Welcome, my love!

1

What is your Name?* This field is required.

First Name

Last Name

2

And your Email address?* This field is required.

example@example.com

3

What is your date of birth? As example: 13th November 1981

4

And your time of birth? or at least an estimation

5

Finally, your place pf birth?

6

Have you ever had a Reading with me?* This field is required.

7

On a scale of 1 to 10, how well do you feel you're doing with living your design? * This field is required.

1
2
3
4
5
6
7
8
9
10

8

What inspired you to reach out to me?* This field is required.

9

Do you have a minimum of 4 hours a week to invest in your own growth?* This field is required.

10

In terms of goals, what are you working towards right now that a deeper understanding of Human Design would help you with?* This field is required.

11

What do you need help with the most right now?* This field is required.

12

If this program was the perfect fit for you to live an Empowered and Purposefully life, would you able to invest usd 1,333 a month in your growth and education? If not, what would feel comfortable for you to invest?* This field is required.