We Need Some Information

to proceed with your family reading

Thanks so much for ordering a relationship reading. Before we can do the reading we must have the birth information for you and your family members.

It usually takes up to 5 business days to receive your reading. If it will be longer than that, you will be notified by email.

Human Design Family Reading

This information is necessary to complete your order. Please put a.m. or p.m. after the birth time. If you don't have the exact birth time, sometimes an approximate birth time will work.

Your Info

Email*

Have you had a Human Design Reading before?

Birthdate*

Birth Time*

Birth Location*

First Other Person Info

Relationship to the First Other Person*

First Other Person - First Name*

First Other Person - Birthdate*

First Other Person - Birth Time*

First Other Person Birth Location*

Second Other Person Info

Relationship to the Second Other Person*

Second Other Person - First Name*

Second Other Person - Birthdate*

Second Other Person - Birth Time*

Second Other Person - Birth Location*

Additional Family Members

Add the data for additional family members here.

Additional Info

Are there specific issues that you would like me to speak to during your reading? If so, what?

Please verify your request*

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