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BaZi Natal Chart Intake Form

Welcome — Please complete your intake.

We only collect the information required to prepare your report. No personal name is required for analysis.

No legal names needed. An ID will be assigned for all communication.

Used only for communication and delivery of your reading. A dedicated email is recommended for privacy.

Birth Date and Time (required)
Year
Month
Day
Time
HoursMinutes

Accurate birth information is essential. A 1–2 hour difference may change the analysis. If unsure, please check hospital records or confirm with family first. Please do not guess — if your birth time still cannot be confirmed, let us know.

Gender (required)
Male
Female
Prefer not to say

Gender is used for accurate BaZi analysis. If you prefer not to disclose it, we can prepare both versions for comparison. This requires double analysis and therefore an additional fee.

Focus Areas (4 included)

Select at least four Focus Areas you would like Gé Rén to include in your BaZi Natal Chart report. Four standard Focus Areas are included with your report. If you select more than four, or if you select “Other,” please choose the matching extra Focus Areas payment option below.

Need help choosing? View the Focus Area Guide

Extra Focus Areas Payment (required)
No Extra Focus Area$0
Extra Focus Areas$60

Please choose one option above. If no extra payment is needed, set “No Extra Focus Area” to 1 and leave “Extra Focus Areas” at 0. If you selected more than four Focus Areas, or selected “Other,” leave “No Extra Focus Area” at 0 and set “Extra Focus Areas” to the matching quantity. Each extra Focus Area is $60 CAD.

You may use this space for special requests, context, or notes related to this BaZi Natal Chart report.

Promotion Code — If you have a promotion code, please keep it ready and enter it on the checkout page.

BaZi Natal Chart Report
$684

This form is for one BaZi Natal Chart report.

Payment Note — Gé Rén does not require your real name for BaZi analysis. Any name requested at checkout is part of standard billing and payment validation through the checkout system. Gé Rén will use your intake form details, email address, order record, and assigned Gé Rén ID for service communication and report preparation. Apple Pay or Google Pay may be used if available on your device.

Privacy Statement

Gé Rén is a privacy‑first service.

We only collect the information required to prepare your report: birth date, birth time, birth location, current location, and email.

We do not require your legal name for analysis.

If you choose to pay by credit card, your name is collected only by the payment processor for verification and receipt purposes.

Gé Rén does not store your name in your intake record and does not link it to your birth data.

Your information is used only to prepare your personalized report and support related email follow-up.

Gé Rén Studio

Privacy-first BaZi consultancy

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Privacy-first. Personal information is used only for preparing your analysis and supporting the related email follow-up process.

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