A La Carte Training Intake Form

A La Carte Training Intake Form

Please fill out this form to help us understand your experience, goals, and preferences for the training session.
Section 1: Basic Info
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Section 2: Experience & Background
How long have you been practicing massage?*

Student0–1 years1–3 years3–5 years5+ years
What type(s) of massage do you primarily practice?*

Swedish / RelaxationDeep TissueSports / InjuryTrigger Point TherapyPrenatalOther
Section 3: What You Want Help With
What would you like to focus on during this session?*
Which areas are you most interested in learning or improving?*

Muscle Anatomy & MovementTrigger Point TherapyMuscular AssessmentTargeted Bodywork (neck, hips, low back, etc.)Cupping TherapyGua Sha / IASTMWarm BambooMassage Gun TechniquesTENS Unit / Point StimulationOther
Section 4: Current Challenges
What feels most challenging or frustrating in your work right now?*
Section 5: Confidence & Goals
How confident do you currently feel in the area you want help with?*

Not confident at allSomewhat confidentModerately confidentVery confident
What would make this session a success for you?*
Section 6: Logistics & Expectations
Have you trained with Paul before?*

YesNo
Anything else you’d like me to know before the session?
These sessions are designed to be hands-on, practical, and tailored to your goals.

You’re encouraged to ask questions, work through techniques, and actively participate so you can get the most out of your time.
Should be Empty:

A La Carte Training Intake Form

Section 1: Basic Info

Section 2: Experience & Background

Section 3: What You Want Help With

Section 4: Current Challenges

Section 5: Confidence & Goals

Section 6: Logistics & Expectations