MASSAGE & BODYWORK CONSULTATION

Thank you for your interest in working together. This form helps me understand your needs and ensures we're a good fit. Please take your time and share what feels comfortable - there are no wrong answers.

Many thanks,
Crystal McLain, LMT
Name*

First NameLast Name
Pronouns (She/Her, He/Him, They/Them, Combo)*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred Contact Method:*

TextCallEmail
About Your Needs
What brings you to bodywork at this time in your life?*
Have you received massage or bodywork before?*

YesNo
If yes, how was that experience for you? What worked well or didn't work?*
What are you hoping to gain from our work together?*

Stress relief & relaxationHelp with physical tension/painNervous system supportReconnect with your bodySafe space to healOther
If other, please explain:
Creating Safety
What would make you feel most safe and comfortable during our session?*
Are there any areas of your body you prefer I avoid or approach with extra care?*
Do you have any concerns about receiving bodywork that you'd like to discuss?*
Is there anything about your identity, life experience, or current situation that would be helpful for me to know as your practitioner?*
Health & Wellness
Current stress level (1-10): *
Main sources of stress: *
Any current physical symptoms or areas of tension?*
Any injuries, surgeries, or health conditions I should know about?*
Are you currently receiving other forms of healthcare or therapy?*
Session Preferences
Preferred session length:*

60 Minute ($90)90 Minute ($125)Not sure
Which modalities are you interested in?:*

SwedishGentle Deep TissueCraniosacral TherapyLymphatic DrainageNot sure, I'm curious
Interest in additional options:*

Essential oilsCrystalsSound balancingNot sure, I'm curiousNone of these
Anything Else?
Is there anything else you'd like me to know or any questions you have about the work?
Thank you for taking the time to share with me.

After I receive your form, I'll reach out within 48 hours to explore whether we're a good mutual fit and how I might best support your healing.
Should be Empty:

About Your Needs

Creating Safety

Health & Wellness

Session Preferences

Anything Else?