MASSAGE TREATMENT INTAKE FORM

About You

Tell us a little about your preferences, so we can tailor your experience

  • Massage Intake Form
  • Your Preferences

YOUR NAME

NAME

INFO

Have you had a massage before? (tick all that apply)

What pressure do you prefer?

Are there any areas you do not want massaged?

If you answered 'yes', please provide details

Please list any areas of discomfort you would like our massage therapists to focus on

Please enter your name to electronically 'sign' this form