About You

The basics, so I know who I'm working with.

First Name

Last Name

Email

Phone (optional)

Pronouns (optional)

How did you find me? (optional)

Session Preferences

There's no wrong answer here. Distance sessions are every bit as effective as in-person.

How would you like to receive your session?

In personAt my Asheville studio Distance sessionFrom wherever you are — phone or video connect before and after No preference — I trust your recommendation

Any scheduling constraints I should know about? (optional)

Your Experience with Energy Work

No experience needed — just helpful for me to understand your starting point.

Have you received energy healing before?

This is my first time A few sessions, casually I've worked with practitioners regularly

Any specific modalities you've tried? (optional)

Anything about those experiences you'd like to share — positive or otherwise? (optional)

What's Drawing You Here

Think of this as a compass, not a contract. We'll refine together in session.

What are you most hoping to address? (check all that apply)

Stress, anxiety, or overwhelm Grief or loss Physical tension, pain, or fatigue Mental clarity or feeling stuck Life transition or major change Spiritual growth or deepening a practice Curiosity — I just feel called to explore this

In your own words, what would you love to walk away from this session feeling? (optional)

Quick Health Snapshot

I'm not a doctor, and this isn't a medical intake. I ask only because certain conditions can influence how I approach a session.

Is there anything I should be aware of? (check any that apply)

I am currently pregnant I have a pacemaker or implanted device I have a history of seizures or epilepsy I'm currently under care for a mental health condition None of the above

Anything else health-related you'd like me to know? (optional)

Before We Begin

Anything Else?

Last call. If there's something on your mind that didn't fit anywhere above, drop it here.

Client Intake Form

About You

Session Preferences

Your Experience with Energy Work

What's Drawing You Here

Quick Health Snapshot

Before We Begin

Anything Else?

Reikinetics LLC

Location

Asheville, NC 28801

Contact