	A	B	C	D	E	F	G
1	Question	Response Type	Required	Options	Description	Section	Repeatable
2	Intro	Section	Yes		IMPORTANT: Please fill out the entire form. If you close the browser, you may need to start over. We follow all global GDPR privacy policies. Your information is private and only used by the software to create your daily report.		No
3	Email	Text Field	Yes		Enter your valid email address (double-check for spelling errors).	Intro	No
4	Your Current Location	Text Field	Yes		Enter your city, state, province, and country. This ensures your daily guidance is delivered at 6 AM (or earlier) in your time zone.	Intro	No
5	Name	Text Field	Yes		Enter your first name.	Intro	No
6	Birth City	Text Field	No		Enter the city, state, province, and country where you were born (if applicable).	Intro	No
7	Birth Date	Text Field	Yes		Enter your birth date (Example: December 15, 1986).	Intro	No
8	Birth Time	Text Field	No		Enter your birth time (Example: 1:30 PM). If unknown, make your best guess. This improves accuracy.	Intro	No
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10	Personal Wellness	Section	Yes		Health changes over time. You may have occasional migraines but long-term depression. Share anything you want and update as needed		No
11	Overall Health	Radio Button	Yes	Excellent, Very Good, Pretty Good, Needs Some Improvement, Needs A Lot of Improvement, Poor	How would you rate your overall health?	Personal Wellness	No
12	Physical Health	Text Field	No		Describe your current physical health (e.g., arthritis, low energy, pain, digestive issues, etc.).	Personal Wellness	No
13	Emotional Health	Text Field	No		Describe any emotional imbalances (e.g., anxiety, depression, grief, low self-esteem, anger). Leave blank if none.	Personal Wellness	No
14	Mental Health	Text Field	No		List any mental health challenges (e.g., negative thinking, trauma, serious conditions). Leave blank if none.	Personal Wellness	No
15	Wellness Goals	Text Field	No		What are your wellness goals (e.g., lose weight, gain strength, be more flexible)?	Personal Wellness	No
16	Important Goals	Text Field	No		List 3-5 short or long-term goals or dreams.	Personal Wellness	No
17	Areas of Improvement	Text Field	No		List 3-5 areas of your life you want to improve.	Personal Wellness	No
18	Stress	Text Field	No		What are your top 3-5 sources of stress?	Personal Wellness	No
19	Joy and Satisfaction	Text Field	No		What brings you joy and satisfaction?	Personal Wellness	No
20	Family Values	Text Field	No		What family values or principles matter most to you?	Personal Wellness	No
21	Orientation	Radio Button	No	Not Interested, Prefer Male, Prefer Female, Bisexual, Asexual, Pansexual, Other	What is your sexual orientation? (Optional)	Personal Wellness	No
22	Belief System	Radio Button	No	Christian, Mormon, Buddhist, Islam, Jewish, Hindu, Spiritual, Atheist, Agnostic, Pagan, Other	If your beliefs influence your decisions, sharing them can help personalize your guidance. (Optional)	Personal Wellness	No
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24	Relationship	Section			Answer only if you're in a relationship. Otherwise, skip this section.		Yes
25	Relationship Status	Radio Button	Yes	Single, Married, In a Committed Relationship, Separated (Trying to Fix), Separated (Irreconcilable Differences), Divorced, Not Interested in a Relationship, Looking for a Life Partner	What is your current relationship status?	Partner Section	No
26	Partner's Name	Text Field	No		Enter your partner's first name.	Partner Section	No
27	Partner's Birth Date	Text Field	No		Enter your partner’s birth date (Example: May 25, 1984).	Partner Section	No
28	Partner's Birth Time	Text Field	No		Enter your partner’s birth time (Example: 1:30 PM, best guess if unsure).	Partner Section	No
29	Partner's Birth City	Text Field	No		Enter the city, state, and country where your partner was born.	Partner Section	No
30	Partner's Stress	Text Field	No		What are the main sources of stress in your relationship (if any)?	Partner Section	No
31	Relationship Conflict	Checkboxes	No	Address Immediately, Cool Down First, Avoid Conflict, Seek a Third-Party Opinion	How do you handle conflicts in your relationship?	Partner Section	No
32	Partner Appreciation	Text Field	No		List 3-5 things you love about your partner.	Partner Section	No
33	Partner Improvements	Text Field	No		List 3-5 things you want to improve about yourself in your relationship.	Partner Section	No
34	Partner’s Belief System	Radio Button	No	Christian, Mormon, Buddhist, Islam, Jewish, Hindu, Spiritual, Atheist, Agnostic, Pagan, Other	If your partner’s belief system is important to your relationship, sharing it can help personalize guidance. (Optional)	Partner Section	No
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36	Future Partner	Section	No		If you're not in a relationship but want one, fill out this section.		No
37	Desired Qualities in a Partner	Checkboxes	No	Loyalty, Honesty, Humor, Ambition, Compassion, Open Heart, Communicative, Introspective, Strong-Willed, Calm	What qualities do you want in a partner?	Future Partner	No
38	Lifestyle	Checkboxes	No	Busy & Hectic, Balanced & Steady, Relaxed & Easygoing	How would you describe your lifestyle?	Future Partner	No
39	Meeting People	Checkboxes	No	Through Friends, Social Activities, Online Dating, Random Encounters	How do you usually meet people?	Future Partner	No
40	Favorite Downtime	Checkboxes	No	Outdoor Activities, Relaxing at Home, Socializing, Engaging in a Hobby	How do you like to spend your weekends?	Future Partner	No
41	Love Language	Checkboxes	No	Words of Affirmation, Acts of Service, Giving/Receiving Gifts, Quality Time, Physical Touch	What is your love language?	Future Partner	No
42	Physical Attraction Importance	Radio Button	No	Very Important, Somewhat Important, Not Very Important, Not Important at All	How important is physical attraction in a relationship?	Future Partner	No
43	Conflict Resolution	Checkboxes	No	Address Immediately, Cool Down First, Avoid Conflict, Seek Third-Party Help	How do you handle relationship conflicts?	Future Partner	No
44	Deal Breakers	Checkboxes	No	Lack of Communication, Dishonesty, Different Life Goals, Lack of Respect, Infidelity	What are your relationship deal breakers?	Future Partner	No
45
46	Close Important Person	Section	No		This section is for non-partner, non-child important individuals in your life. These could be a parent, sibling, close friend, roommate, mentor, or business partner. If no one fits this category, you can skip this section.		No
47	Name	Text Field	No		Enter the first name of this person.	Close Important Person	No
48	Birthdate	Text Field	No		Enter their date of birth (Example: May 25, 1984). If unknown, type "Unknown".	Close Important Person	No
49	Birth Time	Text Field	No		Enter their birth time (Example: 1:30 PM). If unknown, type "Unknown".	Close Important Person	No
50	Birth City	Text Field	No		Enter their birthplace (City, State, Country). If unknown, type "Unknown".	Close Important Person	No
51	How Do You Know Each Other?	Radio Button	No	Family Member, Roommate, Friend, Business Partner, Ex-Partner, Other	What is your relationship with this person?	Close Important Person	No
52	Why Are They Important?	Text Field	No		Describe how this person affects your daily life (e.g., “My mother-in-law lives with us and helps with the kids,” or “My business partner and I make important financial decisions together”).	Close Important Person	No
53	Stress in the Relationship	Text Field	No		List 3-5 sources of stress related to this person (if applicable). Example: communication struggles, financial disagreements, lifestyle differences.	Close Important Person	No
54	What Do You Appreciate About Them?	Text Field	No		List 3-5 things you appreciate about this person.	Close Important Person	No
55	How Do You Handle Conflict?	Checkboxes	No	Address Immediately, Take Time to Cool Down, Avoid Confrontation, Seek a Third-Party Opinion	How do you typically handle disagreements with this person?	Close Important Person	No
56	How Do You Want to Improve?	Text Field	No		List 3-5 ways you want to improve your relationship with this person or be a better person for them. (Optional)	Close Important Person	No
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58	Career & Employment	Section	No		This section is for those who are employed, business owners, entrepreneurs, or seeking work.	Career And Employment	No
59	Employment Status	Radio Button	Yes	Employed, Business Owner, Entrepreneur, Self-Employed, Not Employed, Retired, Other	What is your current employment status?	Career & Employment	No
60	Job Title	Text Field	No		Enter your job title or industry (e.g., Software Engineer, Teacher).	Career & Employment	No
61	Job Satisfaction	Radio Button	No	Very Satisfied, Satisfied, Neutral, Dissatisfied, Very Dissatisfied	How do you feel about your current job?	Career & Employment	No
62	Career Goals	Checkboxes	No	Promotion, Job Stability, Work-Life Balance, Skill Development, Finding a New Job	What are your career goals for the next six months?	Career & Employment	No
63	Work Stress	Checkboxes	No	Stay Calm & Focused, Seek Support, Take Breaks, Struggle but Manage, Feel Overwhelmed	How do you handle work-related stress?	Career & Employment	No
64	Work Environment	Checkboxes	No	Team-Oriented, Independent, Structured, Fast-Paced, Creative & Flexible	What is your ideal work environment?	Career & Employment	No
65	Career Decision-Making	Checkboxes	No	Intuition & Gut Feelings, Data & Facts, Seek Advice, Balance Intuition & Logic, Delay Decisions	How do you make career decisions?	Career & Employment	No
66	Work-Life Balance	Radio Button	No	Perfect Balance, Mostly Balanced, Struggling to Balance, Work Dominates, Personal Life Priority	How balanced is your work and personal life?	Career & Employment	No
67	Financial Security	Radio Button	No	Very Secure, Moderately Secure, Somewhat Insecure, Insecure, Extremely Insecure	How secure do you feel about your finances?	Career & Employment	No
68						Career And Employment
69	Unemployed	Section	No		This section is for individuals currently seeking employment.		No
70	Job Search Feelings	Radio Button	No	Positive & Hopeful, Sometimes Anxious, Frequently Stressed, Feeling Discouraged, Emotionally Exhausted	How do you feel about your job search?	Unemployed	No
71	Job Search Progress	Radio Button	No	Very Confident, Somewhat Confident, Neutral, Worried, Frustrated	How do you feel about your progress so far?	Unemployed	No
72	Job Type Preferences	Checkboxes	No	Full-Time, Part-Time, Contract/Freelance, Remote Work, Open to Any	What type of job are you seeking?	Unemployed	No
73	Main Focus	Checkboxes	No	Passion-Focused, Stable Income, Skills Update, Taking a Break, Exploring New Careers	What is your primary focus while looking for a job?	Unemployed	No
74	Staying Motivated	Checkboxes	No	Set Goals, Hobbies & Self-Care, Seek Support, Stay Informed, Struggling to Stay Motivated	How do you stay motivated during your job search?	Unemployed	No
75
76	Retired	Section	No		This section is for retired individuals.		No
77	Retirement Focus	Checkboxes	No	Relaxing, Hobbies, Volunteering, Traveling, Consulting/Part-Time Work	What is your main focus in retirement?	Retired	No
78	Retirement Transition	Radio Button	No	Fully Adjusted, Mostly Comfortable, Sometimes Unsure, Struggling for Purpose, Missing Work Structure	How do you feel about the transition into retirement?	Retired	No
79	Retirement Activity	Checkboxes	No	Exercise, Social Events, Learning New Skills, Family Time, Relaxed Lifestyle	How do you stay active in retirement?	Retired	No
80	Social Connections	Checkboxes	No	Stay Connected, Join Groups, Value Solitude, Reconnect with Friends, Struggle with Socializing	How do you maintain social connections?	Retired	No
81	Sense of Purpose	Radio Button	No	Strong Purpose, Open to New Experiences, Still Exploring, Occasionally Unsure, Searching for Purpose	How do you feel about your sense of purpose in retirement?	Retired	No
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83	Children	Section	No		If you have children and want to receive daily guidance based on their zodiac insights, complete this section.		Yes
84	Number of Children	Radio Button	Yes	No Children, 1 Child, 2 Children, 3 Children, 4 Children, 5+ Children	How many children do you want to receive guidance for?	Children	Yes
85	Child's First Name	Text Field	No		Enter your child’s first name.	Children	No
86	Child's Birth Place	Text Field	No		Enter your child’s place of birth (city, state, country).	Children	No
87	Child's Birth Date	Text Field	No		Enter your child’s birth date (Example: May 25, 2019).	Children	No
88	Child's Birth Time	Text Field	No		Enter your child’s birth time (Example: 1:30 PM).	Children	No
89	Child's Gender	Radio Button	No	Male, Female, Prefer Not to Say, Other	What is your child’s gender? (Used for pronoun accuracy)	Children	No
90	Child's Primary Activities	Text Field	No		List your child’s main activities (e.g., sports, music, hobbies, school challenges).	Children	No
91	Child's Stress	Text Field	No		What are your child’s main stressors (e.g., bullying, self-esteem, learning difficulties)?	Children	No
92	Child's Joy and Satisfaction	Text Field	No		What brings your child joy and fulfillment?	Children	No
93	Child's Long-Term Concerns	Text Field	No		List any long-term concerns (e.g., autism, ADHD, anxiety, social difficulties). Be brief but specific.	Children	No
94
95	Final	Section			This section confirms your consent and email preferences.		Yes
96	Consent Policies	Radio Button	Yes	Yes	Your information is secure and encrypted. Please read and agree to the ZodiAccurate GDPR Privacy Policy Click Here. Declining means you won’t receive guidance.	Final	Yes
97	Email Agreement	Radio Button	Yes	Yes	By selecting "Yes," you agree to receive daily email guidance from ZodiAccurate.	Final	Yes