Book A Reiki Session

Book A Reiki Session

Please complete this short form to guide our session.
Personal Info

First NameLast Name
Email
Phone (optional)
1. Have you experienced Reiki before?
If yes, briefly share your experience.
2. What area in your life do you need the most support? (e.g., stress, clarity, etc)?
3. How are you currently feeling: physically, emotionally, or energetically?
4. Do you have any specific preferences for the session? (e.g. music, silence, aromatherapy, etc.)
5. What are your goals for this Reiki session?
Consent and Acknowledgement:

By signing below, you acknowledge that Reiki is a complementary healing method and does not replace medical care. You understand that Reiki practitioners do not diagnose conditions or prescribe medications.
Signature

Powered by Jotform SignClear
Date

MonthDayYear
Date
Should be Empty: