Appointment request form

Appointment request form

Please fill out the information below. We'll "b in touch" as soon as possible!
Your name

First Name Last Name
Your email address *
example@example.com
Your cell phone number *
Please enter a landline ONLY IF you do not have a mobile phone. We use mobile numbers in case same-day/last-minute communication is needed
Which service(s) are you interested in? Kindly check all that apply. Please note that Ashiatsu, Abhyanga, & Raindrop treatments have extremely limited availability, as of now.

Alexander technique Ashiatsu Aromatherapy Abhyanga/Raindrop Chair Massage (15-minutes) Cupping Deep Tissue Hot Stone Myofascial/Orthopedic Pre-natal Reflexology Reiki Table-Thai Swedish Corporate on-site chair massage I have no idea!
How long of an appointment are you looking for? *

15-minute (chair massage) 30-minute 45-minute 60-minute 75-minute 90-minute
Is there a specific practitioner you were hoping to see? (If not, skip down to the next question)
Is there a specific date you were hoping to come in? (If not, skip down to the next question)
If NOT looking for a specific date to book, what is your typical availability? *Please note - our evening & weekend openings are currently very limited.*

Monday Tuesday Wednesday Thursday Friday Saturday Sunday Evenings Weekday mornings Weekday afternoons Other
Which of our locations do you prefer? *

Needham office only Needham preferred, but I'd go to Wellesley Wellesley office only Wellesley preferred, but I'd go to Needham Doesn't matter to me!
If COVID-vaccination status is a factor in your booking, please indicate that below (or kindly choose another practice):

I'll see anyone on your awesome staff! Vaccinated practitioners only, please
Anything else you'd like us to know?
Should be Empty: