Your psychosocial & Spiritual Reading (intake form)

Your Full Name

Instagram @

WhatsApp Number (for follow-up + easy communication)

e-mail

Date of birth

Month

Day

Year

Place of birth (City + Country)

Exact time of birth (PM or AM or unknown) for your birthchart breakdown

Show me pictures of you (your favorite!)

Emotional State

How do you currently feel emotionally?

What part of your personality (or yourself) makes you feel most proud ?

What part of your personality (or yourself) makes you feel most insecure?

What patterns do you notice repeating in your life?

What do you really enjoy to do in life ?

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

How would you describe your life right now in one paragraph?

What situation or area of life is currently taking the most space in your mind?

What do you feel is the biggest challenge or blockage you are currently facing?

What currently feels aligned or positive in your life?

Your Love Life

How would you describe your love life right now?

What kind of love is fairy tale love for you ?

If someone is currently involved, who is the person you want me to look at in this reading?

Pictures of someone you want clarity about

Explain the current dynamic between you and this person.

Is there a third party involved?(Third party = another romantic interest, an ex still in the picture, or outside interference in your person life)

Pictures of the 3rd person

What confuses or frustrates you the most about you and this person ?

What would be the best possible outcome of this situation for you right now?

IF YOU ARE SINGLE & NOT DATING, how do you truly feel about your love life right now?

IF YOU ARE SINGLE & NOT DATING, is there someone from your past who is still affecting your emotions or decisions? Explain.

IF YOU ARE SINGLE & NOT DATING, what kind of relationship do you truly want at this stage of your life?

Career & Money

What is your current job or main source of income?

Do you feel satisfied in your career path right now?

Yes

Not really

I don't know...

What feels blocked ? What feels aligned ?

What do you wish your life looked like, career wise ?

Is there a dream, idea, or change you’ve been thinking about but haven’t acted on yet? What would an ideal work-life or purpose feel like to you?

Any other details...

Are there other topics you want me to explore more during the session?

If you could ask the universe one question, what would it be ?

Anything else I should know about your situation, your past, or your boundaries before we begin ? Any final notes or details I should know before I start your reading?

What do you want your life to look like by the end of 2026 ?

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

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 ?

✍️ Question 1:

What keeps running in your mind?

✍️ Question 2 :

What do you want clarity on ?

✍️ Question 3:

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

✍️ Question 4:

...

Are you open to messages that might challenge your current perspective?*

Spiritual Investment :

$65