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Animal Reiki Intake Form (Special Soul Contract Package)

Prior to your session please make sure your environment is quiet and your animal(s) have access to where you will be sitting comfortably & quietly. This will allow her/him to come closer to you if they choose to. Upon your animal saying "yes" to receiving the healing space feel free to observe them in the healing space. Several signs of them saying yes to Reiki, is yawning, getting in a comfortable spot - usually their fav spot, drinking or eating then settling down, and or running around and then settling down.

** PLEASE MAKE SURE OF THE FOLLOWING****
1. Prior to the session, your animal has exercised (dogs especially) and done their business.
2. Your area is quiet with no interruptions.
3. Have water by your side.
4. After the session give yourself time to move slowly, so don't schedule any appointment within 30 minutes of your session.
5. Be in a calm, loving state of mind and enjoy with no expectations other than a wonderful and relaxing time for yourself and your animal!

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Question 1 of 13

Animals Names

Breed & Age 

(list for each animal)

 

Question 2 of 13

Veterinarian & Date of Last Visit

(list for each animal)

Question 3 of 13

Where does the animal live?  (house, barn, outside etc.)

Will your animal be with you during the Reiki session? If No, please tell me where they will be?

(list for each animal)

Question 4 of 13

Please describe your concerns and how long have these issues been present?

(list for each animal)

Question 5 of 13

Is the animal currently receiving medical treatment, or taking medications for known medical health conditions? Please provide as much details including onset dates: 

(list for each animal)

Question 6 of 13

Is there a special diet? 

(list for each animal)

Question 7 of 13

Does he/she get exercise on a daily basis? If YES - please describe. If NO - please provide details of the limitations

(list for each animal)

Question 8 of 13

Has she or he ever had Reiki before?  

(list for each animal)

Question 9 of 13

How did you hear about my services?

Question 10 of 13

Please upload a picture of your animal 

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Question 11 of 13

Please upload a picture of your animal 

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Question 12 of 13

Please upload a picture of your animal (Natasha)

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Question 13 of 13

Do I have your permission to use your animal's pic & first name only for educational purposes only?

Confirm and Submit