Thank you for booking an Astrology appointment with me!

Please email your answers to the questions below to nicole@nicoleathena.com

  1. Name:
  2. Birth Date:
  3. Birth Time:
  4. Birth Place:
  5. CURRENT city/state:
  6. Phone number/ Skype Name (depending on which you prefer):
  7. Email Address:
  8. What kind of work do you do?
  9. Do you feel connected to your career?  If not, what would you love to do?
  10. Do you have a significant other?  Are you happy in your relationship?
  11. What are your relationship aspirations?
  12. How is your health? Do you have any symptoms/diagnoses?
  13. Do you have children?  If so, how is your relationship with them?  If not, would you like to?
  14. What challenges and/or opportunities are coming up for you now?
  15. What are you hoping to receive from our time together?
  16.  Is there anything else you would like to focus on?