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Healthform
Welcome Back!
Please let me know any updates about you, and what is your body needing this time.
Thank you
Health Form - Returning Client
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Name
Email
How are you feeling at the moment?
Excellent
Good
Fair
Poorly
Activities and frequencies / Have you been stretching-foam rolling?
what are your Goals for this session?
What kind of touch/ pressure will you prefer this time
Light
Medium
Deep
Desired Massage Length
60mn
90mn
120mn
150mn
Anything else you would like to share with me?
Prefered Location
Studio East-Oakland
Mobile massage
Grand-Lake Office
I have completed this form to the best of my knowledge and will inform the massage therapist of any change in my physical health.
I agree
I understand that the massage I receive is provided for the basic purpose of relaxation, stress reduction and relief of muscular tension. If I experience any discomfort, I will inform the practitioner so that the pressure may be adjusted to my level of comfort. I_understand that all information that I provide will be kept confidential. I am aware of the benefits and risks and give my consent for massage.
I agree
I agree
Submit