Soul Readings: About You

My Info to Suzanne

Please, a bit of information about yourself.
First Name: Middle Name/Initial: Last Name:

Telephone: (not required) Email Address:

Street Address: (include apt., suite, etc.) City: ST: Zip Code:

BIRTH INFORMATION:
Date: (mm/dd/yy) Time: (00:00am/pm) City/County: State/Country:

RELATIONSHIPS:
In order to learn the Past-Life connections between you and the five (5) persons* closest to you, please
list their Names, Birth Dates and Current Relationship to you.
*All brothers and sisters count as one name.
*All children count as one name.

Name of Relation: Birth Date: (mm/dd/yy) Relationship:
1)

Name of Relation: Birth Date: (mm/dd/yy) Relationship:
2)

Name of Relation: Birth Date: (mm/dd/yy) Relationship:
3)

Name of Relation: Birth Date: (mm/dd/yy) Relationship:
4)

Name of Relation: Birth Date: (mm/dd/yy) Relationship:
5)

PRESENT & FUTURE
Please list three general or specific questions regarding your present or future.
1)

2)

3)

Feel free to add your thoughts, feelings, accounts of recent or past events,
or other matters on your mind or in your heart.

* = Required fields