New Student Form – Entering the Stream

Welcome! Before your first Stream Reiki or mentoring session at Entering the Stream, please fill out the form below. This can help you clarify your goals and intentions, and help us support you in your experience. Many thanks!

(Please feel welcome to share at the pace that is comfortable and safe to you. There’s no need to disclose anything here that you’d prefer not to, have already shared, or would rather share later on.)

Name*
First Last
Email*
Your Location*
Have you practiced reiki, meditation, mindfulness, and/or other inner peace skills before? Please give the date and length of any previous experience.
What do you intend or hope to get out of this session or program?
What current stressors are you facing?
Are there experiences you've had in the past that may still be causing you stress?
Do you have a history of trauma (again, only to the extent that it feels right to you to share)? If so, are you actively experiencing symptoms that feel connected to that trauma? (Examples can include flashbacks, nightmares, strong emotions, having difficulty with attention, etc.)
Are you currently seeing a doctor, therapist, or counselor, and if so, do they know you'll be doing this Stream Reiki or mentoring at Entering the Stream?
Are you currently taking medications for any physical or psychological conditions? If so, please feel free to share them below.
Are there any other health considerations that you'd like for us to be aware of (including any history of depression and/or self-harm)?
What internal and external resources do you have in your life that may offer you some support and bring you joy? :)
Please include an Emergency Contact, if you'd like to:
Relationship
Their email address
Their phone number
Is there anything else you'd like us to know before your session?

Thank you so much!

If you have any questions, please email support@enteringthestream.co.