Finesse Wellness Solutions Pre-Visit Customization Form

Name

First Name

Phone Number

Format: (000) 000-0000.

Are you left or right handed?

Thank you so much for taking time to customize your Wellness experience. Are you a NEW client or CURRENT client?

Are you allergic to Eucalyptus, Thyme, Magnesium, Peppermint or Lidocaine products?

Please list any past or recent Injuries or surgeries? If none type NA:

LUX Aroma Therapy is included in your session and is optional. Please select:

Your LUX wellness session includes customized meditation music. Please select:

LUX Skin Toning/Cellulite/Lymphatic hydration is included in your session and is optional. Please select:

LUX Herbal Foot soaking is included in your session and is optional. Please select:

What type of Muscle Wellness are you interested in? Swedish, Deep Tissue, Lomi Lomi, Sensual or Combination

Preferred Massage Pressure? Soft, Medium, Firm or Combination (Medium/Firm)

What are your specific concerns at this time regarding your muscles?

What is your stress level right now?

What is your goal for this session?

Do you perform daily stretching exercises?

Do you have a favorite beverage? (We offer tea, juice, soda, water and light alcoholic beverages.)

Finesse Wellness Solutions has partnered with Nutritional (Natural GLP-1 Gut Health Supplements) and Mental Health/ Meditation services for INCLUSIVE IMPACTFUL wellness. Would you be interested in any of these services?————————————————————— If YES information will be provided to you after your Muscle Wellness session.

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