Application for the 9 Month Confident Healer Reiki  Training
This is a confidential application to determine if we are a good fit for each other.   Please answer each question, it's a self-assessment as well.  To comply with the ADA (American Disabilities Act) please email me, Sharmila Mali at info@ojaireiki.com so that I can accommodate.

Thank you so much for taking the time to fill this out. I look forward to meeting you!

Best,
Sharmila Mali
Sign in to Google to save your progress. Learn more
Email *
What is your first and last name? *
How did you hear about me? *
What are the pronouns you use to describe yourself (they, her, him, or...) *
Best number to reach you *
Why do you want to learn Reiki and energy healing? If part of the answer is to help people, what compels you to want to help people through healing? *
What else regarding Reiki or energy healing would you be interested in learning? (Please be as specific and detailed as possible)
Have you had a Reiki or any type of healing session?
Clear selection
Have you taken a Reiki class or energy healing class before? If yes, how long was the class(es)?
What has stopped you in the past from learning Reiki and or energy work?
What problem are you hoping this 9 month Reiki and intuitive training will help you solve?
What kind of inner work do you do, or have done in the past?  Describe below any self-help practices or professionals you are working with or have worked with in the past.   (i.e seeing a psychologist, meditation practice, yoga, hypnotherapist,  self-guided courses, etc)
Do you consider yourself mentally and emotionally stable to go through a healer training, because your stuff will come up! :)  It's important to be aware of your triggers.
Clear selection
Have you ever invested in a coaching or mentor program before?
Clear selection
How much are you willing or able to invest in yourself and commit to a 9 month course?
Clear selection
On a scale of 1 to 10, 1 being not committed to 10 being wholly committed, how committed are you to becoming a healing practitioner?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ojai Reiki & Energy Medicine. Report Abuse