• New Client Questionnaire & Consent Form

    All information is held strictest confidence. At no given point is information disclosed or shared without client’s written consent. You may choose to skip answering any question you feel impinges on personal information you do not wish to disclose. 

  • I understand that the massage I receive is provided for the basic purpose of relaxation and relief of muscular tension. Any inappropriate behavior will not be tolerated and session will end .

    If I experience any pain or discomfort during my session, I will immediately inform the therapist so that the pressure and/or strokes may be adjusted to my level of comfort.          

    I further understand that massage therapists are not qualified to diagnose, adjust, prescribe or treat any disease or illness and that a massage should not be a replacement for medical treatment.

    The massage I receive is voluntary and I release Simply Relaxed and/or Masseuse from liability and assume full responsibility thereof.

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