Health & Lifestyle Breakthrough Session!
Ready to powerfully experience vitality in health and an increase in happiness! Let's get started. Don't have to write out an essay, just what comes to your mind first to be focused.

Please fill this form for us to continue and Geeta will get back to schedule a complimentary phone session.
Email address *
What is your Full Name? *
Your answer
Great! And Your Email? *
Your answer
Phone# and Skype ID: *
Your answer
1. What is your deepest desire in terms of vibrant mind/body health? *
Your answer
2. How do you want to look, feel, and show up in the world? (Get specific) *
Your answer
3. What is your biggest goal in terms of fulfilling desires in your life (relationships, business, lifestyle, etc.) *
Your answer
4. What's your fattest, biggest, ugliest frustration (problem, concern) around your life? *
Your answer
5. What is ONE thing stopping you from reaching your current overall health goal? *
Your answer
6. What is the weakest area in your life that you want to address? *
Your answer
7. How have you approached this problem/frustration/concern in the past? (Hired help? Read books?) And have any of those methods helped? *
Your answer
8. Have you tried any programs, gurus, retreats, coaching programs, diets, fitness? What happened? *
Your answer
9. Are you aware that the obstacles and not giving yourself permission to live with your most perfect mind/body health will not allow you to step into the confidence needed to create the life you desire? *
10. What is it costing you to NOT have your health where you want it? What are you missing outon? (Think in terms of stress, self-esteem and dollars.) *
Your answer
11. How willing are you to invest the time, energy, and finances in yourself to achieve the clarity, confidence, and joy needed to fulfill the goals you listed above (and more!) Be specific. *
Your answer
12. When making a decision do you do it from: *
13. How willing are you to invest the time, energy, and finances into yourself and your transformation right now to create the clarity and results you deserve? (Be specific.) *
Your answer
14. On a scale of 1 to 10, HOW IMPORTANT is it for you to get your health where you know it can be? *
1 = Low Priority
10=Highest Priority
15. HOW READY ARE YOU to emotionally and financially invest & commit to your business by getting the support you need? *
Not Ready
Ready NOW, What do I need to do to start working with you!!
16. This may help with where you are: Which of the following is true for you: *
Required
17. What would you like to come away with from your breakthrough session with Geeta? *
Your answer
A copy of your responses will be emailed to the address you provided.
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