Blissed Out Reiki - Booking Form

Blissed Out Reiki - Booking Form
Thank you for choosing Blissed Out Reiki ✨

This form allows you to book your session and share a little information so I can tailor your treatment to you.

If you have any questions before booking, you’re always welcome to message me.
Appointment & booking

Choose the time that feels best for you.
Choose your Reiki session

30 min in-person Reiki (taster session)

A gentle introduction, ideal if you’re new to Reiki or short on time

£35.00

45 min in-person Reiki

A balanced session with time to settle more deeply

£50.00

60 min in-person Reiki

Best for deeper relaxation and a deeper reset

£60.00

Distance Reiki (45 minutes)

Received remotely from the comfort of your own space. Perfect if you live further away, prefer your own environment, or have mobility or energy limitations

£40.00

Child / animal Reiki (20-30 minutes)

A gentle, non-invasive session tailored for younger clients or animals. Pet Reiki will be carried remotely. Reiki for young persons can be either in-person or distance.

£35.00

Total

£0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Payment is taken once the form is submitted, and confirms your booking. If you’re unsure which option is right for you, please feel free to message me before booking.
Your details
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Country CodeArea CodePhone Number
How did you hear about Blissed Out Reiki?
Yes, this is my first sessionNo, I've been before
- Have there been any changes since your last session?*
  For example: new injuries, pregnancy, medication changes, sensitivities, or anything you’d like me to know.
- YesNoNot sure
- Tell me what you'd like to be different*
- These questions help me tailor your Reiki session and ensure your comfort. Please answer what you can.
- Emergency contact
  
  First NameLast Name
- Emergency contact phone number
  
  Country CodeArea CodePhone Number
- YesNo
- Briefly explain what for
- YesNo
- YesNo
- YesNo
- YesNoMaybe
- What would be most comfortable for you? (e.g. seated, pillows, knee support)
- YesNoMaybe
- Please let me know what you’re sensitive to
- YesI would prefer a hands off treatment please
- No problem at all, Reiki works just as well at a distance
- YesNoMaybe
- Anything you would like me to be mindful of?
- Yes, I have received Reiki beforeYes, I have received other energy healing treatmentsNo, I am new to energy healing
- If yes, approximately when was your last session?
- Your intention
- What’s your main reason for booking Reiki right now?
- What would you love to feel after your session?
  There's no right answer, feel free to skip if you're not sure yet.
- Anything else you’d like to share?
- Before we begin
  
  To keep things clear and comfortable for everyone, here are the key points for your session:
  - Full payment is required at the time of booking to secure your appointment
  - Please give at least 24 hours’ notice if you need to cancel or reschedule
  - Reiki is a complementary therapy and does not replace medical or veterinary care
  - Sessions are offered in a respectful, calm space, and appropriate boundaries are always maintained
  - Your personal information is treated confidentially and handled in line with GDPR
  You can read the full booking terms and privacy policy here:
  
  https://blissedoutreiki.co.uk/terms-conditions/
- I confirm that I have read and agree to the booking terms (including cancellation policy) and consent to receiving Reiki.
Should be Empty:

Blissed Out Reiki - Booking Form

Appointment & booking

Choose your Reiki session

Your details

Your intention

Before we begin