JF Bodywork New Client Interest Form
Please fill out this form to join the New Client Waitlist! Questions with the red asterisk are required to submit :)
Name
*
First Name
Last Name
Email
*
example@example.com
What session length(s) are you interested in? (select all that apply)
*
45 min
60 min
75 min
90 min
120 min
What day(s) of the week work for you? (select all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
What time frames work for your schedule? (select all that apply)
*
Mornings (8am-noon)
Afternoons (noon-4pm)
Evenings (4-7pm) *most limited availability*
What frequency of appointments are you hoping for? (select all that apply)
*
I'm not sure yet!
Every 2-3 weeks
Every 4-6 weeks
Every 3-4 months
Once or twice a year
Referral source: was JF Bodywork recommended to you by a client? A practitioner? Did you meet Jae at a community event?
Please share any and all referral sources.
Please share a little bit about why you’re seeking massage.
Note: you do not need to share any specifics about your diagnoses or conditions.
Are there any specific reasons why you want to work with Jae?
Please indicate if one or more of these aspects is/are important for you:
Fat friendly, anti-diet, body-neutral
LGBTQIA+ affirming provider and safe space
Masking and COVID precautions available
Sensory-friendly environment
Submit
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