Intake for Booked Readings

Align the Divine Readings & Sessions Intake Form ✨🌙

Please provide your details so I can prepare for your reading.
Welcome to your reading! Thanks for signing up.
- Before our session, I tune into your energy directly.
- Additionally, I read your charts and prepare your reports in advance.
- By providing your birth details (optional), you help me tune in more precisely to what's going on in your dynamics right now.
- If you provide them, I will use both locational astrology and Human Design with your birth info to help you the best I can.
- Please fill in as much of this birth info as you have.
- I will send the Zoom link and calendar invite after I receive this form and info.
If you have any questions, please email me at chirayadharma@gmail.com or WhatsApp me.
First Name
Email Address
example@example.com
Phone Number
I might need to text you to confirm your details and remind you about your appointment. Format: (000) 000-0000.
Your preferred communications in case I need to contact you:
Your Time Zone

Other
Share 3 possible times for your reading between 12 pm and 6 pm EST / 9 am and 3 pm PST. Make sure it is at least 4 full days after you send in this form so I have time to prepare your reports in advance. Thanks.
I prefer to hold sessions on weekdays between 12 pm and 6 pm. Please share three options that work best for you and your scheduling needs, and we will align the best time. If you need a time outside my preferred times, you can pitch me your preferred dates and times.
Tell me what is transpiring that led you to this reading? It could be a challenge, a problem to solve, a decision to make, or something you want to manifest.
Please provide your birth time, date, and location below. If you don't know your birth time, give me your best guestimate.
Your Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearIf you would like to me to look up your Astrolocation &/or your Human Design to support our work together, please provide your birth time, date and location.
Your Time of Birth

Hour Minutes

AM/PM Option
If you do not know your exact time of birth, please select one:
Your city, state or province and country of birth
This allows me to check your chart properly.
Your Current Location: City/State in US or City/Province/Country internationally
If you provide this, I can check the astrological dynamics affecting you. For the fullest astrolocation reading, choose the Total Alignment session.
2nd Location: City/State in US or City/Province/Country internationally
If you provide this, I can check the astrological dynamics affecting you. For the fullest astrolocation reading, choose the Total Alignment session.
3rd Location: City/State in US or City/Province/Country internationally
If you provide this, I can check the astrological dynamics affecting you. For the fullest astrolocation reading, choose the Total Alignment session.
Optional: Share any additional pre-session questions or comments here:
Should be Empty:

Align the Divine Readings & Sessions Intake Form ✨🌙