Holistic Assessment

 UNDERSTAND YOUR CURRENT LIFE ACTIVATIONS

3-Month In-depth Life Assessment via your Transits, Solar Return Cycle and Progressed Soul Chart

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Make your payment here, then fill out the form below. Your personalized video will arrive to you via email in 1-2 weeks!

$111

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YOUR INFORMATION

Full Name of Person Placing the Order

Email Address

Email Address (please confirm)

Contact Phone Number (in case needed)


BIRTH DATA FOR PROFILE RECIPIENT (you or your loved one)

Full Birth Name

Are you FEMALE or MALE?

MONTH of Birth (month name not number: e.g., "April" not "4")

DAY/DATE of Birth

YEAR of Birth

TIME of Birth (please specify AM/PM, and if birth time is not known please type in "Unknown" here)

CITY/TOWN of Birth

STATE/REGION of Birth

COUNTRY of Birth


Any Clarifications or Special Notes about Your Order?


REFERRED? (If so, please enter their full name here.)


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