Information Needed for your Compatibility Report
Some information is necessary for the preparation of your Report. Please complete this form carefully and submit.

Your Name:


Your E-Mail Address:


E-Mail Address Where You Want Report Sent:
Same as above
Other E-Mail Address (Type in below):



Please confirm which type of relationship the people in question share:
It's a Friendship.
It's a Romantic Relationship.

For convenience, we'll refer here to the two people as Person A and Person B.

Name of Person A:


Where was Person A born? (Approximation or guess is OK for this report.)
City:

State or Province:

Country:


Person A's Date of Birth
Month:
Day: Year:


Name of Person B:


Where was Person B born? (Approximation or guess is OK for this report.)
City:

State or Province:

Country:


Person B's Date of Birth

Month:
Day: Year:

Please double-check to be sure:

Is/Are your e-mail address(es) typed correctly?

Did you confirm whether the relationship is a Friendship or a Romantic Relationship?

Did you indicate the complete Date of Birth for both people?