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Good
Intentions WELLNESS.
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First name
Last name
Email
Phone
Birthday
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Day
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How did you find Good Intentions Wellness?
Currently taking any medication and/or supplements? (please list)
What does your current diet look like on a typical day? (Craving/Aversions, Meals, snacks, drinks, etc.)
Have you experienced Reiki, bodywork, breathwork, or other energy healing before?
What inspired you to book this session, what challenges or patterns are you hoping to shift, and what would make this session feel supportive for you today?
How do you currently manage stress or emotional challenges, and what type of support do you feel you need to enhance your life?
Are you aware of how stress usually show up in your body? (tension, fatigue, racing mind, digestive issues, etc.) If so please share.
Are you currently experiencing any major life transitions or changes?
How would you describe your current energy levels and overall wellbeing?
What helps you feel calm, grounded, or restored when you’re feeling overwhelmed?
If your body could speak right now, what do you feel it would ask for?
Do you have anything else you would like to share with me to better prepare for our session together?
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