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Date of Birth :
Personal Info
Partner Info
First Child Info
Second Child Info
Third Child Info
Family Info
Are your parents still alive?
Are your partner's parents still alive?
Any siblings? Please give some info about them
Partner"s siblings? Please give some info about them.
Other Info
Please give here any information you think will help me with your reading for example, if you are recently divorced, lost your work recently, etc. Any major problems you are experiencing at this stage in your life
Please write down any questions you have.
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