REIKI INQUIRY

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number

Please enter a valid phone number.

4

Have you experienced Reiki before?

YESNO

5

Have we shared space before?

in class

somewhere else

in session

6

What session length are you drawn to?* This field is required.*Prices and HST subject to change*

30 minutes - Gentle Reset ($65)

45 minutes - balanced recalibration ($85)

60 minutes - Full Restoration ($120)

7

What days of the week are you typically available?* This field is required.

8

What time of day works best for you?* This field is required.

Morning

Evening

Afternoon

9

Where are you located?

10

Would you be open to driving Niagara Falls for your session?* This field is required.

Yes

Maybe/ Open to options

No

11

How would you like to receive your session?* This field is required.

12

What brings you to Reiki at this time?