Package A Intake Form

Package A – BaZi Natal Chart + Major Luck Cycle Intake Form

Welcome — Please complete your intake.
We only collect the information required to prepare your report.

No personal name is required for analysis.

Name (optional)

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

Email (required)

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.

Birth Place (required)

Current Location (required)

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.

Discount / Promotion Codes (optional)

Up to three codes may be applied per service. If you have multiple codes, please list them here.

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.