Rising Dragon Feng Shui: Promoting Peace, Love & Happiness Worldwide

Feng Shui Consultation Online Application

To apply for a Feng Shui consultation, fill in the form below and submit it through for Angela to check over. She'll then have the details she needs to quote you for your consultation and for when she performs the audit afterwards.

Feng Shui Consultation Application Form

Your Details

Name:

Address:

Postcode or ZIP:

Email:

Home Telephone (include country code if outside UK):

Mobile Number:

Maiden Name:

Country of Birth:

Date of Birth (DD/MM/YYYY):

Hour of Birth:

Current Age:



Your Co-habitants

Please add details where appropriate - you can leave blank any that don't apply.

Partner's Name:

Country of Birth:

Date of Birth (DD/MM/YYYY):

Hour of Birth:

Current Age:

Number of children:



Your Home

My house is a:

Detached
Semi-detached
Terraced

Flat
Bungalow
Other

Year house was built:

What year did you move in?

Have you made any renovations and/or has the roof been removed? If so, please detail:

Please specify the number of:

Bedrooms

Toilets

Kitchens

Dining Rooms

Living Rooms

Other rooms

Garages



Your Life

Please tell us about the aspects of your life you'd like to work on by selecting the appropriate boxes:

Relationships:

I am single and looking for either marriage or a committed relationship

I am already in a relationship but need improvements in it

Want improved husband/wife relationship

Suspicion of or trouble with extra marital affairs/ roaming eyes

Daughter/son relationship

Mother/father relationship

Relationships is not a problem for me right now, I just want to check the future is OK

   

Career and Finance

I have trouble saving money

I have trouble and I'm not making enough money

I need to have better luck

I feel stuck in a dead end job

Looking for career change or advancement

Trouble at work (ie. backstabbing)

Business is not doing well

Career and Finance is not a problem for me, I just like to make sure all is OK for my future

Health (please specify any conditions in the Additional Information area below)

I need more energy, suffer from lack of energy

I feel down and need to feel more positive

Trouble getting pregnant / suffered miscarriage

Low Sex drive

My health is fine, no help needed here

   

Your Situation

Please describe your present (and past if applicable) situation and what you would like to see happen. For example:

I have been feeling stuck in a rut for many months, I have been single for 2 years, have unsupportive friends and family, and I hate my job, I have been passed over for promotions 3 times in 4 years! Someone else less qualified always gets the job. I don’t feel good about myself, I have tried motivating myself to get out of all this but it has not worked, so I am following your advice and doing something new to get out of this mess I am in. I need change or I am going to go crazy! Please help me Angela. I look forward to your reply.

 

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