Kindly fill in the below with your information
Thank you. Could you tell us your date of birth?
Do you have any medical conditions? If your answer is yes, kindly specify below.
Example - Diabetes, Asthma, High/Low Blood Pressure, Allergies.
Are you on any medication?
How would you like your massage pressure ?
Did you have any serious injuries or surgeries recently? If yes, kindly specify below.
Do you have any specific allergies we should know about?
Are you going through any of the following?
Do you have any specific body concerns?
Examples - Cellulite, Dry Skin, Varicose Veins..
What do you hope to get out of your visit with us today?
To my knowledge all the information provided in this consultation is true and correct. Therefore I give my full consent and authorization for the treatments to be carried out.
