🌱 Encouragement Reading – Client Info Form

Thanks for booking your Encouragement Reading! I’m honored to tune in for you. Please fill out the short form below so I can personalize your message.

What would you like me to know?

This is your space to share what’s been going on lately—emotionally, spiritually, or energetically.

Name

First Name

Last Name

Email (double check for typos—this is where I’ll send your video!

Birth Date: MM/DD/YYYY - (for astrology chart)

Exact time of Birth including AM or PM - (for astrology chart)

City & State of Birth - (for astrology chart)

What are you feeling right now, or struggling with the most? You don’t have to go into detail unless you want to. Just a few words to help me understand where you are.

🌱 Encouragement Reading – Client Info Form

What would you like me to know?

💌 Got it—thank you!

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