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Deepen & Shift Somatic Reiki Healing Program Application
1.
What piqued your interest in this program?
I am interested in Reiki
I am interested in Somatic movement
I'm interested in holistic and alternative healing methods
Other (please specify)
2.
What do you hope to experience or gain from this program?
3.
Have you ever received Reiki energy healing before?
Yes - I had a good experience
Yes - I didn't have a good experience
No - But I'm open and interested
No - I'm uncertain about energy healing
Other (please specify)
4.
Do you have any physical limitations that restrict your ability to move/exercise?
5.
Do you have trauma and PTSD related symptoms, and if so, are you actively working with a healthcare professional?
6.
What is your level of readiness to participate in this program?
Somewhat interested but unsure
Interested - but need more info before I can make the next step
Interested and ready to commit today
Other (please specify)
7.
Do you have any financial barriers to completing this program?
8.
Do you have limitations to the time you can commit to this program? Do you have time to dedicate about 2 hours biweekly for 2-3 months?