Customization of Massage Session Form

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Let me know how to personalize your session today.
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:

Lavendar (calming)Peppermint (invigorating)Eucalyptus (cleansing)Sweet Orange (uplifting)Unscented
Eye mask for optimal relaxation?

Yes, pleaseNo, thank you
Would you like to include assisted stretch in your session to maximize relief and relaxation

YesNo
Weighted Blanket (reduces anxiety and melts muscles). Recommended for deep tissue clients

Yes, pleaseNo, thank you
Warm wraps? (Hands or Feet)

HandsFeetBothNone
Music Style Preference:

Nature soundsSoft musicSilenceLet therapist choose
What areas do you want MORE FOCUS during your massage session?

BackNeck and Shoulderslegships/glutesfeetscalpfacehandsOther
During the session, I prefer:

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

Yes, pleaseNo, thank youMaybe; maybe not
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.
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