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: 

I look forward to working with you.

Client Intake Form

Each field needs to be filled out completely in order for this form
to be successfully submitted to Colleayn.
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…. Your Birth Certificate is the most accurate.

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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 session. )
Ex. Health, Wellness, Career, Life Path, Year Ahead, Spirituality, Love, Relationships, Travel, Home, Education…

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Thank you.

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