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Gonul’s Reiki Healing
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Intake form
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Name
*
Email address
*
What type of healing session are you interested in?
Select
One-on-one healing session
Group healing session
Introduction to Reiki
Have you previously experienced reiki healing?
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Yes
No
What specific issues would you like to address through reiki healing?
Please select at least one option.
Stress reduction
Improving sleep
Chakra balancing
Emotional healing
Physical discomfort
Spiritual growth
How did you hear about gonul's reiki healing?
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Social media
Word of mouth
Search engine
Event or workshop
Do you prefer distance healing or in-person sessions?
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Distance healing
In-person sessions
No preference
What is your preferred method of contact?
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Email
Phone
Text message
Do you have any specific health concerns or conditions?
What is your availability for scheduling a session?
Additional questions or comments
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