Please fill out this form, to sign up to receive Reiki daily.

Once I review your request, I will email you to let you know when the Reiki will start.

Full Name

Phone *

Email *

Address

Date of birth

What is your intention for receiving Reiki? What would you like to receive from Daily Reiki? Please elaborate. *

What do you believe is holding you back from having what you want in your life?

In a few words, please sum up your intention above? For example; LOVE, PEACE, DEEPER

What causes you the most stress?

Anything else you would like me to know to better support you?

Would you like to sign up for a Full 1-1 Reiki Session with Marla?

If so, I will email you to set it up.

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