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Pre and Post Reiki Survey
This survey is for Reiki Research. We are collecting data looking for patterns occuring related to Distant Reiki treatments. There is a comment section at the end of the survey if you have anything you would like to add. The survey is from the perspective of the person who received Distant Reiki. Thank you.
1. Who or what situation received Distant Reiki?
*
self
situation
infant
Other
If Other or situation please specify:
*
2. What is age of person who receivied Reiki?
*
Less than 1
1-5
6-12
13-25
26-55
over 56
Prefer not to say
3. Before the Reiki session I felt . . .
*
tired
stressed
a headache
depressed
relaxed
nervous
other
if other please specify
*
4.. During the Reiki session I felt
*
relaxed
anxiety
visual sensations
No change
pulsation
a headache
other
if other please specify
*
5. After the Reiki Session I felt.
*
tired
stressed
a headache
depressed
relaxed
no change
Other
if other please specify
*
Please enter any comments you have regarding the Reiki Session here.
Comment
*
Untitled
*
Submit
✕
