Session Check-In | DC Healers

First, the basics

Tell Daniel About You

Full name * Email address * Phone number * City *State or region * Country *

Preferred contact method *

Email Phone Text

Emergency contact name OptionalEmergency contact phone Optional How did you hear about DC Healers? Optional

I confirm that I am 18 years of age or older. *

Your experience

What Brings You Here?

How will you be receiving Reiki? *

Choose the option Daniel confirmed with you. Select “I’m Unsure” when you still need to decide together.

In-Person ReikiEscondido / North County San DiegoDistance ReikiPrivate online sessionI’m UnsureDaniel can help you decide

What would you most like support with right now? *

Physical concerns or areas of focus OptionalMental or emotional areas of focus OptionalSpiritual or energetic intentions Optional

Comfort & care

Help Daniel Prepare for You

Most questions in this section are optional. Share only what will help Daniel create a comfortable, respectful session for you.

Relevant medical conditions OptionalRelevant medications or treatments OptionalAllergies or sensitivities, including scents or oils OptionalMobility, accessibility, positioning, or comfort needs Optional

Touch preference *

Hands-OffLight Touch Is OkayDiscuss with Daniel

Anything else you would like Daniel to know? Optional

One last step

Review and Confirm

Full legal name as electronic signature *Today’s date *

You’re ready.

Your information will be sent to Daniel’s private client-intake spreadsheet.

Privacy note

Responses are sent directly to a private Google Sheet controlled by DC Healers. They are not stored in this public website or GitHub repository. Do not use this form for emergencies.

Questions? Call 619-727-9824 or email Daniel.Castaneda@DCHealers.com.

Prepare for Your Reiki Session