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Reiki Client Information Form

Privacy Notice:
No information about any client will be discussed or shared with any third party without written consent of the client or parent/guardian if the client is under 18.

Have you ever had a Reiki Session before?
Are you suffering from a medical condition, illness, or injury?
Do you have any difficulty lying on your back for the entire session?
Are you comfortable with a light touch during a Reiki session?
Are you sensitive to incense or essential oils?

Thanks for submitting!

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