First Name *

Last Name *

Email *

Phone *

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. There is some information we won't be able to provide if you don't know your exact birth time.

Birth Date *

Birth AM/PM *

Birth Hour *

Birth Minute *

Birth Country *

Birth State *

Birth City *

How familiar are you with Human Design? *

This is my first time hearing about Human Design.

I know a little, but would like to start going deeper.

I have been experimenting for a while and know learning more can only help me.

I am living fully in alignment with my Design, but love to stay connected with other Human Design people.

Which best describes your current work situation? *

I don't feel like I'm doing work that allows me to fully utilize my natural gifts and strengths.

I feel like I'm doing the type of work I want to do, but I don't feel valued and appreciated at work.

I am currently working in a job/business that I know is not correct, but I don't know how to change it or what I want to do next.

I run a business or manage a team at work and I would like to know how to be a better leader and to support my team more effectively.