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Questionnaire for 1:1 45-min HD Reading
Please fill out the necessary information to schedule your zoom session.
If you have any questions, feel free to reach out to me at
hello@lillithelaina.com
* Indicates required question
Email
*
Your email
What is your name?
*
Your answer
When are you available? (I will email you to confirm a time)
*
Please select all that apply
Morning 10am-12pm
Afternoon 12pm-4pm
Evening 4pm-7pm
Not Available
Tuesday
Wednesday
Friday
Morning 10am-12pm
Afternoon 12pm-4pm
Evening 4pm-7pm
Not Available
Tuesday
Wednesday
Friday
What timezone are you in?
*
Your answer
What stage are you at in learning about your Human Design?
*
Not yet started, but ready to begin
1st year
2nd-4th year
5th year +
Is there anything you think I should know about you, your experiences, or your preferences?
*
Your answer
I will need to generate your chart to analyze it for your session. What is the date you born?
*
MM
/
DD
/
YYYY
What time were you born on that date?
*
Time
:
AM
PM
What city were you born in? (used to calculate timezone; your personal information won't be shared with anyone)
*
Your answer
Any other comments and/or questions?
Your answer
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