Enquiry form

Your Ayurvedic Program
Please choose

To prepare for your phone conversation with us, think about how you would answer the following questions:

  • What are your main reasons for wanting to participate in a Program at AmrtaSiddhi?
  • What are currently your major Health challenges?
  • What is the maximum length of time you can dedicate to a Program?

Please consider answering the following questions:

  • What are your main reasons for wanting to participate in a Program at AmrtaSiddhi?
  • What are currently your major Health challenges?
  • What is the maximum length of time you can dedicate to a Program?

Upon receiving your answers, our Physicians can recommend the optimum program for you.

Choose "Double Occupancy" if you want to share a room with your Partner/Friend. Choosing "Double Occupancy" does not mean that AmrtaSiddhi will allocate someone to share a room with you.

Your selection: 14-Day Weight Loss Program

Programs generally commence 1 day after check-in and the check-out date is set to coincide with the Program end date. You may add extra treatment days to your chosen Program and additional nights accommodation before and/or after your Program end.

  • Selected Program:-
  • Check-in Date:-
  • Program Start:-
  • Program End:-
  • Check-out Date:-
  • Selected Program:-
  • Program Start:-
  • Program End:-
  • E-Mail:-
  • Phone:-
  • First Name:-
  • Last Name:-
  • Date of Birth:-
  • Sex:-
  • Nationality:-
  • Place of Residence:-
  • Selected Program:-
  • Room Type:-
  • Occupancy:-
  • Selected Program:-
  • Check-in Date:-
  • Program Start:-
  • Program End:-
  • Check-out Date:-

Please note that this form is not a binding reservation.

  • Selected Program:-
  • Program Start:-
  • Program End:-

Please note that this form is not a binding reservation.

You’re all set!
Your enquiry form has been successfully submitted and our team will be happy to check availability for you and send you a reservation offer.

You’re all set!
We have received your request and will get in touch with you shortly.