Mobile Reiki Pre-Screening

The Light Journey Mobile Reiki Guidelines & Restrictions

Please note the following guidelines and restrictions are in place to protect both client and practitioner as outlined by Alberta Health Services. You must answer the following questionnaire prior to your in-person / mobile appointment. Failure to do so may result in the cancellation of your session.

Question Title

* 1. Please enter your first and last name:

Question Title

* 2. Have you or a family member within your home had close contact with anyone with acute respiratory Illness or travelled outside of Alberta within the past 14 days?

Yes

Question Title

* 3. Have you or do you currently have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?

Yes

Question Title

* 4. Do you have have any of the following symptoms (select all that apply):

Fever

New onset of cough

Worsening chronic cough

Shortness of breath

Difficulty breathing

Sore throat

Difficulty swallowing

Decrease or loss of sense of taste or smell

Chills

Headaches

Unexplained fatigue/malaise/muscle aches (myalgias)

Nausea/vomiting, diarrhea, abdominal pain

Pink eye (conjunctivitis)

Runny nose/nasal congestion without other known cause?

I have none of the above symptoms

Question Title

* 5. By selecting the boxes below you consent to agree to adhere to the following:

I understand only ONE client will be seen per day to ensure proper social distancing, and disinfectant of all materials, tools and equipment that come into the home between clients.

I understand that it is encouraged that I opt out of healing touch (the practitioners hands will float a few inches above the energy centers in the clients body) or consider a distance / remote healing via zoom.

I agree to adhere to personal hygiene and sanitation and will be responsible for providing a clean and sanitary space / environment for the session to take place.

I agree to limit the amount of family members or occupants in the home during the appointment.

I understand that as required by AHS, a mask and gloves will be worn at all times by Shayleen

I understand, agree to and am comfortable with these temporary guidelines. By proceeding with booking an in-person session I understand that in the event that the above requirements are not met, Shayleen reserves the right to end or cancel my session at anytime, without notice.