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Step 1: Complete Reiki intake form  (required)

Welcome! To better serve you, the preference is to have this required Step 1 intake form submitted prior to your session. It will take several minutes to complete, therefore, early submission allows me to be better prepared and gives more interaction time for your session. If you prefer not to submit online, please call 917-817-0099 or email nina@daretobemecoaching.com and we will arrange an alternative method for submission. Step 2 Booking and Payment is below.

Thank you!

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In preparation for your session:

  • ​Dress comfortably as you will remain fully clothed.

  • Think of an intention you'd like to energetically connect to. For instance: clarity, relaxation or confidence.

  • Bring your favorite water bottle, otherwise, water is provided at the end of your session.

  • Consider inviting in the Spiritual energy of another or your higher self. Examples: a Loved One who has passed, a Philosopher, God, Goddess or Deity that resonates with you. 

  • Come with an open heart and mind to receive all that Traditional Usui Reiki has to provide your well being. 

 

I very much look forward to sharing the sacred and grounding space of Reiki with you. ​🪷

Are you currently under the care of a physician?
Have you ever had a Reiki/Energy-work session before?
Are you comfortable with hands-on touch during the Reiki session, or would you prefer a hands-off approach?
Are you sensitive to perfumes or fragrances?
Are you open to discussing any emotions or insights that may arise during or after the session?

I understand that Reiki is a simple, gentle, hands-on energy technique that is used for stress reduction and relaxation. I understand that Reiki practitioners do not diagnose conditions, nor do they prescribe or perform medical treatment, prescribe substances, nor interfere with the treatment of a licensed medical professional. I understand that Reiki does not take the place of medical care. It is recommended that I see a licensed physician or licensed health care professional for any physical or psychological ailment I may have. I understand that Reiki can complement any medical or psychological care I may be receiving. I also understand that the body has the ability to heal itself and to do so, complete relaxation is often beneficial. I acknowledge that long term imbalances in the body sometimes require multiple sessions in order to facilitate the level of relaxation needed by the body to heal itself.

I understand that full payment for services rendered, is required prior to the time of my visit unless other arrangements have been made. I further understand that in the case of extenuating circumstances, I may need to occasionally reschedule and will provide a minimum of 24 hours’ notice. If I miss my scheduled appointment without such notice, I will still be charged for the session.

Date

Step 2: Click to book and pay

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