Violets In Bloom Energy Intake Form

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Crystal Reiki Energy Work

Thank you for being curious about crystal reiki energy work. This work involves the healing effects of aligning the subtle energy areas of the body, mind and spirit with minerals. Attention to these areas bring about a unique sense of empowerment, reduces fear and increases self care/ love. I invite you to fill out this form and I will be in touch with you soon after. This work is one of my life's passions and I know I am capable of supporting you in it successfully. Thank you again. Sincerely, Ava
Disclaimer

Crystal Reiki and other types of energy meridian work are not to be considered as a substitute for traditional medical treatment.
Client Intake Form
Name (First & Last):
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Do you have a history of any of the following:
Do you take any prescribed medication (no need to disclose names or milligrams)
Do you follow any spiritual practice? If so, what?
What attracted you to energy healing?
If you have worked specifically with crystals in the past, please share a little bit about your overall experience here:
Why would you like to learn/accomplish from your visit?
Please specify any additional or pertinent details:
Please sign and date below to assert that the inforation provided is true to the best of your knowledge By signing below you are consenting that you understand that crystal healing is not meant to replace conventional medicine, but rather to complement and enhance it. You should always consult a medical professional when needed. By signing below, you hereby release the healer from any liability as a result of the services rendered (including intake and follow ups).
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COPYRIGHT ©Violets In Bloom

Crystal Reiki Energy Work

Disclaimer

Client Intake Form