Begin Your Healing Journey

Name *

First Name

Last Name

Phone *

(###)

###

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Have you experienced Reiki, energy healing, or meditation before?

Yes

No

A little / I’m curious

What area of life are you seeking support in?

select all that apply

Relationships (family, romantic, friendships)

Emotional Healing (grief, sadness, trauma)

Self-Worth / Confidence

Life Purpose / Spiritual Growth

Stress / Anxiety Management

Energy Balancing and Relaxation

Other

Consent:

I understand that this session is a form of energetic and spiritual support and is not a substitute for medical or psychological care. I take full responsibility for my healing process.