Full Name *

Phone *

Email *

What service did you book?

New Client Consultation

New Client Reiki or Sound Healing

Returning Client Reiki or Sound Healing Session

Reiki Training (L1, 2 or Master)

What brings you in today? What’s calling for support in your body, heart, or life right now? *

What would you like to receive from this session? (Feel free to share a word, a theme moving through your life, or a prayer) *

Have you experienced Reiki, sound healing, or energy work before?

Yes

I'm not sure

Do you have any medical or mental health conditions that we should be aware of? If yes, please describe *

Are you currently taking any prescription or over the counter medications, herbal support or supplements? If yes, please list *

What would you like to receive from this session? (Feel free to share a word, a theme moving through your life, or a prayer) *

Are you open to the use of essential oils or aromatherapy in session?

Yes

I'm not sure...let's discuss

Is there anything else you'd like for us to know before your session? *

How are you feeling in your mind, body and spirit today? *

Is there anything new or different you’d like us to know (medical, life event, emotional, energetic, etc.)? *

What are your intentions for this session? *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive. I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.ive text messages from the business.