3-Month Medical Astrology Coaching Program - New Client Intake Questionnaire
Welcome to the initial assessment for your Medical Astrology coaching with me, Zia.

The purpose for this questionnaire is to assess whether I can be the right support for your health journey, by looking at your objectives, concerns, and health history. If we're a good fit, then we'll meet bi-weekly for a total of 6 sessions (60-90 minutes per session).

I'm not a medical physician or doctor. Ayurveda is the 5000-year-old wisdom of healthy living. It is a way of natural healing and emphasizes on maintaining the harmony of body-mind-spirit through diet, lifestyle, and natural herbs.

In Ayurveda the emphasis is not on disease, but on maintaining the balance of individual body constitution, so Ayurvedic treatments are never one size fits all, but they are custom tailored for each individual need.

I also use Vedic astrology in our session, as it provides deeper insights into your life. Ideally, you'd need to have your birth details before we commence our session:
- Birth date
- Birth time (hour and minute)
- Birth place
(Please see visit my website here if you're only interested in Vedic astrology reading)

If you need any support, please contact me on info@ziaku.co.

I'm looking forward to working with you,
Zia

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The rate for this 3-month package (6 sessions) is:
US$ 1,800
---Special Rates---
Indonesian: Rp 9.000.000
KITAS: Rp 14.000.000
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