Customization of Massage Session Form

Client Comfort Menu:

Let us know how to personalize your session
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail
Please Customize your Massage Session by completing this form.
Massage Session Date

MonthDayYear
Date
Preferred Aromatherapy (choose one or skip) :

Lavendar (calming)Peppermint (invigorating)Sweet Orange (uplifting)Eucalyptus (cleansing)Unscented
Eye Mask for Relaxation?

Yes, pleaseNo, thank you
Weighted Blanket?

Yes, I love the groundingNo, thank you
Warm wraps? (Hands or Feet)

HandsFeetBothNone
Music Style Preference

Nature soundsSoft musicSilenceLet the therapist choose
During the session, I prefer

QuietOccasional check-insGentle conversation
Would you like a warm towel after your session?

Yes, pleaseNo, thank you
Thank you so much for filling out this plan for how your massage session will be personalized or customized for you. Your business is greatly appreciated.
Should be Empty:

Client Comfort Menu: