Riverdale Appointment Request

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"Why Stretch Therapy”

• Alleviate chronic pain and discomfort.
• Increase blood circulation for faster recovery.
• Reduce the risk of injury during workouts and daily activities.
• Enhance athletic performance by improving range of motion.
• Release stored tension and emotional stress from the body.
• Boost energy levels by promoting better posture and movement.
• Improve overall body awareness and balance.
• Promote relaxation and better sleep through gentle, restorative stretches.

First Name*

Last Name*

E-mail*

Phone*

Address*

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Please select what applies to you*

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What is your primary reason for seeking stretch therapy?*

If you have a different reason, please let us know.

Do you experience ongoing pain, tension, or discomfort that you’d like to address through stretch therapy?

YesNo

If yes, please describe ongoing pain, tension or discomfort

Have you tried any of the following therapies before?*

On a scale of 1 to 10, how would you rate your current flexibility and mobility?*

	1	2	3	4	5	6	7	8	9	10

1 is Very Stiff, 10 is Extremely Flexible

What session length best fits your needs?*

Would you like to learn more about our membership plans, designed to provide continuous stretch therapy for lasting results?*

YesNoMaybe

Do you have any medical conditions or injuries we should be aware of before starting stretch therapy?*

YesNo

If yes to, please describe medical condition(s) or injuries

How physically active are you on a weekly basis?*

Are you seeking immediate relief or a long-term wellness solution through regular stretch therapy?*

Our stretch therapy sessions range from $75 to $150 per session, and many of our clients schedule multiple sessions each month for ongoing care and maintenance. Does this comfortably fit within your budget for wellness?*

How would you describe your current mental state?*

If other, please describe

Referral Source*

Please let us know how you found out about us.

If your referral source is not listed, please specify

Preferred Service Location*

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The Stretch Loft Overview

About The Stretch Loft

The Stretch Loft is a leading wellness center dedicated to helping clients unlock their body’s potential through stretch therapy. Our certified practitioners use gentle, targeted stretches to release tension, improve mobility, and promote overall wellness. Whether you’re an athlete, fitness enthusiast, or simply looking to feel better in your body, we are here to support your journey. Join us in taking care of your body and mind through the power of stretch therapy.

Limited Spots Available!

Spots are filling up fast! Don’t miss your chance to experience the benefits of stretch therapy and improve your well-being. Book now to secure your free assessment!

Contact Information:
The Stretch Loft
Phone: 202-897-1013
Email: info@thestretchloft.com
Follow us on Instagram: @thestretchloft

Privacy Disclaimer:
We value your privacy and will never share your information with third parties. By signing up, you agree to receive communication from The Stretch Loft. You can opt-out at any time.

“Unlock your body with Stretch Therapy”

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