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Click ‘Get Form’ to open the printable Reiki client intake form in the editor.
Begin by filling in your name, date, phone number, and optional email address. This information helps the practitioner understand who you are.
Next, provide your address details including city/town and postal code. This is important for any follow-up communications.
In the medical history section, briefly outline any significant health issues such as injuries or surgeries. This information is crucial for tailoring your session.
Indicate if you are receiving other alternative treatments and specify them if applicable. This helps the practitioner understand your holistic health approach.
Answer questions regarding previous Reiki sessions and comfort with light touch. These insights guide the practitioner in providing a personalized experience.
Rate your stress levels across various aspects of life (work, family, health, financial) on a scale from 0 to 5. This will help identify areas of focus during your session.
Finally, share any specific concerns or goals for your session. This ensures that your needs are prioritized during the treatment.

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