Enkaku Project Feedback

Please select...

I'm the Receiver
I'm a Practitioner
Beautiful view of the famous Japanese Maple Tree from Portland Japanese Garden

Practitioner’s Feedback Form

Please let us have your feedback after the past week’s Reiki treatments…

"*" indicates required fields

MM slash DD slash YYYY
Data Privacy*
This form collects your name, telephone number and email address along with your message so that our team can communicate with you and provide you with assistance. Please check our Privacy Policy to see how we protect and manage your submitted data.

Receiver’s Feedback Form

Please mark your answers on the sliding scale according to how you are feeling after the past week’s Reiki treatments.

1 = Extremely Bad / 10 = Excellent

"*" indicates required fields

MM slash DD slash YYYY
(1 = Extremely Bad / 10 = Excellent )
Data Privacy*
This form collects your name, telephone number and email address along with your message so that our team can communicate with you and provide you with assistance. Please check our Privacy Policy to see how we protect and manage your submitted data.