Four-Handed Reiki Session Questionnaire Name * First Name Last Name Email * Have you received Reiki before? Yes No Have you received four-handed Reiki before? Yes No Why do you feel called to this session? Do you prefer: Hands-on Reiki (gentle touch on body) Hovering above body Is there anything else you'd like us to know to better prepare for your session? Disclaimer * I understand that Reiki is a form of energy work, is not a substitute for medical or psychological care, and that the practitioner does not diagnose conditions or prescribe substances. I also understand that Dahlia Energetics has a video camera in the treatment room for security and liability purposes. The video is not stored online and is shared with no one under any circumstances unless required by law. I consent to receive Reiki from these practitioners. I understand and agree Thank you!