Susan Aguirre

Reiki Healing Master Teacher
Tarot for Transformation ~ Zen Life


illuminate

deep insights from a place of knowing

How I chose my Master ~ Free Distance Reiki ~ Why Free Healing?
About Distance Reiki ~ Schedule your Reiki I Class
About Advanced & Master Level Training


Request for Reiki Distance Healing

Some internet browsers do not support forms, if that applies to you, please take a moment to read this page and email me the details of your request. Click here to email me. You may want to print this page so you have a list of the information to include in your message.)

If you would like to receive a Reiki distance healing and experience Reiki energy for yourself, or if you would like to request a treatment for another person or pet, please complete the form below. If you would like to know more about why I offer this free service and what you can expect, please click here.

This is a free service.

  1. Today's date:
  2. Who is to be treated?
    Self
    Other Person
    Pet
    Name of the Receiver:

    Age of Receiver:

  3. Where (City, State/Province, Country) is the Receiver Located?


  4. Reason for healing request (please be brief):
    Reason:

  5. If possible and appropriate, it is helpful to have a brief physical description of the receiver.
    Description:

  6. Would you like to receive any intuitive feedback that comes during the treatment? (This is not available if the treatment is for another person.)
    YesNo

I would appreciate a note by e-mail after healing is received. Please tell me if you felt any change in your physical, mental, or emotional condition, or even if you felt nothing at all -- I appreciate the feedback!

Your e-mail address will be used to acknowledge your healing request.
Your e-mail Address:

Would you mind telling us how you found your way here? For example, what link(s) you followed or search engine you used. This helps us in knowing where to register our site in the future.
How you found us:

This is a free service.

Please note:
When you have pushed the Send Request button, your request is sent and the contents of the form remain on the screen. Please only push this button once. If a blank email pops up, that means your browser cannot use forms...go to the top of the page and follow the instructions there.

If you would like to know why I offer free Reiki healing and what you can expect, please click here.

Peace
Susan

These pages - content and images are © Susan H. Aguirre