Reiki Holistic Healing
~ Enhancing Your Health and Well-Being ~
Resources

REIKI SESSION FORMS

          ►  Session Registration

          ►  Preparing For Your Session

          ►  Session and Services Evaluation

  ►  COVID-19 Questionnaire and Waiver
                                            

 

 

REIKI SESSION REGISTRATION

Prior to your session, please complete the three forms listed below. Completing them in advance of your session will facilitate the efficient use of your session time.  If you have difficulty opening or downloading the forms, please contact me.  You can opt to:

        *  complete the forms electronically and return them to me via an email                     attachment, or

        *  print out the hard copy version, scan and upload the completed set                       attaching them to an email or bring the completed set to your session.  

 

  1.  General Information Intake
       This form provides basic contact information, a services fee schedule including the cancelation policy and a statement about the understanding, agreement and acceptance of the nature of Reiki services.

           *  Electronic/Fill-In Interactive Version (Word .docx):  E-copy Intake

           *  Hardcopy Version (PDF): Intake in PDF
                               

  2.  Attribute Questionnaire 
       This provides more in-depth information about you.  Complete only the information you feel comfortable sharing.  Nothing is required to be disclosed.  However, it provides me with helpful information in structuring your session and sharing/relating relevant information through all the chosen modalities to be employed (cards, crystals, aromas, vibrational methods, etc.).

       *  Electronic/Fill-In Interactive Version (Word .docx):  E-copy Attributes

       *  Hardcopy/Print/Scan Version (PDF):  PDF Attributes

  3. Session Environment Questionnaire
      The ultimate goal of the session is to achieve the deepest state of relaxation and stress reduction.  This information will guide me in setting up the session space, tailoring it to your preferences.  In doing so, energies resonate vibrantly because you are able to connect with those comforts.

  *  Electronic/Fill-In Interactive Version (Word .docx): E-copy Environment

  *  Hardcopy/Print/Scan Version (PDF):  PDF Environment

 

 

 COVID-19 QUESTIONNAIRE AND WAIVER

Due to the Pandemic in these uncertain times, for everyone's health and safety, prior to your in-person session, seminar or event, please complete the questionnaire and waiver (sign/date) provided below.  Bring both with you on arrival.  If you answer "yes" to any of the questions on the questionnaire above the line, please call to reschedule.

PDF COVID-19 Questionnaire and Waiver

 

 

SESSION AND SERVICES EVALUATION

I greatly appreciate and value any feedback you have about your session experience.  Because the session is all about you, it is important to me to provide the best possible fit for your needs.

    *  Electronic/Fill-In Interactive Version (Word .docx):  E-copy Evaluation

    *  Hardcopy/Print/Scan Version (PDF):  PDF Evaluation

 




 

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