I will email you within 48 hours
via an address from the URL @exceptionalpurpose.com
Your personal details are encrypted & viewed only by me
Let's get started

What is your FIRST Name ? *

( I guess you know a question with a * is always an absolutely required field )
What is your LAST Name ? *

What is the best Phone Number for contacting you? *

What is your Mailing Address? (line 1)
(PO Box is OK) *

Mailing address (line 2 option)

(You can skip this, if not needed, via the red arrow button or by scrolling)
What is the Suburb/Town/City of your mailing address? *

What is the State/Provence of your mailing address? *

What is the Postcode/Zipcode (or equivalent)? *

The Country of your address ? *

For Online VOICE / VIDEO sessions only:

Do you prefer:

What is your SKYPE address ?

Only necessary if you chose SKYPE in the previous question
First section done!

Next: YOUR BIRTH DETAILS for the chart calculation

{{answer_11638889}}, what is your BIRTH DATE ? *

Please TYPE the month NAME & all 4 YEAR DIGITS so there is no confusion !
At what TIME were you born ? (e.g. 12:43)
As accurately as possible! VERY IMPORTANT!

(Not required for Returning Clients - your birth date is enough for ID, unless it has been 20+ years since our last session.)
Is your birth time AM or PM ?

(Not required for Returning Clients)

If you clicked 'Other Source' please provide brief details

I'd love to know if you've found another source!
Any idea how wide the margin for error may be for your birth time ?

What Country were you born in ? (in English spelling, if you can!)

What town/suburb/city were you born in ?  (including the Hospital name if you know it)

Trivia Q & A: Why the hospital name? These days hospitals often have helipads onsite for the emergency helicoptors, and so have their latitude and longitude on their websites for navigation.
Your chart (map of the sky) is drawn from the perspective of your exact birth location: the latitude & longitude.
Are you a MALE or FEMALE ?

(Yes, I know: stereotypes. I almost NEVER wear a dress!)

That's the second section completed! You're speeding through this, {{answer_11638889}}! ... Just a bit more.


Select the Type of Session You are Booking *

(These need to be experienced in sequence #1 through to #4,
#4 being an available suggestion for endless follow-ups any time)

Would you like to book all 3 sessions in advance?

If 'YES', we can discuss this when I email you
What LENGTH OF Session Are You Booking? *

For the  #1 Big Picture session just click "A" (2 hours)
(Extra Time requested at the end of sessions may be possible and charged in 15-minute increments)

Please choose below: an Online session
or  In-House session with Kerrie at her location *

( And for Online sessions, I need to know in advance if it's VIDEO or only VOICE, so I will know whether to wear lipstick & mascara !! ... Don't worry, I  never do sessions in my pjs! )


Which best describes your focus for our session ?

Obviously, you want to become Exceptional and make a real difference, so where are you at right now with your career?

Please list your former and current occupations/qualifications

(Gives me a good idea of where you're up to with your birth-chart)
If you would like me to check out your website, you can put the address here


What are you hoping to achieve through your session ? *

You can elaborate here on what you're needing help with in your current situation:

(PS: The more I know, the deeper the investigation I can do with your chart)
Next 2 questions (6 a & b) are ONLY for Buddhist Monks & Nuns

( So you can SLIDE ON to #7 if this does NOT APPLY )

Are you currently an ORDAINED member of a Buddhist Sangha?
( i.e. a monk or nun )

If Ordained, which tradition ?


(Entirely optional)
Any details on the referral/discovery to share with Kerrie ?


(Entirely optional)
On a scale from 0 to 5:
How would you rate your overall experience with this form ?

If you have some ideas, you can write me a note, below. Thank you!
Any suggestions for its improvement ? ... Thank you!

You made it! Thank you, {{answer_11638889}} ! All this will help us greatly. Now you just need to hit the SEND button! Ready?

(PS: You can scroll back up if you want to check/change anything first)
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