Q01
メッセージ
すべてのテンプレートIndustry-Specific
Reiki Session Intake & Client Intention Survey
A pre-session intake for reiki and energy healing practitioners that captures a client's physical and emotional state, comfort with touch, and health considerations before hands-on work begins. An AI follow-up interview digs into the client's stated intention so practitioners can tailor the session to what's really driving the visit, not just the surface request.
設問の例
テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。
全13問・約7分
Q02
選択式
Have you received a reiki or energy healing session before?
- This is my first time
- A few sessions before
- I receive sessions regularly
- Not sure / no prior experience with this type of work
Q03
自由回答（長文）必須
What would you most like to focus on or address in today's session? (For example: physical tension, stress, sleep, emotional overwhelm, or something else.)
Q04
マトリクス必須
How would you describe each of the following right now?
5行 × 4列
- Physical tension or pain
- Emotional stress
- Sleep quality
- Overall energy levels
- Mental clarity or focus
列: No concern · Mild concern · Moderate concern · Significant concern
Q05
オピニオンスケール必須
Over the past week, how would you rate your overall stress level?
スケール: 1 – 10
最小:Not stressed at all最大:Extremely stressed
Q06
選択式必須
What is your preference for physical contact during the session?
- Light hands-on touch
- Hands held just above the body, no touch
- A mix, practitioner's discretion
- No preference
Q07
自由回答（長文）必須
Please list any injuries, recent surgeries, pregnancy, medical conditions, or specific areas of your body we should avoid touching or hovering over.
Q08
選択式
Do you have sensitivities we should know about for the session environment?
- Bright light
- Sound or music
- Scents or aromatherapy oils
- Room temperature (prefers warmer/cooler)
Q09
AIインタビュー
Explore the client's stated intention for today's session in more depth: how long they've been feeling this way, what prompted them to seek a session now, and what a genuinely successful outcome would feel or look like afterward. If their answer was vague or purely physical, gently probe whether there's an emotional or life-circumstance dimension underneath it, without being clinical or pushy.
Q10
同意必須
Please confirm your consent before your session begins.
Q11
選択式
How did you hear about this practice?
- Friend or family referral
- Online search
- Social media
- Local wellness event or studio
- Other
Q12
選択式
Which age range best describes you?
- Under 25
- 25-34
- 35-44
- 45-54
- 55-64
- 65 or older
- Prefer not to say
Q13
メッセージ
Thank you for sharing this with us. Your practitioner will review your responses before your session to make it as comfortable and effective as possible. See you soon!
含まれる機能
AIによる深掘り
自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。
注意確認設問
急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。
AIが作成する設問文
文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。
自動レポート
回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。
他ツールとの比較
ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。
このテンプレートを選ぶ理由
- Goes beyond a static intake checklist with an AI follow-up interview that explores the client's stated intention in more depth — how long they've felt this way, what's driving the visit — so practitioners understand the real reason for the session, not just the surface request.
- Captures physical and emotional state in structured detail via a matrix question and a 0-10 stress opinion scale, alongside open text for injuries, surgeries, pregnancy, and medical conditions.
- Explicitly addresses comfort with touch (a multiple-choice preference question) and environmental sensitivities before hands-on work begins, plus a dedicated consent step.
- Automated per-response quality scoring and an auto-generated report mean practitioners get a ready-to-read client summary rather than raw form dumps to review manually.
Jotform
Reiki Intake Form TemplateA static, fielding-ready reiki intake form built on Jotform's drag-and-drop form builder. It covers standard intake fields (contact info, health history, consent) but is a fixed form rather than an adaptive interview. Good for practitioners wanting quick setup with e-signature and widget integrations.
優れている点
- Easy to customize with Jotform's widget/template ecosystem
- Likely supports e-signature and file uploads for consent
- Fast to deploy with no coding needed
物足りない点
- No adaptive AI follow-up to probe deeper into client intention — questions are fixed once published
- No voice AI interview option
- No automated per-response quality scoring or generated client report
SurveySparrow
Reiki Intake Form TemplateA conversational-style reiki intake form using SurveySparrow's chat-like UI, presenting questions one at a time. It's a ready-to-field template but relies on pre-written questions rather than dynamic probing based on client answers.
優れている点
- Conversational one-question-at-a-time flow feels more personal than a flat form
- Mobile-friendly design
- Supports branching logic for basic personalization
物足りない点
- No AI-driven follow-up interview to dig into what's really behind a client's stated intention
- No voice AI interview mode
- No transparent, publishable prompt methodology or automated quality scoring
Typeform
Reiki Intake Form TemplateA polished, ready-to-field reiki intake template with Typeform's signature conversational UI and logic jumps. Strong on presentation and simple branching, but questions are pre-set and static rather than adaptive to each client's response.
優れている点
- Clean, on-brand conversational interface
- Logic jump branching for basic conditional paths
- Wide integration options (calendars, payment, CRM)
物足りない点
- No adaptive AI interview or voice AI capability to explore intention beyond the written prompt
- No automated per-response quality scoring
- No auto-generated practitioner-facing report
SurveyMonkey
Client Intake Form TemplateThis is a generic client intake template, not a reiki- or energy-healing-specific form — practitioners would need to substantially rebuild it to cover touch preferences, energy-work terminology, or session intention. It's fielding-ready for generic use but not tailored to this niche.
優れている点
- Backed by SurveyMonkey's established survey analytics and reporting
- Flexible generic intake structure adaptable to many service businesses
- Reliable distribution and response collection infrastructure
物足りない点
- Not built for reiki/energy healing specifics — no comfort-with-touch or intention-focused questions out of the box
- No adaptive AI follow-up interview or voice AI option
- No automated quality scoring of individual responses
よくあるご質問
「Reiki Session Intake & Client Intention Survey」テンプレートにはどのような設問が含まれていますか？
すぐに使える設問が13問含まれており、最初の設問は次のとおりです：「Welcome, and thank you for taking a few minutes before your session. These questions help your practitioner understand y…」・「Have you received a reiki or energy healing session before?」・「What would you most like to focus on or address in today's session? (For example: physical tension, stress, sleep, emoti…」。すべての設問は上でプレビューでき、自由に編集できます。
このアンケートの回答にはどのくらい時間がかかりますか？
回答者は通常、13問を約7分で回答し終えます。
テンプレートは編集できますか？
はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。
このテンプレートは無料で使えますか？
はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。
公開の準備はできましたか？
このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。
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