BaZi (八字)/Yi Jing (易經) Consultation Request Form
Thank you for your interest in booking a consultation. The following information I provide will allow you to decide how to make the best use of my services. Based on the information you provide, I will contact you about whether I can take you on as a client.
Sign in to Google to save your progress. Learn more
Email *
PLEASE READ EVERY SECTION HERE SLOWLY AND CAREFULLY AS THIS PROVIDES INVALUABLE INFORMATION ON HOW TO MAKE THE MOST OF YOUR INVESTMENT.
The purpose of BaZi 八字and Yi Jing 易經 are to allow you to understand yourself better. The use of BaZi/Chinese Astrology/Yi Jing/Chinese Metaphysics should not be equated with fortune-telling, but as a means to understand the cyclical forces that have impacted your life from birth and how they will continue to impact your life. I am not the kind of practitioner that will tell you with certainty when and how events will occur in your life, whether you will be rich or poor, miserable or happy. I can tell you how to activate your natural talents, mitigate your natural weaknesses, and look to find balance and understanding in your life. Clients benefit the most from these metaphysical consultations when they use it as an opportunity for self-examination and do not have the expectation that I can know your life better than you do. While I am licensed and practicing as a Doctor of Acupuncture and Chinese Medicine, none of the information provided in these consultations should be misconstrued as medical advice. If you are also looking for medical care, please contact me about establishing yourself as my patient. If I mention health-related matters in our consults that should not be taken as a professional diagnosis, and you must consult a medical professional for such services. I will refer you to medical professionals, when necessary. I am also not practicing as a career, marriage or family counselor. Please do not equate the findings I present as professional help from those that work in those capacities.
I HAVE READ THE ABOVE STATEMENT *
Required
Based on the information you provide to me, I will use the tools of BaZi and/or the Yi Jing to give you the best answer and guidance. Due to the fact that I am first and foremost a busy clinician with a private practice, please allow for 15 business days before you receive your report AFTER I have confirmed that I will take you on as a client AND once I have received your payment for this service. Thank you for your patience, as I would like to spend ample time reviewing my work and present the best quality analysis. All information we exchange is purely confidential. However, if I believe you are a harm to yourself or someone else, I will use your information to get you professional help with or without your consent.
I HAVE READ THE ABOVE STATEMENT *
Required
All services include a 7-day period following delivery of your analysis where you are entitled to ask me questions and seek clarification for the information presented. Beyond that time, another consultation will need to be booked. If I feel that the line of questions is beyond the scope of the original analysis, I will require you to book another consultation.
I HAVE READ THE ABOVE STATEMENT *
Required
Here are the types of services that I offer:
Single Chart Analysis - This is a full analysis of your chart covering aspects of your personality, relationships, career, finances, health, and the chosen question(s) you wish to have addressed. In the intake form, you will be able to rank the importance of each aspect and give me a few bullet points that you would like me to explore. $200

Two Chart Bundle (with compatibility analysis) - This is similar to the above analysis but for two people. This is ideal for couples, business partners, family members, etc. If consultation is sought for fertility or adoptions purposes you MUST book this chart if you plan on raising a child with another person, whether or not either or both of you plan on biologically conceiving. $400

In-Person Consultation - For those who prefer to schedule time to discuss the findings in-person, I am currently offering Zoom meetings that can be scheduled within the 7 day Q&A window. These scheduled meetings will be offered at an additional cost, but will follow the rules stated above about questions and clarifications. ADDITIONAL $150 per hour to whichever option you choose

Annual Prospects - This is for established clients only. You must have already booked a consultation or you will have this as an add-on service. The Chinese New Year starts in February, which makes this a popular service from December-March. Please plan accordingly if you would like this service before the start of the Chinese New Year. This type of service can be useful at any time and will look at the next 12 months in a general sense, or can be directed for ideal date selection for a specific need such as: fertility procedures, wedding dates, business prospects, buying/selling property or other assets, retiring, moving and more. $150
WHICH SERVICE ARE YOU INTERESTED IN? *
Required
INSTRUCTIONS
For the use of BaZi, accurate birth details matter greatly. Mere minutes can change charts entirely. If you don't have your exact birth time, you can still request a consultation, however, please indicate if you are giving me approximates. I will have to spend some times analyzing the data to discern which chart resonates with your life.

I no longer analyze charts for people who are "just curious." My credentials and training in Chinese medicine and metaphysics are best suited for those who have serious inquiries. In this day and age, there are many automated programs on the internet that you can consult for general and impersonal information. I take all of the information relating to your birth data, how you fill out the intake, and the type of questions you ask as information that guides the tone of the consultation and analysis.

Please think of 3 to 5 questions you would like guidance or more understanding about. This can be about any event, relationship, hope or desire relating to the past, present or future. It does not serve either of us for you to be vague. The information in the chart can have many meanings depending on the context. Indicators in a reading can point to your father, your salary, your wife, or a certain organ system, for example, so provide enough information that I can read the elements correctly. You may have the exact same chart as someone else, yet your lives can be quite different, which is why context is crucial.

To that point, I will reiterate that BaZi and YiJing are not fortune-telling. There exisits in this world Free Will. We also say that BaZi and YiJing belong to the Heaven 天 level, part of the Three Essentials the other two being the Human 人Level (Self-Cultivation 養生法 Diet, Exercise, Interpersonal relationships, etc.), and the Earth 地 level (Feng Shui 風水, Environment). I will evaluate trends and strong influences that Time will have over you, and while we cannot change Time, we can still take considerable control over our lives through the other two levels.
PLEASE PROVIDE YOUR BIRTH DATA - Full Name of Each Person & Gender at Birth. Birth Time. Birth Location. Birth Date. For each person. If you do not know EXACT time, place or date, please indicate that these are approximates. *
EXAMPLES OF GOOD QUESTIONS
Instead of just saying "When will I have children? Should I have children?" Please phrase your question like this: "My partner and I are thinking about having children? When would be the most beneficial time? Are there any challenges we should be aware of as we embark on this journey?"

 Instead of just saying "What should I do in my career?" Please phrase your questions like this: " I am thinking about pursuing a new line of employment. I have two job offers or I might start my own business in XYZ. What can I expect with each option? Over the next year/five years/ten years?"

Instead of just saying "Will I get married?" Phrase your question like: "I would like to get married some day. So far,  have not been attracting the right type of partner, but I need help understanding what qualities to look for in a person to make a harmonious relationship."

Instead of just saying "What does the BaZi say about my health?" please phrase your question like: "I have a family history of XYZ and a certain family member struggled with XYZ condition at this age - what do I need to know about how to take care of myself to live a long and happy life?"
PLEASE WRITE YOUR QUESTIONS *
I value your time and investment in my expertise, so please take your time crafting a thoughtful request when engaging my services. I prefer to work with people who are interested in using this information for their existing path of self-cultivation. I do not offer magic bullets, quick fixes, or guarantees that "things will just work out." To get a better understanding of what you can expect from working with me, you can review these testimonials posted by clients here:
Once this form is submitted, I will confirm that I have received your information and can prepare a report for you, which will come in written form unless you decide to book the live-consultation, as well.  I will only begin drafting your report once I have received payment. You can pay me through Venmo, Zelle, or PayPal, and I will proivide you those details in our correspondence.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy