Thalassa Intake
Please read through carefully and answer all questions. This is for the Thalassa add-on which includes energy clearning, Oracle card pull, Reiki, crystals, and sound therapy.
Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
First Name
Last Name
Do you wish to participate in the Oracle card pull at the beginning of your session? These cards are positive cards that are great for personal reflection, inspiration, and even spirtiual guidance.
Please Select
Yes
No
Palo Santo will be burned to clear any negative energy. Will this smell/smoke bother you? (it is very minimal and has a light woodsy fragrance)
Please Select
Let's do it! I will be fine.
Yes, it may. Let's skip that part.
Do you have a favorite scent that makes you feel happy / comfortable? What about a favorite gemstone / crystal?
How are you feeling about your upcoming appointment? Is there anything going on in your life that is troubling you or you'd like to change? Maybe you have goals you want to accomplish. You do not have to go into detail here. This will just give me insight as to what crystals to pull and what intentions we will focus on during your service.
Are you feeling stuck? Sad? Relationship troubles? Etc.
During your appointment, I will be performing Reiki energy work. If you don't want to me to include this in your session, please indicate below. If this sounds ok, please say so below and let me know if I have consent to place my hands on your body. I will be gently laying my hands on certain areas of the body. Those body parts are the head, shoulders, upper stomach, knee, hip, and feet. I will not linger on these areas for long. Only a few minutes per area. Reiki is a safe form of energy healing. You will be covered at all times. Please let me know at any time during your session, if you feel uncomfortable.
Please Select
No, I do not want Reiki during my session
Yes, I would like Reiki during my session and you have my consent
Submit
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