Welcome to Aberdeen Massage Therapies

THIS IS YOUR MASSAGE APPOINTMENT SCREENING FORM, IT ONLY TAKES A COUPLE OF MINUTES TO COMPLETE & MAXIMISES YOUR MASSAGE TREATMENT TIME.

Skene Business Centre - 7 Queens Gardens - Aberdeen - AB15 4YD - Free Client Parking via 7 Queens Lane North
Your Full Name*

First NameLast Name
Please provide some dates & times you can definitely attend an appointment and I will email or WhatsApp text you some options.*
Your Phone Number*

Example 07818Example 177769
Your email address*
example@example.com
MASSAGE OPTIONS TOP TIPS

TOP TIP 1 - If you are unsure about which massage option to choose, please don't worry, choose a 'Discuss with Andy on the day' and I'll get back to you quickly if I feel that you need more or less time as a booking in my professional opinion.

TOP TIP 2 - For Migraine or Sciatica appointments, please choose from the Migraine or Sciatica options below, not the 'Discuss with Andy on the day' options, this is very important.

TOP TIP 3 - For Legs, Pre/Post Knee Operation/Procedure Leg/Knee Therapies, Lower Back Pain, Knee Pain, Hips or Glute (Buttocks) Muscle Tensions or a combination of some/all of these, the best results come from 90 minute sessions. You will find out why & more during the session.

TOP TIP 4 - For a Pregnancy Massage Treatment, please only choose from the pregnacy options. We can only arrange an appointment for you if you are past your first trimester, thank you :)
CHOOSE YOUR MASSAGE OPTION HERE

CHOOSE ONE OPTION AND I WILL CONTACT YOU IF I HAVE A BETTER SOLUTION OPTION I CAN RECOMMEND FOR YOU
DISCUSS WITH ANDY ON THE DAY OPTIONS - for sports massage, sports injuries, relaxation, historic tension & mobility, deep tissue, trigger point release, Fibromyalgia, tight muscles, muscle pain, menopause/perimenopause.......

30 Minutes Appointment - £49.0045 Minutes Appointment - £60.0060 Minutes Appointment - £80.0090 Minutes Appointment - £120.00120 Minutes Appointment - £160.0045 Minutes Weekend Appointment - £70.0060 Minutes Weekend Appointment - £90.0090 Minutes Weekend Appointment - £130.00
MIGRAINE PAIN RELIEF MASSAGE OPTIONS

Migraine Relief Standard Session of 60 Minute Massage Treatment including consultation. If your Migraine situation is strong & you are or usually take strong pain killers etc, please bring a trusted person with you who can drive you home as the session will likely make you feel wiped out and sleepy as well as an overwhelming feeling of relief (with a bit of tenderness) - £90.00Migraine Relief Extended Session (includes relaxation) of 90 Minute Massage Treatment including consultation. If your Migraine situation is strong & you are or usually take strong pain killers etc, please bring a trusted person with you who can drive you home as the session will likely make you feel wiped out and sleepy as well as an overwhelming feeling of relief (with a bit of tenderness) - £135.0060 Minute Weekend Migraine Appointment - £100.0090 Minute Weekend Migraine Appointment - £145.00
GOLFERS BETTER MOBILITY MASSAGE - LOOSEN OFF HISTORIC OR CURRENT MUSCLE TIGHTNESS, INJURY RECOVERY & REDUCE THE RISK OF INJURY - TRUSTED BY LOCAL GOLF PROFESSIONALS & INTERNATIONAL & LOCAL GOLFERS - Please note that if your details suggest a longer or lesser appointment to me, I will contact you to advise.

60 Minute Appointment for up to 75kg Adults - £80.0090 Minute Appointment for 76kg - 95kg Adults - £120.00120 Minute Appointment for 96kg and above Adults - £160.00
SCIATICA PAIN RELIEF MASSAGE OPTIONS

Sciatica - Standard Session of 60 Minutes to Assess, Investigate and provide a personalised & detailed treatment which may include multiple techniques of light, medium & deep tissue massage - £80.00Sciatica - Extended Session of 90 Minutes to Assess, Investigate and provide a personalised & detailed treatment which may include multiple techniques and specialised massage equipment including the G8 Deep Muscle Vibration System and G8 Negative Pressure, Heated Gliding Cupping + Manual Therapy - £120.0060 Minute Sciatica Weekend Appointment - £90.0090 Minute Sciatica Weekend Appointment - £130.00
FOOT MASSAGE & REFLEXOLOGY - Please note: This treatment is not recommended for anyone with foot injuries, infections, or conditions.

45 Minute Treatment - £69.00
PREGNANCY MASSAGE OPTION AFTER FIRST TRIMESTER - Pregnancy Massage Treatment using our super comfortable treatment table & enhanced comfort pregnancy platform where you are resting on a super soft but supporting massage table. The pregnancy platform has a moulded section for your pregnancy tummy to rest, side comfort bolsters and a subtle resting area for your breasts so you are not squashing these parts of your body as you lay on your front

45 Minute Weekday Appointment - £60.0060 Minute Weekday Appointment - £80.0045 Minute Weekend Appointment - £70.0060 Minute Weekend Appointment - £90.00
Gift Vouchers & Gifted Sessions - If the gift voucher or gifted session is 12 months old or more, it is no longer valid.
I am;*

FemaleMale
Your date of birth - If you are under the age of 18, you must attend your appointment with a parent or guardian.*
Example - 12th January 1972
What is your current occupation?*
This can help paint the picture of possible postural influenced muscle positions & help your massage.
What is your current approximate weight in KG or Stones & Lbs?*
This is to determine a possible recommendation in appointment duration to get the best results for you.
What is your approximate height in CM?*
This is to determine a possible recommendation in appointment duration to get the best results for you.
Where did you hear about Aberdeen Massage Therapies please?*

GoogleA friendA family memberIt's a giftOther
What to expect & how to prepare for your appointment.

I like to keep things simple, You can wear what is comfortable for you, most clients will remove clothing down to their underwear. Please feel free to wear shorts or any other cover wear which you feel comfortable with while bearing in mind that access to areas for massage treatment will be required and if any item of clothing is required to be moved in any way then permission will always be asked first. Fresh towels and table covers are supplied and changed after each client. The massage clinic is ventilated and sanitised before and after each client. Only turn up if you have no cold, flu, Covid, or cough symptoms.
Massage Screening

Every question must be answered please, this is about you.
Please describe the reason for arranging your massage appointment.*
GENERAL HEALTH INFORMATION - PLEASE CHECK ANY CUURENT OR PAST CONDITIONS WHICH APPLY TO YOU - CARDIOVASCULAR*

HIGH BLLOD PRESSURELOW BLOOD PRESSUREHEART ATTACKSTROKEVARICOSE VEINSPACEMAKERNO CARDIOVASCULAR CONDITIONS APPLY
GENERAL HEALTH INFORMATION - PLEASE CHECK ANY CUURENT OR PAST CONDITIONS WHICH APPLY TO YOU - RESPIRATORY*

ASTHMACOPDCHRONIC BRONCHITISSHORTNESS OF BREATHNO RESPIRATORY CONDITIONS APPLY
GENERAL HEALTH INFORMATION - PLEASE CHECK ANY CUURENT OR PAST CONDITIONS WHICH APPLY TO YOU - MUSCULOSKELETAL*

ARTHRITISOSTEOPOROSISRECENT INJURYBACK/NECK PAINSCIATICAJOINT REPLACEMENTSLOW BONE DENSITY BUT NOT OSTEOPOROSISNO MUSCULOSKELETAL CONDITIONS APPLY
GENERAL HEALTH INFORMATION - PLEASE CHECK ANY CUURENT OR PAST CONDITIONS WHICH APPLY TO YOU - NEUROLOGICAL*

HEADACHESMIGRAINESSEIZURESNUMBNESS/TINGLINGMULTIPLE SCLEROSISPARKINSONS DISEASESHOOTING PAINS/SIGNALSPERIPHERAL NEUROPATHYNEURALGIA (EG; TRIGEMINAL, OCIPITAL)BELLS PALSYCARPAL TUNNEL SYNDROMEPINCHED NERVE/NERVESHERNIATED OR BULGING DISC/DISCSSPINAL CORD INJURYCERBAL PALSYPOST POLIO SYNDROMERESTLESS LEG SYNDROMEFIBROMYALGIA (CENTRAL NERVOUS SYSTEM RELATED)CHRONIC FATIGUE SYNDROMEMEMORY LOSS / COGNITIVE IMPAIREMENTSLEEP DISORDERS - INSOMNIA, NARCOLEPSY ETCANXIETY OR PANIC DISORDERDEPRESSION WITH NEUROLOGICAL SYMPTOMSNO NEUROLOGICAL CONDITIONS APPLY
GENERAL HEALTH INFORMATION - PLEASE CHECK ANY CUURENT OR PAST CONDITIONS WHICH APPLY TO YOU - SKIN*

ECZEMAPSORIASISOPEN WOUNDSBRUISES EASILYINFECTIOUS SKIN CONDITIONSATHLETES FOOTWARTSVERRUCASNO SKIN CONDITIONS APPLY
GENERAL HEALTH INFORMATION - PLEASE CHECK ANY CUURENT OR PAST CONDITIONS WHICH APPLY TO YOU - DIGESTIVE*

IBSCONSTIPATIONULCERSCROHNSRECENT ABDOMINAL SURGERYNO DIGESTIVE CONDITIONS APPLY
GENERAL HEALTH INFORMATION - PLEASE CHECK ANY CUURENT OR PAST CONDITIONS WHICH APPLY TO YOU - OTHER*

DIABETESCANCERMENOPAUSE/PERIMENOPAUSERECENT SURGERIESPREGNANCY - WE CAN ONLY PROVIDE A MASSAGE AFTER THE FIRST TRIMESTERALLERGIES - PLEASE PROVIDE DETAILS IN THE BOX BELOWMEDICATIONS - PLEASE PROVIDE DETAILS IN THE BOX BELOWOTHER HEALTH CONCERNS OR CHRONIC CONDITIONS PLEASE PROVIDE DETAILS IN THE BOX BELOW
Please list any allergies you currently have or N/A if none*
Please list any medications you are currently taking or N/A if none*
Please list any other health concerns or chronic conditions or N/A if none*
Please provide the name, phone number & relationship of a trusted friend or family member who we can contact if you need assistance or a lift home*
Thank you.
INSURANCE CLAIM MASSAGE THERAPIES

We do not work with insurance companies for you to claim back your investment in yourself for massage therapies so to save disappointment when you ask after the session or ask for additional papewrwork, please bear this in mind.

My qualifications are stated on each payment invoice and the payment link invioce you are sent is printable and saveable if you wish to pursue insurance claims for yourself.
By typing my full name in the box below (same name used at the start of the form), I confirm that I have stated all my known medical conditions, in confidence, and take it upon myself to keep the Therapist updated on my physical/mental health. I am also confirming that I have clearance from my GP and/or medical professional stating that there is no reason why I should not have a massage Treatment. I consent to this consultation, assessment and treatment.*
Thank you.
Indemnity & Declaration

By submitting this massage screening form you are agreeing to total legal indemnity of Aberdeen Massage Therapies & Andrew Gordon, legal exemption, exemption of legal liability, exemption of any monetary claims of any kind. You are also agreeing that you are partaking in any treatments, appointments, consultations, discussion at your own risk and are confirming that there is no reason why you should not be receiving or discussing any treatments at Aberdeen Massage Therapies.

Aberdeen Massage Therapies is a fully insured business including £5m Public Liability Insurance.
My preferred methods of contact for routine massage treatment follow up, massage discount offers & a monthly update are;*

WhatsApp/TextEmail
I agree to GDPR (General Data Protection Regulation) and understand that Aberdeen Massage Therapies will not pass by contact or private information to any third parties unless previously agreed to in this form.*

I agree
Please note that payment is required in advance to secure your appointment in my diary & there is a 24 hour cancellation policy. There is no refund or reschedule for forgotten appointments and no shows unfortunately.
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CHOOSE YOUR MASSAGE OPTION HERE

What to expect & how to prepare for your appointment.

Massage Screening