Medical Astrology Consultations - Astrologer Felipe Oliveira

IMPORTANT: You should type the answers into a text file and save it to your computer before entering the data into this form. Then, copy your answers and paste them into the fields below. This will prevent any loss of data should any glitches occur during submission. After pasting the data, click SEND to send your information to me.

Please describe the situation and give me any details that you find pertinent. If there is important information that you are aware of, please tell me beforehand. Express yourself. Your information is always kept confidential. I will email you if I need any clarification.

IMPORTANT: When describing your health issues and asking your questions, please do not use acronyms or abbreviations. Spell out everything completely in plain English. (You may add acronyms and abbreviations in parenthesis, if you like.)

List the questions you want answered.

Describe the time the current health problem began and any subsequent stages. What triggered the problem?

Covid 19 Information (Did you catch it? Are you vaccinated? What vaccine type or brand? Any boosters? Any side effects?)

Describe your diet for over one week, including ingredients, drinks, and condiments. Describe the quantity and frequency of each food. State whether the food is of organic origin or not. BE DETAILED!

Describe your exercise regimen, including type and frequency. Do you spend time sitting? Do you spend time in front of a computer screen or TV? If so, how much and how often

Describe your social life. Do you spend time with other people? In what settings? How often? Include friends, acquaintances, and family.

Describe your emotional life. Do you feel happy/unhappy? Relations with others. Conflicts with self or others? Describe any emotional issues surrounding the time the health problem began.

Do you have hobbies or engage in fun activities? Are you sexually active and fulfilled? (Answer at your discretion)

Summarized medical history. Describe previous health issues and illness episodes, related or unrelated to the present issues. When did they happen? What was the outcome?

History of recreational drug use

History of toxic exposure

If you have any addictions, please describe them.

What, in your opinion, is the the problem cause or causes

What, in your doctor's opinion, is the problem cause or causes? Describe their diagnosis.

When was the last time you had your yearly medical exam checkup? Are your blood numbers within range? If not, please describe.

Describe any current treatment you are undergoing for related or unrelated problems to this inquiry, including prescription and OTC medications and herbs and supplements.

Express any additional thoughts or feelings you judge pertinent to your situation and this inquiry.

Describe any psychological, spiritual, or religious knowledge you have and its importance in your life.

If you have astrological knowledge, please describe your general understanding of the elements of house 12. If applicable.

Name

Height

Weight

Where do you live? (City, state, and country only. I do not need the full address.)

Birth date, time, and location (city, state, and country)

Intake Questionnaire

Intake Questionnaire

IMPORTANT: When describing your health issues and asking your questions, please do not use acronyms or abbreviations. Spell out everything completely in plain English. (You may add acronyms and abbreviations in parenthesis, if you like.)