78120-78298 Cll Estado
La Quinta, CA, 92253
Total Wellness of body, mind, soul
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For Returning Clients
What type of massage are you seeking today?
Light and fluffy
Good Cop Bad Cop
Smell the Roses (Aromatherapy)
What kind of pressure to you prefer?
What are your current areas of pain or tension?
Are there any areas you do not want massaged?
What are your goals for this session?
Current Medical Conditions
If you have a specific medical condition or specific symptoms, massage, bodywork may be contraindicated. A referral from your primary care provider may be required prior to services being rendered.
Are you currently suffering from chronic pain or discomfort?
Do you know what caused it/what makes the symptoms better/worse?
Are you currently under medical care?
If yes, please describe
Do you see a chiropractor?
I understand that massage is designed for the purpose of relaxation and relief from tension, muscle spasms, or poor circulation. The massage therapist cannot diagnose medical issues / diseases / disorders or perform spine palpitations.
I UNDERSTAND AND AGREE
Additional questions or comments