Horoscope Consultation Questionnaire

Personal Information:

• Full Name:
• Email Address:
• Phone Number:
• Address:

Birth Details:

• Date of Birth:
• Time of Birth:
• Place of Birth:
• Coordinates of the Place of Birth (Optional) - Degree and minute
• Time Zone at Birth:
• Was Daylight Saving Time in effect? (Yes/No)
• What is the source of your birth time? (Mother, other family members, birth certificate, registry office?)
• Did you do Birth Time Investigation before or is this the first time?

Background Information:

• Current Partnership Status:
• Single [ ]
• In a Relationship [ ]
• Married [ ]
• Other [ ] ___________________________________
• Do you have any significant mental health experiences or history you wish to share? (Optional)
• Have you experienced any major accidents or traumatic events? (Optional)
• Occupation
• Do you have any experience with Therapy, Yoga or Meditation?

Session Expectations:

• What are your main goals for this session?
• Are there specific areas of your life you wish to focus on? (e.g., career, relationships, personal growth)
• What expectations do you have for this consultation?
• Is there anything else you would like to share that would help tailor the session to your needs?
• Have you had an astrolocical reading before?
• What is the most important question in your life?