Book A Reiki Healing SessionPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.If you have not already booked and paid for your session, please do so before filling out this form. You can book at the link below: https://jaderavenrayne.com/product-category/reiki-healing-sessions/ If you were gifted this session, please simply fill out the form below: This is the Pre-Session Questionnaire. Please fill out this form entirely. Your Email *Your Name *FirstLastYour Phone *Can this Phone Number accept text messages? *YesNoReiki can be sent to you, your animals, or any of your loved ones. Note: It is very rare that an individual would reject Reiki energy being sent to them on your behalf. In fact, I have only experienced this phenomenon once. In the event this occurs, I will respect the energetic will of the recipient and the session will be terminated. I will inform you that I was unable to send Reiki for this reason, and the cost of the session will be refunded to you. Which Reiki Session did you book? *60 Minute Reiki Healing Session30 Minute Reiki Healing Session15 Minute Reiki Healing SessionWho is this session for? *MyselfSomeone else, and I’d like Jade to send Reiki as soon as she canI am gifting this session for use at the Recipient’s convienienceSomeone gifted me this sessionPlease Note: This type of session is perfect for someone who wants to send Reiki Healing to their loved one, and does not need the “recognition” for it. When you are requesting Reiki Healing for someone else to be sent as soon as I am able, the recipient will NOT receive a gift/confirmation email. However, I will still send you a confirmation message after I have sent Reiki Healing on your behalf. *Due to the personal nature of messages received during Reiki, I’m only able to send session notes/messages directly to the recipient of Reiki Healing. If you book this type of session, I will not be able to send to you their private messages. If you would like the recipient to be able to access any messages that come through, please book the third option above: “I am gifting this session for use at the Recipient’s convenience” Please Note: When you gift a session, the person you are gifting the session to will automatically receive an email when you submit this form. If you don’t want them to receive this gift yet, simply wait to fill out this form until you are ready for them to receive their confirmation email. When you’re ready, you can find this form again in your confirmation email, and it is also easy to access on my website. To open this form from my website: From the MENU, select: “Services” -> Select “Reiki Healing” -> Select “Form: Reiki Healing Session“ This is a Sample of the email that your intended recipient will receive:ShowHideCongratulations, {Their Name}! {Your Name} has chosen to bless you with the gift of healing through a {15/30/60 Minute Reiki Healing Session}! A Message from {Your Name}: {Your message to the person you are gifting this session to} You can visit my website here to learn more about Reiki Healing: https://jaderavenrayne.com/services/reiki-healing/ When you’re ready to redeem your session, simply fill out the Reiki Healing Session Form here: https://jaderavenrayne.com/reiki-healing-session-form/ Upon completion of our session, you’ll receive an email containing any notes or messages that came through during the healing process, conveniently stored for you to access in Google Docs. (Due to the personal nature of messages, only you and I will have access to this file. {Your First Name} will not be able to access your session notes.) {Your First Name} has shown their deep love for you by investing in this session, so be sure to express your gratitude to them when you next speak! With Love and Healing Vibes, Jade Raven Rayne P.S. Feel free to reply to this email or reach out to me at Support@JadeRavenRayne.com if you have any questions or need assistance! Who gifted this session to you? *FirstLastWho are you gifting this session to? *FirstLastWhat is your full, legal name? *FirstMiddleLastI understand not everyone has three names. Simply write “X” in any unnecessary boxes.Is the Reiki Recipient a: *HumanAnimalWhat is the full, legal name of the Reiki Recipient? FirstMiddleLastI understand not everyone has three names. Simply leave any unnecessary boxes blank.What is your relationship to the person/animal you're booking this sesion for? *Where do they live? (City, State, Country) *Where do you live? (City, State, Country) *Where are you located? City/State/Country(Answer only if you are currently staying somewhere different from where you live.)Have they ever received Reiki before? *YesNoNot SureHave you ever received Reiki before? *YesNoNot SurePlease give a brief description of the experience(s), and estimated date(s) or frequency of sessions. *Please give a brief description of the experience(s), and estimated date(s) or frequency of sessions. (If you are unsure, write skip.) *Please attach a photo of the person or animal receiving Reiki during this session. (1 min, 5 max) * Click or drag files to this area to upload. You can upload up to 5 files. Note: The best photo will have a clear face and eye shot of the person or animal and will not have any other animals or people in the photo. If you don’t have this or can’t get this, don’t worry. Send what you have and my guides will help facilitate the connection.Please describe any areas of concern, or areas of focus for this session. *If you have none (or would like privacy in the matter) and would just like me to send Reiki, simply write so above. I will cycle through the body’s Chakras per normal and send energy as I feel guided.How would you like to receive this Reiki Session? *I would like to schedule a time with you so I may be fully present in receiving this Reiki Session.Please send my Reiki ASAP! (I will send Reiki as early as my schedule allows. I complete sessions in the order I receive them.)When are you available to schedule your session? *Please let me know a few dates/times that would work for you, or what your general availability is, and I’ll be in touch within 24 hours to confirm our appointment time.Reiki Recipient's Email *The recipient will receive an email indicating that you have gifted them this session, along with instructions on how to redeem it.Your message to the person you are gifting this session to. *Their notification email will contain this message, exactly as you have written it here.Notes for Jade about this GiftIs this your first time booking services with me? *YesNoHow did you hear about me? If you were referred by a friend or family member, write in their name so they can receive their Referral Discount! **Referrals Earn $10 OFF any future service!**Thank you for telling your loved ones about my services! Earn $10 off your next service with me when you refer your friends and family! Please read the following important information regarding Reiki. -I understand that Reiki is a simple, gentle form of energy that is used for stress reduction and relaxation. -I understand that the Reiki Practitioners do not diagnose conditions, nor do they prescribe or perform medical treatments, 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 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. ***Clicking the button below indicates your acceptance and understanding of the above statements.*** *I understand and accept the above statementsMy services are conditional on the understanding and acceptance of these statements.Entering your name and date below is equivalent to your signature for this Reiki Service Agreement. Name *FirstLastDate *Submit Share this:FacebookEmail
