Menu
Treatments
Info
📞 Call Now — 07391 818 095
New & Returning Clients

Client Consultation Form

This consultation form helps me understand your health, lifestyle and treatment goals so I can provide the safest and most effective massage possible. All information is strictly confidential. If you are unsure about any question, please leave it blank and we can discuss it before your treatment begins.

Sports injuries: if you are being treated for a sports injury, please consult your doctor and physiotherapist first. Massage therapy can complement, but should not replace, professional medical advice.

1 · Personal Details

2 · Reason for Visit

3 · Areas of Concern

4 · Current Health

5 · Surgery & Injury

6 · Pregnancy

7 · GP & Medical Details

8 · Pre & Post Massage Advice

  • No alcohol before your massage
  • No alcohol after your massage
  • Drink plenty of water afterwards
  • Rest, and avoid strenuous exercise after your treatment

9 · Declarations & Consent