Vedic Reading Form
Appointment with Dr Andrew Foss
The following information is required for a Jyotish (Vedic astrology) reading with Dr Andrew Foss. After receipt of your information, please give about one week for making and initial study of the chart. In case we need further information, we will get back to you on this. 
Please fill this form and mail to andrew@vedicsoftware.com 
Appointment Date
If the appointment date and time has already been agreed kindly ignore this advice for seeking appointment date, but be sure that we need this form even if you are an old client. Life is very dynamic and I have calculations to do. 
If you have not received an appointment date/time, please email Andrew at andrew@vedicsoftware.com. Email is preferred as we have records to follow up conversations. In case of an emergency, call +1-202-657-5432.
Payment method
(1)	Please pay at the website vedicsoftware.com (click link 'Pay for Consultation'
(2)	OR  You can pay directly at www.PayPal.com to shrisource@gmail.com 

DO NOT send your credit card number. It is a security risk to transmit this over email. 

*** PLEASE SEND a recent photo (no sunglasses) ***

Name: 		
Address: 		
Street:	Phone:	
City: 	Mobile:	
State: 	E-Mail:	
Zip: 	Skype:	
Country:		
Name Information
Reference:	For Vedic Numerology Calculations: Do not write in box	
Have you had a reading with Andrew Foss before?		
		
Name at Birth:		
		
Name changes if any with date:		
		
Pet Names or other Alias:		
Birth Data
Date of Birth:
Month/Day/Year
Time of Birth: 
HH.MM.SS [AM/PM]
Time Zone: (if known)

Place of Birth:

State or County of Birth:

Country of Birth:

Source of birth data:

Please give the source of the birth data to check the accuracy.

Data Verification procedure
Some events of life are required to verify the birth data given. These life events can be anything of some significance in your life like birth of brothers and sisters (younger), school admission dates, leaving home, death of a loved one like parent or sibling, marriage dates, child birth, ill-health dates or surgery or anything that has made some impact in your life. We ask for at least three events but if you recall more dates, please include them after the first three. 

Why are we asking for this? A human being is born every minute and we do not know if the chart being seen is that of yours or another human being born a minute or two apart. The information you provide shall help us in ascertaining the exact birth time. We respect your privacy and shall not share this information with anyone or for any purpose what-so-ever. 

Are you a twin/triplet/etc? If so, were you 1st, 2nd, 3rd, etc. born __________________________________

How many other older siblings _______________ younger siblings __________________ do you have?

Event#1: Date (mm/dd/yyyy)/Time/Description

Event#2: Date (mm/dd/yyyy)/Time/Description

Event#3: Date (mm/dd/yyyy)/Time/Description

Event#4: Date (mm/dd/yyyy)/Time/Description

Event#5: Date (mm/dd/yyyy)/Time/Description

Reading Focus
Areas of your life you wish the reading to focus on. Please indicate one or two areas to focus on. Some possible areas are listed and this is not exhaustive. You can enquire about almost anything.

Area of life	Choose	Area of life	Choose	
1. 	Health		personality traits 		
2. 	Wealth		income		
3. 	Siblings 		travels		
4. 	Home		property 		
5. 	Children		speculation 		
6. 	Court cases		litigations 		
7. 	Marriage		relationships 		
8. 	Death		disease 		
9. 	Parents		grandparents		
10. 	Career, job		business		
11. 	Friends		social contacts 		
12. 	Spiritual path		spiritual teacher 		

Any other matter you want to mention or any other notes for our consideration.

Please indicate the following
(1)	Religion or faiths in case remedial measures are to be prescribed.

(2)	Would you prefer using gemstones?

(3)	Have you learnt yoga, meditation or do you have any specific spiritual practise? Please specify.

Three (or more) questions
If you have more questions, please list them so that you get the best advantage of your time and I clearly understand your aspirations and directions. Please write down the questions clearly after contemplating on them and then write any number from 1 to 108 after the question. 
For example: 'Will I start learning astrology this year? 108'. 
Numbers that come randomly to your mind after writing the question are the best. In case you also think of a flower or any other object just after writing the question, please mention it. 
For example: ' Should I change my career? 71/Rose' or 'Is my health going to improve? 36/ocean'
Your Questions
Question 1: 

Question 2:

Question 3:

Question 4:

Question 5:

Phone Numbers to call for Vedic Reading
America:+1-(202)-657-5432 (DC)
UK: +44-020-7193-7517 (UK)