Session Request


(form not needed for free online reiki healing)



Name
Address
City
State
Zip Code
Home Phone
Email

Session for     human    animal

Type of Session Requesting
REIKI
INTERDIMENSIONAL HEALING
FREQUENCY REPATTERNING
ANIMAL COMMUNICATION

FOR HUMAN
Spiritual Background

Do you Meditate?     yes    no

How long have you been meditating?
What kind?

Do you have experience:
Working with your Guides yes    no
Past Life Therapy yes    no
Reiki yes    no
Frequency Repatterning yes    no

How long have you been active in growth work?

Do you have a specific problem that you would like to work on?
yes     no

Explain



FOR ANIMAL

Animal Name
Age
Breed
Indoor/Outdoor Indoor    Outdoor

Other animals in life


Humans in animal's life


Age animal came to you

Circumstances of how the animal came to you


What is the problem you are currently having with your animal?
Please be specific


Cost:
Humans - 1 hour $50.00; 1-1/2 hour, over that $65; 2 hours $80)
Animals
   Intake $35
   First Session $50
   After that $35

Individual Appointments:
What days and times are best for you?


payment: check     paypal




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