Partner Track: Onboarding Form – LindseyLockett.com

Your Name *

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Last

Your Email *

Please copy/paste this link into your browser & take this survey: https://americanspcc.org/take-the-aces-quiz/. Post your result below. *

I'm interested in knowing your Human Design type. Do you know what yours is? *

Yes
No

into aware restricted

What is your Human Design type?

If not, what is your exact birth date, time, & location? (It should be on your birth certificate. If you don't know this, you can skip it for now.)

Date

Time

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Do you have a daily or regular personal development practice (ie. meditation, books, online courses, journaling)? If yes, please briefly describe. *

Please briefly describe how you currently eat. Do you consume alcohol or tobacco products? If so, how often? Do you follow any sort of restricted diet? *

If you menstruate, tell me about your cycle. Do you menstruate regularly? With the moon? Do you experience breast tenderness, heavy bleeding, passing clots, severe cramping, etc.? Have you paid attention to your mental health at different points of your cycle and noticed shifts, etc.?

What patterns in your family history are you aware of (ie. the men on your father's side have heart issues or people on your mother's side deal with substance abuse or generational poverty, racism, misogyny, child abuse, etc.) *

Please briefly describe the nature, if any, of your relationship with your parent(s). *