Vedic Astrology Consultation Form

Vedic Astrology Consultation Form
Full Name *

First Name Last Name
E-mail *
Preferred Phone *

Area Code Phone Number
Birth Day, Birth Month, Birth Year

Month Day Year
Date
Time of Birth *
Birth Place *
Source of Birth Time (mothers memory, birth certificate, rectification from another astrologer... etc)? *
Have you ever had a Vedic Astrology reading before? *
If so what year?
What spiritual or religious practices/views do you follow (if any, in case I can offer remedial measures): *
What questions do you have for this reading/ what is the purpose? *
Examples could include: why am I having trouble finding a job? Why am I having marital issues? Why am I experiencing illness? Problems with financial gain? Etc...
Is there anything else you would like me to know?
Preferred method of consultation: Online via a Zoom link, Phone *

Zoom Phone
Rectification *
Please list key dates and descriptions of 3-5 major life events. (YYYY-MM-DD if possible) This helps me line up events to the accurate time periods within your chart for accuracy. They can be any examples such as starting/losing a job, birth of a child, marriage/divorce, starting/graduating school, major moves etc...
Should be Empty: