On this page, please answer the questions provided with as much detail as possible.

Once you have submitted your form, Leila will be in touch to set up a FREE Breakthrough Your Barriers To Happiness, Love, Wealth & Success consultation (45min). You'll then decide together if the mentorship is the best fit for you.

Rest assured, your answers are kept PRIVATE and CONFIDENTIAL and will not be shared with anyone but Leila.

* 1. What are your long term aspirations?

* 2. What challenges do you face?

* 3. How do you feel on a daily basis?

* 4. How important on a scale of 1-10, is it for you to achieve your aspirations/goals/desires? (10-Very important, 1- Not important at all)

* 6. Contact details

* 7. Best time(s) to set up your FREE 45 min Skype Breakthrough Session? 

Thank you so much for your time and honesty! I really appreciate your application and will be in touch as soon as possible to set up your FREE 45 min Breakthrough session. In the meantime, remember that Life is Today and you deserve to experience the life of your dreams! You really can transform what might seem like the impossible!

Keep an eye out on your inbox to hear from me soon. Feel free to contact me directly if you have any questions in the meantime. All the best, Leila Khan