Form - Anastasha Grace

Please complete this form prior scheduling your first session. All information provided will be kept confidential.

First Name

Last Name

Contact phone number including country & area code

Desires - What do you most desire in your life?

What would you like to change?

Struggle - What is your biggest struggle so far?

Why Now? Why does this need to change now?

How Committed Are You To Change?

Why Should I Work With You?

Anything else you'd like to tell me about yourself

Are You Ready To Financially Invest?

$0-$500 - bare minimum - only one session $2,000- $5,000 The Spiral Up and Quantum Collapse Programs $7,000 -$20 000 : VIP Package - I want only the best for myself

Are You Ready To Emotionally Invest In Yourself?

0 hours per week. I'm not ready 1-5 hours per week Whatever it takes to get my desired outcome

Inhabit your power, become the creator of your life, understand the resources you have, and use them appropriately to create the life YOU want.
Heal and reclaim yourself. Connect with the parts of yourself that have been forgotten, blocked or unconsciously hidden away, and enroll them back into your being, and unlock your greatest gifts.
Live a renewed, revitalised, inspired life. It is your birthright to be open, enthusiastic, playful and joyful!