Soul-Aligned Life Breakthrough

Diagnostic Form

Fill out some info so I can get started on your breakthrough video!

Name

First Name

Last Name

Email

Phone

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Please provide your: Date of Birth (MM/DD/YYY), exact time of birth (don't forget AM or PM!) , & city of birth. This info is used to cast your Astrology chart.

Are you right-handed or left-handed?

How are you generally feeling in life? For example, do you feel stuck in a rut? Bored? Life is hard? Give me as much details as possible.

What are the most difficult challenges you have in life? What seems to be a repeated theme?

If I could wave a magic wand over your life and change anything you wanted, what would you like to change?

One more question! What's your favorite thing/quality about yourself? AND what's your least favorite thing about yourself?

Soul-Aligned Life Breakthrough

Follow me @Brandy_Burrow_Astrology