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Energy Work Questionnaire

with Dr. Rich Minuski

Dr. Rich Minuski, Chiropractor, RN, energy worker
Bachelors of Neuroscience
Doctorate of Chiropractic
Bachelors of Nursing
Training in Reiki/Brennan Technique

Welcome! If you are reading this, you are interested in energy work. I am a unique energy worker who is able to connect with people on a deep level to help clear energy blocks. I am not a psychic or someone who sees auras or hears voices. This is my first time offering my services to the public as I feel more ready than ever to be present and help those in need. This service is completely free of charge and my method will be to take people as I feel ready and capable of taking going forward. If you are interested please read about energy work and fill out this survey. 

Energy work is a holistic practice where people are able to channel universal life force (energy) into a patient to help balance, heal, and remove blockages from the body that suppress our own vibrations. Life is surrounded by vibrational energy and some people naturally vibrate at a higher frequency than others due to our physical, emotional, and spiritual experiences. Energy work is beneficial to most people. Homeostasis within the body can be restored and maintained during a session through a clearer physical, emotional, and spiritual connection. Energy work is not tied directly to religion but to a universal source of energy in which we are all connected. Our energetic bodies are intertwined with our physical bodies. All the traumas we carry physically, emotionally and psychologically impact the functionality of our energy systems (chakras) and vice versa. To maintain vibrant health, the body needs its energies to have energetic space to flow freely throughout the body. When energies become blocked because of traumas, toxins, prolonged stress and muscular constrictions, it creates disturbances in the energy flow in our bodies, which over time contributes to mental, emotional issues and/or ailments and physical disease. If this is something you feel you would benefit from, please fill out this questionnaire and I will reach out when I am ready. 
1.Full Name and contact information (phone/email/location)(Required.)
2.Describe yourself:(Required.)
3.How do you feel in this moment? Elaborate as you feel.(Required.)
4.Do you feel stress? What is the major source of this stress if yes? Please Rate from 0-10, zero is no stress and 10 is constant stress.(Required.)
5.What is your greatest challenge right now and how is it impacting your life?(Required.)
6.Do you practice any forms of self-care currently? Yoga, meditation, exercise, journaling, alone time, hobbies, etc?(Required.)
7.What is something you are passionate about?(Required.)
8.What do you know about energy work and have you had any in the past? Do you have any expectations?(Required.)
9.What motivates you to have this experience?(Required.)
10.Do you feel ready for change?(Required.)