Client Intake Form

Astrology Consultation

Thank you for choosing to have an Astrology Consultation with Colleáyn Klaibourne.
* Each family member needs to fill out a separate intake form.
These sessions are done via Zoom.
Information to send to Colleáyn at least 4 Days before your session: 
  1. This Client Intake Form. * All fields are required.
  2. Photograph(s): Email or send Colleayn a clear, recent photograph(s) (within a year or so) with at least one with your eyes facing towards the camera. This is how I tune into you.
  3. Payment. Pay via website or Colleayn can email you a PayPal invoice. If you are a return clients and prefer to send a check before the session, email Colleayn for the address.

I look forward to working with you.

Client Intake Form

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The reason I ask for occupation is in case I'm seeing different work, hobbies, education, etc. that would be good for you to explore.

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Birth Information for Astrology Chart

Please include your birth location, exact time of birth and if you were born in the am or pm.
Please write out the month. For example: January 1, 1999 or March 2, 2011.
Exact birth time is required in order to create an accurate astrology chart.
Ex. Birth Certificate (Hospital Record, Birth Record), Parental Memory, Baby book, Rectification from another Astrologer....

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Questions for your Session

This will help give me an idea of your topics of interest and questions before your session. We will see how many we can answer based upon the session length you chose. (You are free to change the questions during the phone call. )
Ex. Health, Wellness, Career, Life Path, Year Ahead, Spirituality, Love, Relationships, Travel, Home, Education...

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Thank you.

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