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TESTIMONIALS
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ABOUT ME
BOOK AN INTAKE SESSION
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TIME TO CREATE EMOTIONAL BALANCE IN YOUR LIFE
Greatness is an inside game.
Let’s play it together with a 100% personalised ANJA Experience.
Name
*
First Name
Last Name
Email
*
Mobile Phone
*
We will only use this if we need to confirm your session time or any changes about it.
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
Country of Birth
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I am asking about this so I can calculate your Astrological Birth Chart.
Where did you discover ANJA?
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Someone recommended it
Through Social Media
Somehow got to the Website
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
8
9
10
What would be the one thing you want to work on your ANJA Sessions?
When thinking about achieving that, which is your biggest challenge?
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As detailed as possible.
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 🙏
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
From 1 to 10, how committed are you with creating the life you want to have?
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1 - Not committed at all
2
3
4
5
6
7
8
9
10 - Extremely committed
Do you have any physical illness you would like to heal?
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Please describe us which one and what treatment are you at the moment.
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.
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 you want to, tell us a bit more about yourself.
Anything you'd like to share with us about yourself or your life
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
*
Terms and Conditions
Welcoming Survey - Top
Welcome Survey