Reiki and Energy Healing- What To Expect

Client Intake Form

Thank you for choosing Feather and Flame to provide you with tiki or Energy Healing. This form helps us understand your needs and ensure our sessions are safe, respectful and effective. All information is confidential and treated with care in accordance with our Privacy Policy.

PERSONAL INFORMATION

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SESSION AGREEMENT & CONSENT

Please read and sign to acknowledge each point:

☐ I understand that services offered by Feather and Flame are complementary in nature and are not a substitute for medical, psychological or legal advice or treatment.

☐ I acknowledge that I am responsible for my own decisions, actions and wellbeing throughout and after the session(s).

☐ I understand that confidentiality will be maintained unless there is risk of harm to myself or others, in which case the practitioner may need to take appropriate action.

☐ I understand that I may stop a session at any time if I feel uncomfortable or overwhelmed.

☐ I understand that with Reiki and Energy Healing outcomes are not guaranteed.

☐ I have read and agree to the Terms & Conditions, Refund Policy, Cancellation Policy and Privacy Policy provided by Feather and Flame.

☐ I give my consent to participate in sessions with Feather and Flame.

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What Are Chakras?

Chakras are energy centres within the body that influence our physical health, emotional balance and spiritual well-being. Originating from ancient India, chakras form the foundation of many holistic practices, including Reiki.

Why Are Chakras Important in Reiki?

Reiki is a gentle, non-invasive healing practice that works by channeling universal life force energy to support your natural ability to heal. Chakras play a key role in this process.

Chakra Healing with Reiki or Energy Healing

Chakras regulate the flow of energy throughout the body. When one or more chakras are blocked or overactive, it can lead to physical symptoms, emotional imbalance or spiritual disconnection. Reiki and Energy Healing gently align and balance the chakras to support healing on every level; physical, emotional, mental and spiritual. Chakra alignment ensures that energy is flowing freely and harmoniously. 

Reiki practitioners and Energy Healers often intuit or sense where energy is blocked. For example:
– A blocked Heart Chakra might reflect grief or trust issues.
– An overactive Solar Plexus Chakra might present as anxiety or a need for control.
Regular Reiki or Energy Healing sessions can bring awareness to chakra imbalances and help restore equilibrium, supporting greater peace, resilience and inner clarity.

Crown Chakra

The crown chakra is situated on the top of the head, it governs spirituality, divine connection and consciousness. It is associated with the colour violet or white.

An imbalance in the crown chakra can lead to:

  • Isolation and loneliness; inability to connect with others,
  • Feeling disconnected spiritually,
  • Lack of direction,
  • Inability to set or maintain goals.

Physical symptoms can include:

  • Depression,
  • Neurological disorders,
  • Nerve pain,
  • Recurring headaches / migraines,
  • Insomnia.
Third Eye Chakra

The third eye chakra is situated at the level of the forehead between the brows, it governs intuition, insight and perception. It is associated with the colour indigo.

An imbalance in the third eye chakra can manifest as:

  • Being stuck in the daily grind,
  • Unable to look beyond your problems and set a guiding vision for yourself,
  • Fantasies that appear more real than reality, 
  • Lack of clarity.

Physical Symptoms can include:

  • Insomnia,
  • Waking without feeling rested,
  • Repeated bouts of eye strain,
  • Migraines or tension headaches,
  • Sensitivity to light.
Throat Chakra

The throat chakra is situated at the base of the neck, in the centre of the throat region, it governs communication, self-expression and truth. It is associated with the colour blue.

An imbalance in the throat chakra can manifest as:

  • Lack of control over one’s speech; speaking too much or inappropriately,
  • Unable to keep secrets, unable to keep your word and telling lies,
  • Not being able to listen to others,
  • Excessive fear of speaking,
  • Excessive secretiveness or shyness.

Physical Symptoms can include :

  • Asthma,
  • Frequent sore throats,
  • Dizziness and fatigue,
  • Headaches,
  • Anemia,
  • Neck and shoulder pain,
  • Mouth ulcers.
Heart Chakra

Heart Chakra

The heart chakra is situated in the centre of the chest. It governs love, compassion and relationships. It is associated with the colours green or pink.

An imbalance in the heart chakra can manifest as:

  • Loneliness, isolating yourself, cutting people off,
  • Shyness and social anxiety, feeling unable to connect with others,
  • Being overly critical towards yourself and others, a lack of love and compassion,
  • Feeling suspicious and unable to trust, especially in friendships and romantic relationships,
  • Feeling disillusioned, disappointed, let down or hopeless about love and relationships,
  • Still feeling the pain of a relationship long after it has ended.

Physical Symptoms can include:

  • Heart palpitations,
  • Chest infections, 
  • Upper back pain.
Solar Plexus Chakra

The solar plexus chakra is situated in the upper abdomen, between the navel and rib cage. It governs confidence, self-esteem and willpower and is associated with the colour yellow.

An imbalance in the solar plexus chakra can manifest as:

  • Low self-esteem and a tendency to neglect self-care or self-maintenance,
  • A lack of personal boundaries or difficulty enforcing them,
  • Fear of abandonment leading to excessive dependency in relationships,
  • A lack of willpower,
  • A loss of emotional resiliency,
  • The need to control or dominate situations.

Physical Symptoms can include:

  • Acid reflux,
  • Disordered eating patterns,
  • Food sensitivities,
  • Bloating,
  • Stomach pain,
  • Ulcers.
Sacral Chakra

The sacral chakra is located in the lower abdomen below the navel and above the pubic bone. It governs emotions, sexuality and creativity. It is associated with the colour orange.

An imbalance in the sacral chakra can manifest as:

  • Bitterness,
  • An inability to take pleasure in things or dulled emotions,
  • Creative blocks or a lack of inspiration,
  • Feeling brittle or rigid,
  • Loss of sexual desire,
  • Toxic or dysfunctional relationships,
  • Feeling overlooked or insignificant.

Physical Symptoms can include:

  • Issues with the colon,
  • Lower abdominal discomfort,
  • Issues related to the reproductive organs,
  • Menstrual irregularities,
  • Bladder problems.
Root Chakra

The root chakra is situated at the base of the spine, it governs intuition, insight and perception. It is associated with the colour indigo.

An imbalance in the root chakra can manifest as:

  • Symptoms of panic and hypervigilance,
  • Intense feelings of self-doubt, particularly relating to taking care of yourself,
  • Low self-confidence and feelings or fear of abandonment,
  • Difficulty trusting others,
  • A strong need for external validation and feedback,
  • Unhealthy attitudes toward food, like hoarding, binging or restriction.

Physical Symptoms can include:

  • Restlessness,
  • Backaches,
  • Issues with the lower intestines,
  • Cold extremities,
  • Aches in the feet and ankles,
  • Heart palpitations and other anxiety symptoms,
  • Erectile dysfunction.
Earth Star Chakra

The earth star chakra is situated roughly 12 inches/30 cm below your feet. It connects you to the earth and governs stability, home life and ancestral lineage. It is associated with the colours brown and black.

An imbalance in the earth star chakra can manifest as:

  • feeling lonely or homesick, 
  • feel “not of the earth”, 
  • unstable or disoriented, 
  • not grounded or stuck, 
  • confused as to your life’s purpose.

Physical Symptoms can include:

  • Overactive Mind,
  • Dizziness,
  • Circulation Issues,
  • Foot, Knee and Leg Issues,
  • Eating Disorders,
  • Disorientation,
  • Nervous Disorders.