Information Needed for your
Romantic Relationship Forecast: 6 Months
Some information is necessary for the preparation of your Report. Please complete this form carefully and submit.
Please Note:
This form assumes that you know within about 15 minutes the birth times of
BOTH
of the people in question, and that you know both people's birth places (city or town). If that's not the case, please
Click here.
Your Name:
Your E-Mail Address:
E-Mail Address Where You Want Report Sent:
Same as above
Other E-Mail Address (Type in below):
For convenience, we'll refer here to the two people as Person A and Person B.
Name of Person A:
Where was Person A born?
City:
State or Province:
Country:
Person A's Date of Birth
Month:
(Select)
January
February
March
April
May
June
July
August
September
October
November
December
Day:
(Select)
1
2
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31
Year:
Person A's Time of Birth (within 15 minutes):
AM or PM Birth? (Select)
Midnight
AM
Noon
PM
Name of Person B:
Where was Person B born?
City:
State or Province:
Country:
Person B's Date of Birth
Month:
(Select)
January
February
March
April
May
June
July
August
September
October
November
December
Day:
(Select)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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31
Year:
Person B's Time of Birth (within 15 minutes):
AM or PM Birth? (Select)
Midnight
AM
Noon
PM
This Report will be for SIX MONTHS. Please enter the date on which you want it to START:
Month:
(Select)
January
February
March
April
May
June
July
August
September
October
November
December
Day:
(Select)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Y
ear:
Please double-check to be sure:
Is/Are your e-mail address(es) typed correctly?
Did you confirm whether the relationship is a Friendship or a Romantic Relationship?
Did you indicate the complete Date of Birth for both people?
Did you indicate a start date for your report?