time of birth (Please include AM / PM)

Place of birth (city, state, country)

If you know your Sun, Moon, and Rising signs, please share with me.

(This is to ensure that I have your correct chart)

What is calling you to book a reading at this time?

Feel free to share as much or as little as you'd like. It's also OK if you don't have full clarity.

Is there anything else you want me to know ahead of our session?

This can include a short biography of your life, any identities you hold, or any sensitivities you'd like me to know about.

Disclaimer: Diviners and spirit-workers are not legal, financial, or medical advisors. Our discussions can definitely get into the human / psychological aspects of these topics if you'd like, but I'm not qualified to give legal, financial, or medical advice. Do you accept?