Remote/Distance Reiki Questionnaire Name * First Name Last Name Email * Phone * (###) ### #### Have you ever received in-person Reiki from me before? Yes No What are your intentions or areas of focus for this session? Do you prefer phone or Zoom for the initial part of this session? * I generally begin the session with an invocation and prayer which I like to do via phone/Zoom, but it is not required. Phone call Zoom Neither Is there anything else you wish for me to know to make this session the most beneficial for you? Disclaimer * I understand that Reiki is a complimentary, energetic practice and not a substitute for medical or psychological care. I consent to receive remote Reiki. I understand and agree Thank you!