Dana, astrologer and owner of Ladybug Astrology leaning up against a brown tree trunk with a green vine growing up the trunk. Wearing a green shirt with the sun reflecting.

Let’s schedule a reading.

I am so happy you are here and ready to book a reading! Please complete this form in its entirety to schedule your astrology reading.

I do my best to respond to all requests within 24-48 hours via email. Your reading will be scheduled approximately one week from the date you submit your form and can be held in person at my Durham office or virtually from the comfort of your home.

Intake Form

Name

First Name

Last Name

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

How would you like to meet?

In-person at the Durham, NC office

Virtually on Zoom

Date of Birth

MM

DD

YYYY

Location of Birth

City, State and Country

Time of Birth

Required for accurate chart reading.

Do you have any particular questions?

What would you like to get out of this reading?

How did you hear about Ladybug Astrology?

Website

Instagram

Referral

Business Card

Other

If you marked referral or other, please share the source.

**Please be sure to check your spam or junk folder if you do not see a response email from me.**

Let’s schedule a reading.

Intake Form

Location

Hours

Contact