Your Full Name:
Do you practice Reiki?
Yes, Reiki I
Yes, Reiki 2
Yes, Reiki 3
No. I'm interested in joining a Reiki circle at CIC
No. I'm interested in receiving a Reiki session
No. I'm interested in learning the Reiki technique
Generally, how would you describe your experience with Reiki?
Do you want to join a Reiki healing circle at CIC?
Where is your CIC office located?
How often would you like to meet?
Which day(s) of the week work best for you?
What time of day?
Anything else you would like to share?
A copy of your responses will be emailed to the address you provided.
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