Intake Form for Beauty and Wellness Reading

Astrological Beauty Reading ($200 CAD)
Note: If you are currently experiencing any health concerns, symptoms, diagnoses, or ongoing challenges, a full Health Astrology Reading is what you are looking for (and we can also cover Beauty & Wellness in that reading! It's comprehensive).

This service is designed for the women who don't have any major concerns but are interested in beauty & wellness from an astrological perspective. We will use your birth chart to uncover the best wellness practices for your body.

Your information is kept completely confidential.
This intake form helps ensure your reading is as personalized and meaningful as possible and must be completed before scheduling your reading.

Once submitted, you will be automatically directed to the booking page :)
A limited number of readings are available each month. Consultations are currently offered on Thursdays and Fridays at 10:30 AM and 1:00 PM Eastern Time.
Name

First NameLast Name
Email
example@example.com
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Exact Time of Birth

Hour Minutes

AM/PM Option
Location of Birth (include City & Country)
Is there anything in particular you would like to get out of this reading?
Consultation Guidelines & Agreements
Privacy & Confidentiality
Accuracy of Information
Payment Policy & Fee Schedule
Rescheduling Policy

A minimum of 48 hours’ notice is required to reschedule your appointment.
If an emergency prevents you from attending, I'm happy to move your appointment forward on one occasion. Beyond this, I'm unable to accommodate repeated short-notice rescheduling requests, as I need to keep my schedule running smoothly for all clients.
Signature
(Type your name above)
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Astrological Beauty Reading ($200 CAD)

Consultation Guidelines & Agreements

Rescheduling Policy