Personal Information

Name        

Date of Birth  Age    Email 

Address    

City          State    Zip 

Phone no ( H )    Phone no ( C ) 

In case of any emergency, whom should we contact?

  Phone no 

What brings you to receive a Psychic Reading?

Challenges experienced, where you need clarity.

( check as many as apply and please explain each one you check )

Physical

Mental  

Emotional 

Social   

Educational 

Occupational 

Financial 

Spiritual  

Specific Questions :

Tell us 3-4 times ( day, date, time ) that will work best for you

between 9:00 am - 9:00 pm PST.

Based on this, we will send you a time that will work for both of us.

Type of reading selected :

Psychic Reading - Angel Reading - Tarot Reading

How will you receive your session ( Check only one )

In Person   By Phone   Online Chat

For In Person Reading:

If you are around Los Angeles area, we welcome you to receive your psychic reading in our beautiful healing space.

For Phone Reading:

It is suggested to have a good headset with microphone to be able to receive reading in a relaxed way.

At the scheduled time, you will give us a call @ 310-470-8150

For Online Reading:

To be able to receive an online session, you must have some chat messenger on your computer like Yahoo, MSN or Skype

In our experience, Skype has an excellent sound quality.

you will need a headphone and a mic.

If you do not have a mic and a headphone, text chat is an alternative.

Cancellation Policy

If unable to keep your appointment, kindly give 24 hours notice.

Signature    Today's date