Please use this consultation form only if you are comfortable entering data online and have all the required information. Otherwise, I would recommend you to use the downloadable form and send it to me using this link. Thank you!

Online consultation form

Please choose one (required): New clientReturning client

Height (required): Feet Inches

Gender (required): MaleFemaleTranssexual

Sexual orientation, please specify (required):

Date and time of birth (required)
Note that you can enter the date, month and year of birth as shown. If the year is not seen in the drop-down menu, it will show up after you enter in the text field.

City of birth (required):

State/county of birth (required):

Country of birth (required):

Latitude (if known):

Longitude (if known):

Time zone (if known):

Daylight saving time (if applicable):

Accuracy of birth data on scale of 1-10, 1 is lowest accuracy while 10 is very high accuracy:

12345678910

What is the source of your birth data?

From hospital birth recordParents memoryRectified by an astrologerGood estimateRough estimateRandom guessOther

If other source, please specify (required):

Number of siblings (required):

Relationship status (required):


Number of children (required):

Current profession (required):

Would you be interested in using gemstones? (required)

YesNoNot sureI am open to tryDon't believe that they work

What kind of diet habits do you have? (required)

Eat anythingMeat eaterVegetarianVegan

Would you be interested in chanting Sacred Sanskrit Mantras as a remedy? (required)

YesNoNot sureI am open to tryDon't believe that they work

Date and time of first event (required)
Note that you can enter the date, month and year of birth as shown. If the year is not seen in the drop-down menu, it will show up after you enter in the text field.

Date and time of second event (required)
Note that you can enter the date, month and year of birth as shown. If the year is not seen in the drop-down menu, it will show up after you enter in the text field.

Date and time of third event (required)
Note that you can enter the date, month and year of birth as shown. If the year is not seen in the drop-down menu, it will show up after you enter in the text field.

Would you be interested in using gemstones? (required)

YesNoNot sureI am open to tryDon't believe that they work

What kind of diet habits do you have? (required)

Eat anythingMeat eaterVegetarianVegan

Would you be interested in chanting Sacred Sanskrit Mantras as a remedy? (required)

YesNoNot sureI am open to tryDon't believe that they work

Religion or faith to describe remedies? (required)

What type of reading are you looking for? (required)

What is the main area or topic of concern you would like me to address in this reading? (required)

Your Email (required)

Subject (required)

Your Message (required)

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