Human Design Session Questionnaire

Book a Discovery Session with Carola
Welcome! I am delighted to meet with you!

Our discovery sessions are produced for the purpose of discussing your goals and identifying the path to success that is uniquely yours. I will recommend the services or programs that may be the most beneficial to support you to achieve the outcomes you desire.

Of course, in our 20-minutes together I will not be providing a Professional Life Path Session, but I will answer the specific questions you may have about how my Life Path work can support you to achieve greater success.

Please fill out and submit this questionnaire. A member of our team will contact you within 24 hours on business days to schedule a time for you to speak with me personally to get your questions answered.
Name*

First NameLast Name
Email*
example@example.com
Are you inquiring about a Life-Path Reading? (Check one)

YesNo
A Life-Path Reading with Carola is a $1,250 investment that involves Carola's research and preperation time before meeting with you, and includes a 90-minute reading plus a bonus, follow-up coaching session.

The purpose of your Discovery Session with Carola is to get any further information you may need, to determine if this service is right for you.

Please indicate here, that you understand the fees and time involved and have the ability to invest in this service, if you decide to proceed:
(Check one)

YesNo
Your Discovery Session with Carola is up to 20-minutes. Please have your questions concerning the Life-Path reading prepared, before you meet with her.
Birth Data
Date*

MonthDayYear
Time:*
Indicate AM/PM or 24-hour clock*

AMPM24-hour clock
Birth Place (City and State for US, City and Providence for Canada, City and Country for outside of US)*
Phone # we should call to reach you at the time of your session (For US and Canada)

Area CodePhone Number
Indicate Landline or cell phone (Landline Preferred)*

LandlineCellphone
For outside the US and Canada... Enter ZOOM in this box. We may request to meet you online in a Zoom session depending on your location.
Current Residence
City*
State*
Country*
Residence Time Zone*
Please let us know how you heard about Human Design For Us All:*

ReferralInternet SearchFacebookTwitterInstagramOther
Please let us know who referred you so that we can thank them
Please give a brief description
1. What is your vision for your life?*
2. What steps have you taken in the past, toward creating your vision?*
3. Current business or occupation.*
4. Current relationship status.*
5. Education and Professional Training.*
Should be Empty:

Book a Discovery Session with Carola

Birth Data

Current Residence

Please give a brief description