The Genuine Mystic

Personal Empowerment via Astrology, Hypnotherapy & Wellness Coaching

Astrology Client Intake Form

Please fill out the form below and submit at least 48 hours before your scheduled session to make the most of our time together.

Basic Information

Current Location

Astrological Data

MM slash DD slash YYYY
Birth Time
How accurate is your birth time?

General Information

Have you had previous experience with:
To ensure your comfort during our session, I want to be mindful of using constructive language that resonates with you. If you don’t feel strongly, feel free to skip this question.
Would you be interested in receiving occasional emails regarding client-only offers, discounts, and/or new course information in the future?