Astrological Counselling Intake Form printable pdf download

ASTROLOGICAL CONSULTATION SERVICES INTAKE FORM

Name: ___________________________________________________________________________

Phone number: ___________________ Email: ___________________________________________

Address: __________________________________________________________________________

Birth date (YYYY/MM/DD): ____________________________ Time of birth: ___________________

Place of birth (city, country): __________________________________________________________

Source of birth time information (birth certificate, parents' estimate, etc.) _____________________

Rectification: Why is it necessary to rectify a chart?

Rectification is the process by which a chart is moved mathematically in order to correspond to an

accurate time of use; it can be thought of as reverse-engineering your natal chart down to the

second. This time may not always necessarily reflect the exact time of birth. It is important to

rectify all charts in order to find that perfect time for action potential to be released in a chart.

This process is essential in providing me with an accurate natal chart (or birth chart) in which natal

promises or potentials can be seen. It is imperative for timing of events in predictive work. If a

chart is inaccurate in its nativity, then that inaccuracy will be multiplied in the predictive work. To

put it in perspective: if the birth time is out by four minutes of time, then prediction work will be

out by one full year.

I rectify your chart by getting some important information from you in regards to significant events

in your life thus far as well as some basic information about you, your career, home life and family.

I plot the significant events onto your chart and fine tune your time until everything lines up

perfectly. (For example, a death of someone close, a marriage or a birth should show up in your

chart. If it doesn't, it means we don't have an accurate time.)

Significant life events

Please provide as many significant life events as possible. Between 6 and 10 is ideal for rectifying a

chart. Be sure to include the date, location and even time of the event if known.

Significant events may include marriages, pregnancies/births, deaths of close family/friends,

separations, major relocations or moves, major career changes, major changes in finances, or any

big “firsts” like first moving out of your parents’ home, first day of university/college, first big job.

Event

Month / Day / Year

Time (if known)

City/Country

M e l a n i e J o y A s t r o l o g i c a l C o n s u l t a t i o n S e r v i c e s

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S e r v i c e s e r v i c e s

Astrological Counselling Intake Form