Soul Touch Intake

Soul Touch Intake

Welcome! My practice is rooted in gentle, holistic massage and energy-based healing. Each session is designed to support stress relief, relaxation, and the balancing of your energetic system.Please complete this short form so I can better understand your needs and intentions. Your information is kept private and used only to prepare for your session.
Name

First NamePreferred name
Email
example@example.com
For privacy, please provide your first name only. A valid photo ID will be kindly checked upon arrival to confirm your name and age, but this information will not be stored.
Age
This is collected only for safety and clarity of consent.
Phone Number
Please enter a valid phone number.
What brings you to this service?

Stress reductionRelaxationEnergy alignment & balancingEmotional SupportOther
Do you currently have a meditation practice?

YesNo
Have you received massage/healing work before?

YesNo
If so, what was your experience?
If you were to rate your stress level on a scale from 1-10 what would you say?
What inspired you to apply instead of choosing a more general massage service?
I work best with clients who are committed to personal growth and respect this practice as sacred. Do you feel aligned with this intention?

YesNo
Agreements & Understanding
- This practice is energy-focused and intended for relaxation, stress relief, and energetic balance.
- This service can feel energetically intimate but it is NOT A SEXUAL SERVICE
- This treatment involves full body therapeutic massage
- It is not clinical massage therapy or medical treatment.
- All sessions are rooted in respect and professional boundaries.
- Your identification will be kindly requested upon arrival. If your ID does not match the name provided, I reserve the right to refuse service.
I understand the nature of this massage as energy-based and agree to the terms outlined above.

YesI need more information
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