What is your level of interest in Astrology

Disbeliever | Skeptic | Open | Enthusiast | Student | Professional

Have you ever had your Birth Chart interpreted by an Astrologer? Yes / No …. Any comments?

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What is your purpose for this reading?

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Are there 1-2 Areas of Life that you would like to focus on? (e.g.

1. ___________________________________

2. ___________________________________

Past dates to explore

1. ___________________________________

2. ___________________________________

Any notes?
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Future dates to explore

Past dates to explore

1. ___________________________________

2. ___________________________________

Any notes?
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