0
Full Name *
Phone
For Astrology, Numerology, and Human Design purposes
If you agree to Lotus Rising generating your charts, fill out the following information below. If "UNKNOWN", skip.
Date of Birth *
Birth Time
For Child Chart Analysis
If you agree to Lotus Rising generating your child's chart for parenting alignment, fill out the following information below.
*Understand that providing this information means you consent to Keshia Lo having access to this sensitive information.
Current Life Overview
Which of the following best describes your current energy flow most days? *
(Feel free to be as detailed or as brief as you feel called)
What are you currently struggling with the most in your life? *
(List or describe)
(List or describe)
(If yes, please describe)
Soul Desires + Intentions
What spiritual practices (if any) do you currently utilize or have practiced before? *
Past Healing Work
(If yes, please describe what your experience was like)
How do you typically process emotions? *
(If yes, please describe)
(Examples: Trauma triggers, health conditions, sensitive topics, boundaries around certain work, etc.)
Divine Communication
How would you describe your relationship with your intuition? *
(Please answer "Yes", "No", "Unsure", or "Curious to explore" — If yes, feel free to describe)
Closing Reflection
After Submitting Your Assessment
You'll be redirected to our scheduling page to book your first session.

Thank you!

BUSINESS HOURS
Mon-Tue, Fri | 9am-6pm

850-270-7304

DISCLAIMER: It’s important to understand that my intuitive and spiritual mentoring as well as any other form of energy work or divination practice used to administer my services and consultations can be seen as an alternative to traditional therapy. All consultation sessions are intended to advise and facilitate the client’s own healing process, life improvements, and personal development. The holistic, metaphysical, and intuitive approaches I might suggest during consultation sessions may complement medical or psychological care, but will not replace the work of a licensed physician or licensed health care professional. I do not diagnose conditions nor prescribe or perform medical treatment, prescribe medications or substances, nor interfere with the treatment of a licensed professional during these sessions.

© 2021 Lotus Rising co. All Rights Reserved.