Consultation form

Consultation form
Name*

First NameLast Name
Email*
example@example.com
Telephone number*
Date and time of birth*

DayMonthYear
Date
Hour (24 hour format) Minutes
Place of birth*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Source of birth time*

Birth certificateFamily memberVedic astrologer rectificationOther
Consultation type*

Initial consultationFollow upChild consultationCompatibilityMuhurta (auspicious timing)
Additional info (birth data of the child, spouse, etc)
The next set of questions will help to rectify your chart. Please respond as detailed as possible especially if the birth time is not known exactly.
Any unusual birth circumstances or health issues around birth time
Your most prominent character traits*
List your degrees, apprenticeships, your past and current work experience*
Describe your parents’ character traits, your relationship with them, and their most prominent work experience*
List 5-6 key events in your life with timing (such as major health issues, traumatic events, moving frequently or moving country, career milestones, marriage, birth of children, etc)*
Reason for the consultation*
Should be Empty: