Intake form

Name *

Email address *

What type of massage are you interested in?

Please select at least one option.

Sports Massage Therapy

Deep Tissue Massage

Swedish Relaxing Massage

Indian Head Massage Therapy

Cupping

Do you have any specific areas of concern or pain?

Have you received massage therapy before?

If yes, how often do you receive massage therapy?

What is your preferred time for the massage session?

Would you like to book a mobile service or a corporate event?

Do you have any medical conditions or injuries we should be aware of?

Are you currently taking any medication?

What is your preferred location for the service?

How did you hear about BODY MS?

Which service or services are you interested in?

Please select at least one option.

Sports massage therapy THE RECOVERY PACKAGE

Deep tissue massage <br>THE DEEP RELIEF PACKAGE

Indian head/back massage <br>THE SERENITY PACKAGE

Maderotherapy/ Lymphatic Drainage <br>DEPUFF AND SCULPT PACKAGE

Hijama and Cupping therapy<br>THE ULTIMATE REVIVAL PACKAGE

Additional questions or comments

BODY MS - Body Mind Spirit