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Your psychosocial & Spiritual Reading (intake form)

Date of birth
Month
Day
Year

What's going on in your life right now ? (be real please)

– emotions


– stress


– changes


– situations


– internal shifts


No pretending. The more raw, the better your reading.

Which areas do you want me to focus on The MOST?

Love life details ( if you want relationship insight)

If Single :

Career & Money

Do you feel satisfied in your career path right now?
Yes
Not really
I don't know...

Who are you ? Emotional + Psychosocial patterns

What patterns do you notice in yourelf ?

Describe the version of you you’re trying to become. No limits. No shame. Be honest about what you actually want.

SPIRITUAL BACKGROUND

Are you open to track your progress with Moon cycles ?
Yes
Not really...it's a one time deal

What's your biggest question for 2026 ?

What keeps running in your mind?

What do you want clarity on ?

What’s the things you’re scared to say out loud but need guidance on ?

...


Spiritual Investment :
$65
Sagittarius Mindset

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