Massage and Movement Intake Have you been hospitalized in the last 12 months?
Are you currently suffering from a medical condition, illness, or injury?
What are your goals and/or intentions for this session?
What has been your experience with massage and bodywork in the past? What did you like or dislike?
What types of physical movement and/or posture regularly appears in your work, daily life or recreation?
What substances are you currently taking? (Please include any/all herbs, prescription medications, supplements, recreational drugs) homeopathic remedies)
Are there any aromatherapy fragrances and/or oils that you would not like used? If yes, please list below
I declare that the info I’ve provided is accurate & complete
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