Full Reading Intake Form

Your Name *

First

Last

Name Of Person Reading Is For If Different To Above

First

Last

Please read T&C’s below before entering anything here. By continuing you are confirming you have their permission.

Email *

Confirm Email

Telephone Number

Relationship Status *

Birth Gender *

Date of Birth *

Time of Birth (24-h format) *

Please be as accurate as possible as a small error can make a difference.

Earliest / Latest Possible Birth Time

If your birthtime approximate but within +/- 15 mins, please provide the earliest / latest possible times.

Source of Birth Time

Birth Location *

Please be as specific as possible.

Town of Residence

Dates of Past Significant Events *

Please provide dates of significant events such as marriage, house purchase dates, car purchase dates.

Subject of Consultation / Relevant Background Information *

Specifics you wish me to put particular focus on. This allows me to spend more time on it prior to our meeting.

By ticking this box you confirm you have read, understood, and agree to be bound by the Terms and Conditions and Privacy Notice linked below, including the key points summarised here:

Consultations are my professional opinion and for personal guidance only — not medical, legal, financial, or professional advice
No guarantees are made regarding the accuracy or outcome of any interpretation or prediction
Astrological remedies are entirely voluntary with no guaranteed outcomes
Ritual bookings (pujas, yagnas) are non-refundable once confirmed
Recordings are for your personal use only and may not be shared or published
You are 18 or over, or have parental consent

Full Terms and Conditions: https://vedic.thejyotish.co.uk/terms-and-conditions/
Privacy Notice: https://vedic.thejyotish.co.uk/privacy-notice/