Name
*
First Name
Last Name
Email
*
Address
*
There is something I need to send you :)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
*
MONTH/DAY/YEAR
MM
DD
YYYY
Time of Birth
I am asking about this so I can calculate your Astrological Birth Chart.
Hour
Minute
Second
AM
PM
Where did you discover ANJA?
*
Someone Recommended it
Social Media
Somehow got to the website
Google
How would you describe your inner emotional state at the moment in one word?
*
How happy are you with your life situation at the moment?
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1
2
3
4
5
6
7
8
9
10
GOAL 1 - What is the main goal you want to achieve during this 6 months?
From 1 to 10, how closer do you feel from achieving this goal?
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1 - I am far from achieving it
2
3
4
5
6
7
8
9
10 - I have achieved it
GOAL 1 - When thinking about achieving that, which is your biggest challenge?
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As detailed as possible.
GOAL 1 - Why would it make a difference in your life to discover a way to solve this challenge or find a solution for your need?
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Details, PLEASE 🙏
GOAL 1 - How difficult has it been for you to find a good solution to solve this challenge?
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Not at all difficult
Somewhat difficult
Very difficult
GOAL 1 - From 1 to 10, how committed are you with achieving this goal?
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1 - Not committed at all
2
3
4
5
6
7
8
9
10 - Extremely committed
GOAL 2 - What is the second main goal you want to achieve during this 6 months?
From 1 to 10, how closer do you feel from achieving this goal?
1 - I am far from achieving it
2
3
4
5
6
7
8
9
10 - I have achieved it
GOAL 2 - When thinking about achieving that, which is your biggest challenge?
GOAL 2 - Why would it make a difference in your life to discover a way to solve this challenge or find a solution for your need?
GOAL 2 - How difficult has it been for you to find a good solution to solve this challenge?
Not at all difficult
Somewhat difficult
Very difficult
GOAL 2 - From 1 to 10, how committed are you with achieving this goal?
1 - Not committed at all
2
3
4
5
6
7
8
9
10 - Extremely committed
GOAL 3 - What is the third main goal you want to achieve during this 6 months?
From 1 to 10, how closer do you feel from achieving this goal?
1 - I am far from achieving it
2
3
4
5
6
7
8
9
10 - I have achieved it
GOAL 3 - When thinking about achieving that, which is your biggest challenge?
GOAL 3 - Why would it make a difference in your life to discover a way to solve this challenge or find a solution for your need?
GOAL 3 - How difficult has it been for you to find a good solution to solve this challenge?
Not at all difficult
Somewhat difficult
Very difficult
GOAL 3 - From 1 to 10, how committed are you with achieving this goal?
1 - Not committed at all
2
3
4
5
6
7
8
9
10 - Extremely committed
Tell me about any physical condition, problem or illness you might have
*
Everything counts like back issues, skin issues, nail bitting, anything :)
Do you agree with this sencentes?
*
I love my physical body. I look myself at the mirror and I feel beautiful.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel happy. I experience happiness, peace and emotional balance.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I connect with myself. It's easy for me to realise what's going on with me and what do I need.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I have lots of energy
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I have the life I want
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
If there is anything you want to tell us?
By checking this box you indicate that you have read and agree to our Terms and Conditions
*
I agree with ANJA's Terms and Conditions