Client Information Form - Please do not fill this out unless you have booked a reading.
Some information is required to perform the reading at the level I believe provides the most accuracy.  Information helps me cross-reference interpretations and intuition about you. You may also email me if needed at amethystvirgo@gmail.com with any questions or for any other reason.
Readings can be purchases as gifts for loved ones or friends with the intention of them being the recipient. 
People interested in readings for romantic interests should consult a tarot reading or get a synastry reading. 
Please email for information on how to book a reading for your minor child. For child charts, the parent's chart is also used and the reading is addressed to the parent. 

*All information is confidential and for the use of completing your reading. 
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Charts are done by default in Placidus. If you prefer whole signs or equal signs please note at the bottom. I am a Western Modern Astrologer using the Tropical system and that is the format and approach I take to ALL readings.
Name (first name only is fine). Add pronunciation for uncommon names since I like to address clients by name in the video. This is the name I will be addressing you as in the video. *
Best email to send your reading *
Please enter your full birth date, exact birth time, AM or PM  and place of birth including the county/province. *Degrees may change if you are born in a different county that has a similar city.  *If you do not have your EXACT time, please do not book an Advanced Reading or Astrohour yet. I have to use another process.

PLEASE READ:
If you give me the incorrect time and a reading is done, I do not necessarily have time to re-do it even if you are willing to pay.
Please proceed with accurate information or email for a custom reading. 
 *
Videos by default are uploaded as an unlisted video on my YouTube channel for you to view. If that's fine, skip to the next question.  If you wish to receive the video attached as a file instead, I can only attach those files to a Gmail account.
How did you learn about me? *
Current career/job and if you enjoy the work you do *
Highest form of education completed 
Clear selection
What is your level of knowledge about astrology? (In addition to interpreting your placements, this will help me determine how much to explain the planets and signs) *
Optional Questions:  * You don't have to answer anything you don't feel comfortable answering. You can answer as many or as little as you want. Either way, your interpretation can be done accurately using your placements but this helps me personalize your reading even more.
 Gender/sexual orientation/preferred pronouns [this helps me align the correct pronouns for yourself and ideal partner to be as accurate as possible]
Which situation below best describes your upbringing throughout the duration of your childhood? *Though more than one answer can apply, think of where you spent the most time and who had the most influence on your development. 
What is your current relationship status?
Clear selection
Do you want /have children?
Clear selection
Favorite hobbies
How would you describe your belief systems?
Clear selection
What's would be your #1 need  in a committed relationship? (no judgment)
Clear selection
What area of life do you want/need the most guidance for?
Clear selection
Which type of job situation sounds like most interesting to you? One where you....
Clear selection
Which type describes you best?
Clear selection
Which describes you more?
Clear selection
Are you the oldest, youngest or middle child?
Clear selection
Who do you have the closest relationship to in  your life?
Clear selection
Optional Message: Share a brief message to me, what you wish to get out of this reading, or how you found my services or content. For tarot readings, please explain your question or need for guidance.
Disclaimer
An astrology reading is not a substitute for legal, medical, or psychological support. If you need severe help in any of those areas, a reading is not sufficient. Please consult a specialist who has expertise in dealing with serious circumstances to receive professional help. By submitting this form, you acknowledge that by analyzing your birth chart information, AmethystVirgoAstrology does not make any claims that a reading will fix or resolve your personal issues.  
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