For a Vedic consultation, please fill out the form below:







    First and Last Name (required)

    Your Email (required)

    Present City & State of Residence

    Phone

    Birth Day, Birth Month, Birth Year

    Birth Place

    Birth Time

    Birth Sex (add other details below)
    MaleFemale

    Accuracy of birth time and source (birth certificate, Mother, etc.)?

    Have you had a Vedic Astrology consultation before (if so, list remedies you have done or are presently doing, including gemstones and mantras)?

    Purpose of reading/what would you like to know: (You are welcome to include more than less to be able to get the most out of your reading):

    [In the online forms, people tend to be very short with their answers. This form is to get the most out of your reading, and is as much for you as for the astrologer. Please clearly state what you wish to get out of the reading. Additional thoughts and questions can be added before the actual consultation.]

    Additional chart information that may be needed (spouse/child/marriage date, disease diagnosis, treatment etc. according to the areas of focus):

    Briefly describe your religious faith/views or spiritual practice (in case remedial measures are prescribed):

    Method of Consultation:
    In-personSkypeTelephone

    Please detail who referred you to Freedom’s services, or how you heard about Freedom’s services?

    Consent to Services and Waiver of Liability

    Is there anything else you’d like us to know?

    Please enter the cede bellow and click the “Send” button:
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    Visit the consultation page to find out more information about the length, timing and cost of consultations.

    A copy of the form is sent to your email as confirmation. You can also call 510 938 1570 to confirm receipt or get a call back to schedule.