Appointment Form

* Required Field

Preferred Appointment Dates:

please note that the dates & times that you choose may not be available - please indicate below the preferred day of the week and preferred time for your appointment in case the above date/times are unavailable - we will try our best to accommodate your request.

Section One: Appointment Type (select one or more) *

Venus Star PointNatalProgressedRelocation USRelocation World Relationship

Section Two: Personal Information

Day Phone:

Night Phone:

Have you had your chart read before?

Your Birth Information (accurate and complete birth data is essential)

Section Three: Please list MAJOR QUESTIONS for Arielle to address during your session. Please note that there are not a specific number of questions that you need to ask. If you are unable to enter your preferred appointment dates above, please put 3 preferred appointment dates in the box below.

Section Four: Questions For Relocation Services

1) How long have you lived in your present location?

2) List other places you have lived for more than two years.

3) Do you wish to relocate, or just travel?

4) What places (city/state/country) are you MOST interested in finding out about during this session? Please list several places; Arielle may suggest additional locations after reviewing your maps.

5) List any restrictions you may have on relocation (eg: no cold weather, no humidity, no large cities, etc.).

6) What is the most important feature for you in finding a compatible place to live or travel to?

Section Five: Questions For Relationship Services

1) Name of Significant Other:

2) Birthdate, birth time (am or pm) and birthplace of significant other:

3) How long have you been together (months/years)?

4) The most important questions about your relationship:

* Required Field