Name

Email

Session type

Distance

In-Person

MINKA

Date of Your Reiki Session

MM

DD

YYYY

What brought you to Reiki and how did you feel prior to your session?

Was there anything occupying your mind etc. If not applicable say n/a

How did you feel during the session?

Did you feel any physical sensations/did you have any thoughts or visions etc.

How did you feel after the session?

Immediately after and/or later (how did Reiki integrate for you).

Please leave any comments, feedback or questions for me below | is there anything else that could have supported you more on my part:

May I share your review on my social media or website? (I will only use your initials, not your full name)

Yes

No

Today's Date

MM

DD

YYYY

Sign by entering your initials & an optional Emoji describing how reiki made you feel ;-)