Alignment Map Form – Quiet Impact Academy

I am so excited to talk about Human Design in Business!

We would love to create a free Custom Human Design Alignment Map for the Quiet Impact Academy.

This will allow me to customize the talk on January 27th to you and your Human Design chart!

If you fill out the form below by Monday January 23rd we will be able to create your Alignment Map and bring your chart into our presentation.

Full Name*

Email*

Do you know your exact birth time?*

yes

It is important to use your exact birth time if possible. If you don't know the exact time, but you know you were born in the morning/afternoon/evening select a time that you believe is close. If you have no idea please enter 12:00pm.

Birth Date*

Birth AM/PM*

Birth Hour*

Birth Minute*

Birth Country*

Birth State*

Birth City*