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COSMIC VIBRATIONS X
itsbeenapl@gmail.com
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itsbeenapl@gmail.com
Intake form
Help us serve you better
Name
*
Email address
*
What is your primary reason for seeking guidance?
Please select at least one option.
Life path guidance
Personal transformation
Numerology insights
Understanding relationships
Career guidance
Financial abundance
How did you hear about COSMIC VIBRATIONS X?
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Social media
Friend or family
Online search
Event or workshop
What is your preferred method of communication?
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Email
Phone
Text message
What areas of your life are you most interested in exploring?
Please select at least one option.
Health and wellness
Relationships
Career and professional growth
Spiritual development
Financial success
Please provide your birth date (MM/DD/YYYY):
Do you have any prior experience with numerology?
Select
Yes
No
What specific questions do you have in mind?
Additional questions or comments
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