American Feng Shui Consultations Application

To apply for a Feng Shui Consultation and get a quote on cost, you'll need to send us your details through this application form. After you've submitted it, Angela will get back to you personally at her earliest opportunity. Please be patient as there are times when her busy schedule may not permit her to reply immediately.

For Non-USA Feng Shui Consultations, click:

In America Feng Shui Consultation Application

Your Details

Name:
Address:	Please include your state
ZIP code:
Email:
Home Telephone:
Cell or Work 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 Duplex Town House		Condo/Apartment 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:	Don't worry about painting - Angela only needs to know about structural changes
Please specify the number of:
Bedrooms		Washrooms
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:
Boyfriend/girlfriend relationship		Harmonious family life (argumentative children)
Want marriage/committed relationship		Daughter/son relationship
Husband/wife relationship		Mother/father relationship
Trouble with extra marital affairs, suspicion of, or roaming eyes
Education/studies
Children's academic achievement		Spiritual and/or Personal Development
Your own education/studies		Mental Focus/inspiration/clarity
Work & Wealth
Career change or advancement		Retaining & Saving Money
Trouble at work (i.e. backstabbing)		Business prosperity
More good luck		More money
Health (please specify any conditions in the Additional Information area below)
More energy / feel more positive		Support with a serious illness
Infertility / sex drive		Support with a long-term condition
Your Situation
Please describe your present (and past if applicable) situation and what you would like to see happen.	All information is 100% confidential and goes directly to Angela. Please do take your time to be clear as this will help Angela to understand your point of view when she corresponds with you

Related Info

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The Luck of the Gambler

Want to learn how to apply Feng Shui techniques yourself? Angela offers a range of courses that teach you exactly how to do that, step-by-step. Click here for details of Angela's Feng Shui Practitioner courses.