This is the standard form for Energy Astrology session. Your data will stay private and will be used only for purpose of exploring your natal chart by Dr. Lea Imsiragic for your energy astrology session.
Please, complete the following fields.
First name (required)
Last name (required)
Date of birth
Time of birth
Place of birth
E-mail address (required)
Cell phone number
Your curent ocupation
What is your biggest personal challenge right now?
What is your biggest professional challenge right now?
What would need to happen on this session to make it life changing?
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