Intake Form | Ride the Wave Yoga

Client Intake Form for Astrological Consultations

Prior to your reading with Ashley, please take time to fill out the information below.

It will greatly help you to get the most out of your session!

First Name

Last Name

Gender Pronouns

Was this reading a gift?

Yes

On a scale of 1-5 (5 being very), how familiar are you with the practice of astrology?

Have you ever had your natal chart read before?

Yes

If you've had a reading before, how satisfied were you with that reading (5 being very)?

How might you summarize your TOP THREE goals for the session?

To expand an awareness of my life's purpose or direction

To improve the quality of my relationship to self and others

To learn how I can use astrology as a tool for my own self growth

To gain insight into my present circumstance or current life cycle

To understand my physical, mental or emotional health imbalances

Please expand on any of the above in as much detail as possible.

How did you hear about Ashley?

Note: If you prefer not to enter the following information online, you may call Ashley with your birth date, place and time instead. Also, an exact and accurate birth time will greatly enhance the amount of information available during the reading. If you are unsure of your correct birth time, please check your birth certificate or contact your birth hospital or city.

What is your birth date?

Birthplace?

Birth time?

All information is kept strictly confidential.

Thanks for submitting! Ashley will be in touch soon.

"Astrology as the Roadmap, Yoga as the Way."

Free street parking all day and in the Professional Building parking lot located across the street on weekends and weekdays after 5p.m.