Reiki SD Application

(704) 996-4079

Reiki Second Degree Application

* Indicates required field

Name *

First

Last

Cell Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Did you take the Reiki First Degree program at A Reiki Life Academy? *

Yes No

If No, please describe your First Degree Training and experience: *

How long ago did you complete your Reiki First Degree training? *

3-6 months ago 6-8 months ago 8-12 months ago Over a year ago

Why are you interested in learning Reiki Second Degree? What is drawing you to it right now? *

Have you been maintaining a consistent Reiki self-treatment practice? *

Yes No On-and-off

How comfortable do your feel about the treatment protocol for sharing Reiki with others? *

Very comfortable - it's second nature for me Pretty good - might need a little review Rusty - haven't really used it much since First Degree

Briefly describe what's been happening with your personal and informal Reiki practice since your First Degree Training: *

Briefly describe any self-care and wellness practices you currently have: *

Do you have any special needs we may need to accommodate? *

Any additional information you think we should know about you: *

Are you able to commit to the full schedule for this program? *

Yes No Not Sure Yet

Monday September 19th - Select the time for your Initiation and Symbols Check: *

10:00 am 11:30 pm 1:00 pm 2:30 pm 4:00 pm 5:30 pm

Please provide some date and times that fit your schedule for your final in-person review - Between October 17 - 31 *

Submit

704-996-4079