Book/Request a Bodhimind Reiki Course with Kerrie Redgate
You will receive an email from Kerrie within 48 hours
( Your personal details are safe and shared only with Kerrie )
(No deposit required at this stage )
Let's get started
 
First thing: YOUR CONTACT DETAILS

 
What is your First (personal) Name? *

( I guess you know, a question with a * is an absolutely required field )
 
What is your Family Name? *

 
What is the best Phone Number for contacting you? *

 
Are you a current resident of Australia? *

(That is, not a tourist) (Don't panic - tourists are OK!)


 
If not, what Country do you normally live in?

( Skip if Australia - use the purple 'v' arrow button or scroll up or hit OK if it appears! )
 
What is your normal Mailing Address? (line 1) *

PO Box address is fine
 
Mailing address (line 2 option)

 
What is the Suburb/Town/City of your mailing address? *

 
What is the State/Provence of your mailing address? *

 
What is the Postcode/Zipcode (or equivalent)? *

 
First section done!

 
YOUR REIKI COURSE CHOICES

 
Would you prefer the usual Group Classes or Private Tuition? *

See the Fees & Discounts page of the Bodhimind Reiki site for details on the variation in fees

 
Which Course Level Are You Booking ? *

You need to be attuned in sequence, Level 1 through to 3 (However, levels after 1 are optional)



 
Do you prefer Weekends or Weekdays for classes? *


 
Previous Experience with Reiki

 
Have you been attuned to Reiki before ?

     
 
If so, which Level(s) have you already received ?

Or SKIP if you answered NO in the previous question

 
If you have had any prior experience with Reiki (giving or receiving), please briefly describe

 
If you are a professional healer, please briefly describe

 
YOUR FURTHER COMMENTS:

 
What has drawn you to Reiki ?

 
Any Additional Information for Kerrie ?

 
KERRIE WOULD LOVE TO KNOW!

( These are entirely optional questions )
 
Any details on the referral/discovery to share with Kerrie ?

 
These next 2 questions are for Buddhist Monks and Nuns

( So you can SKIP THEM if this does NOT APPLY to you )
 
FOR BUDDHIST MONKS and NUNS:

 
Are you currently an ORDAINED member of a Buddhist Sangha?
( i.e. a monk or nun  - any tradition)

     
 
If Ordained, which tradition ?

 
One last optional question: On a scale from 0 to 10:
How would you rate your overall experience with this form ?

If you weren't so happy, we can discuss that when I email you. Thank you!
 
You made it! Thank you, {{answer_12321536}} ! This will help everything run smoothly. We will talk soon. Now you just need to hit that SEND button!

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