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Reiki Course Application

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Reiki Course Application

Reiki Course Application - Lunaholistic.com

On a scale from 0 to 10 (ten being the most willing), how willing are you to change your life for the better?
What we have learned from doing this course is that it works best when you are fully committed to changing your life for the better. Basically, you get out of it what you are willing to put into it.

What are the biggest obstacles to you changing and living the life of your dreams?

Check out this video: Brené Brown: "There Are No Prerequisites for Worthiness"| Oprah's Lifeclass | Oprah Winfrey Network: https://youtu.be/DZR0-WFUfeE

Thank you for being so honest with us. You are on the way to a wonderful experience.

How does this statement make you feel?
How willing are you to commit to learning about Reiki for a lifetime? On a scale of 0 to 10?

Why are you interested in learning Reiki?
What is it that drew you in to learning Reiki at LunaHolistic?

If yes, please apply for the Angel Rate here:
You must fill out both this application and the Angel Rate Application to be considered.

Robins Holistic Stress Scale

Learning Reiki is part of a holistic approach to your well being. It is NOT a replacement for other supportive therapies. Please fill out the stress scale below as a mental health and well being safety check. It is OPTIONAL.

Rate how much each of these stressors is affecting your experience RIGHT NOW. Include an event if you have been thinking about it today (even if it occurred many years ago). No need to dredge old stuff up, only include events that are active, on your mind, or affecting your emotional state. If you are worried about something, mark it as active and rate the intensity.

Answer quickly. Take your first response as accurate. No more than 5 seconds per question.

Please rate the mental or emotional intensity from 0 to 10.
0 = No. Not at all.
1 = Very Mild. (It doesn't really bother me.)
10 = Extreme. (It is all I can think about. I am an emotional mess right now because of this.)

Thank you for Applying!

Thoughts and feelings? Please share anything else that comes to mind.

Thank you for applying for a Reiki Course at LunaHolistic! We will get back to you as soon as we can. You will get an emailed copy of this application after you submit the form.

If you have not heard back in 2 weeks, please email us at [email protected] and forward us the copy of this application.

If you are approved, we will add you into the class from the waitlist on our MindBody booking system and you can make your payment online to secure your spot.

We will let you know either way.


I affirm that my above responses are true to the best of my knowledge.

I understand that class size is limited and I may not get into the course this term.

I understand that LunaHolistic takes many factors into consideration when admitting people into courses. This is done in fairness and transparency. Dedication to learning Reiki, a commitment to your own self-healing, and a willingness to change are the primary selection criteria for admission.

If accepted, I agree to pay the deposit promptly and the full course fee by the last day of class.

January 27, 2021