Welcome Home...
Congratulations on beginning your healing journey! Please answer the following questions if you are interested in working together to heal your life.
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What is your first and last name? *

 
Have you ever experienced Reiki before? *

     
 
If "Yes," when was your last session? What was your experience like?

 
Why are you seeking Reiki now? What is your intention for receiving this healing energy? *

 
Are you interested in healing your physical body? *

     
 
If "Yes," what would you like to heal? What are your physical symptoms? How long have you been experiencing this physical problem? Please answer by sharing as much information as is comfortable for you. This is a safe and confidential space to share.

 
Are you interested in healing emotionally? Are you facing a challenging situation within a relationship(s) in your life? *

     
 
If "Yes," what feelings are coming up for you? What are you struggling with navigating emotionally, or in your mind? How long have you been feeling this way? Please answer with as much information as you are comfortable sharing. Again, this is a safe space to share as all of this information is kept confidential.

 
Do you feel ready to commit to understanding your energy systems, and how they factor into your physical and emotional health? *


 
Thank you for taking the time to allow me to get to know you a little bit better.  I will be in touch with you shortly.

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