ASTROVISORS INTAKE FORM

Astrology Readings with Astrovisors

WELCOME TO YOUR ASTROLOGY READING WITH JAZZY. I LOOK FORWARD TO ASSISTING YOU ON YOUR JOURNEY. TO PROVIDE THE BEST POSSIBLE EXPERIENCE, PLEASE FILL OUT THIS FORM TO THE BEST OF YOUR ABILITY.
Name*

First NameLast Name
E-mail
Phone Number*

Area CodePhone Number
WOULD YOU LIKE TO BE ADDED TO OUR MAILING LIST FOR SEASONAL PROMOTIONS

YES, SIGN ME UPNO THANK YOU
Birth Date*

MonthDayYear
Birth Time*

Hour Minutes

AM/PM Option
Birth Place*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
SOURCE OF BIRTH INFORMATION(if you have access to your birth certificate, please be sure to refer to it.

BIRTH CERTIFICATEFROM MEMORYOTHER
WHEN WAS YOUR LAST ASTROLOGY READING?
ON A SCALE FROM 1-10, WHAT IS YOUR LEVEL OF KNOWLEDGE OF ASTROLOGY*

1

2

3

4

5

6

7

8

9

10

1 is No Knowledge, 10 is Astrology Expert
WHAT INSPIRED YOU TO BOOK AN ASTROLOGY READING?
WHAT AREA OF LIFE ARE YOU INTERESTED IN EXPLORING? CHECK ALL THAT APPLY

HealthLoveSpiraualityHomeCareerLIFE PATH
WOULD YOU LIKE TO INCLUDE FORMS OF DIVINATION LIKE ORACLE/TAROT CARDS?

YES PLEASENO THANK YOU
HOW DID YOU HEAR ABOUT OUR READINGS?

SOCIAL MEDIAWEBSITEFRIENDOTHER
WOULD YOU BE WILLING TO WRITE A REVIEW ABOUT YOUR EXPERIENCE WITH ASTROVISORS?

YES NO PROBLEMNO THANK YOU
ANYONE YOU KNOW WHO MIGHT BENEFIT FROM AN ASTROLOGY READING? PLEASE WRITE THEIR NAME AND PHONE NUMBER(10% OFF YOUR NEXT READING FOR REFERRALS WHO COMPLETE APPOINTMENTS)
PLEASE NOTE:

•Due to the preparation before every appt, payment is required in advance. •48-hour cancellation notice is required otherwise your session fee is non-refundable. •READINGS ARE FOR ENTERTAINMENT AND INFORMATIONAL PURPOSES ONLY, THEY ARE NOT SUBSTITUTES FOR MENTAL, PHYSICAL, OR MEDICAL TREATMENT •You may record our session’s audio/video for your own keeping.
Legal Disclaimer
“Astrovisors” is not qualified to give medical, legal, or financial advice and takes NO RESPONSIBILITY for the client's interpretation. Astrology Readings do not substitute for medical or professional help/advice.*

I UNDERSTAND I AM RESPONSIBLE FOR MY OWN DECISIONS
THANK YOU FOR TAKING TIME TO FILL OUT THIS FORM. YOUR RESPONSES WILL HELP TO MAKE YOUR READING AS RELEVANT AND INSIGHTFUL AS POSSIBLE

WE ARE LOOKING FORWARD TO ASSISTING YOU!
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Astrology Readings with Astrovisors

PLEASE NOTE:

Legal Disclaimer