Raindrop Details & Intake Form

Raindrop Technique® is a powerful, non-invasive method for assisting the body to attain harmony & balance. It combines a unique, targeted touch massage with pure, authentic essential oils for a deeply harmonizing, rejuvenating and relaxing experience.

The technique integrates: Vita Flex (when applied to feet), Aromatherapy, Feather Stroking & Pressure Points.

The sequence of essential oils that are applied are key to the technique which are immune enhancing & support the body’s natural defenses as well as body systems. These oils are high in antioxidants and are known to boost energy & stamina, help you relax, manage stress, frustration & promote overall health along with proper exercise, eating habits, hydration & sleep.

The Raindrop essential oil collection includes 7 single oils, 2 oil blends & 2 carrier massage oils, each with unique and wonderful benefits to enhance your experience.

Cost:

$120 - Feet & full back treatment - 1hr

Add 15min for your first Full Raindrop appointment

Location may vary.

Name

First NameLast Name

Phone Number

Area CodePhone Number

Email

example@example.com

Reason for appointment

Have you had a Raindrop Technique before?

On a scale of 1-10, what is your level of discomfort now?

Do you have any allergies?

Other

Are you on any medications?

Other

Are you booked for surgery in the next 2 weeks?

Are you epileptic?

Are you pregnant?

Do you have high blood pressure?

Do you have any current injuries?

Do you have any other medical conditions?

Disclaimer: This information is intended for educational purposes only. These products are not intended to diagnose, treat, cure or prevent disease. Anyone suffering from any disease, illness, or injury should consult a physician.

I authorize Tammy St. Pierre to perform the Raindrop Technique on myself or my child, which is the use of essential oils on my body. If I have any medical concerns I will consult my doctor. I release Tammy St. Pierre from any responsibility in case of accident, illness, or injury. I acknowledge that all the information contained in this form is true and accurate.

Signature

Raindrop Intake Form

Thank you for your time. I will contact you soon to book your appointment.