Height (required): Feet --Please select one-- 1 2 3 4 5 6 7 8 Inches --Please select one-- 1 2 3 4 5 6 7 8 9 10 11
Gender (required): Male Female Transsexual
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:
1 2 3 4 5 6 7 8 9 10
What is the source of your birth data?
From hospital birth record Parents memory Rectified by an astrologer Good estimate Rough estimate Random guess Other
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)
Yes No Not sure I am open to try Don't believe that they work
What kind of diet habits do you have? (required)
Eat anything Meat eater Vegetarian Vegan
Would you be interested in chanting Sacred Sanskrit Mantras as a remedy? (required)
Yes No Not sure I am open to try Don'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.
What is the main area or topic of concern you would like me to address in this reading? (required)