Request edit access
Request A Reading
Once your request is submitted & I've reviewed it, I will contact you to go over any details necessary & give you your estimated delivery date. You can expect to hear from me quickly, but response time will depend on client volume & my work schedule; please feel free to reach out to me directly if you haven't heard back within 3 days!
If you have any questions about this form, you can email me here:
the13thhead@gmail.com
Sign in to Google to save your progress. Learn more
Is this your first time receiving a service from me? *
Your name *
Only your first name is required, and it need not be your legal or birth name. The name which resonates the most with you will best facilitate our energetic connection.
Your location
Only be as specific as you're comfortable with. I prefer your city & state, but your state or even country will suffice. Please do not enter your home address!
E-mail *
If you have a discount code, enter it here!
Questions and comments
This is where you'll share any specifics for your reading. Feel free to speak freely & casually here. You may also request alternative payment methods here.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report