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?
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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?
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How happy are you with your life situation at the moment?
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1
2
3
4
5
6
7
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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
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Everything counts like back issues, skin issues, nail bitting, anything :)
Do you agree with this sencentes?
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I love my physical body. I look myself at the mirror and I feel beautiful.
I feel happy. I experience happiness, peace and emotional balance.
I connect with myself. It's easy for me to realise what's going on with me and what do I need.
I have lots of energy
I have the life I want
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
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