Intake Form: Astrology Reading

Please write out the month: January 21, 1974 (NOT 1-21-74)
(If you're not sure, check first - or leave this blank. If we do work with your birth time, the accuracy's important).
City, State, Country
What would you like to explore in this reading? Please share 1-4 topics, questions, challenges or areas of life that you'd like to look at. For each one, give me a bit of detail (a sentence or two each is usually enough).
This field is for validation purposes and should be left unchanged.