Free Spa Client Intake Form Template
Spa Client Intake Form
Please complete this form to help us customize your spa experience based on your preferences and health needs.
Name
Date of Birth
Phone number
Health and Wellness Information
Allergies (if any)
Medical Conditions
Current Medications
Past Injuries or Surgeries
Skin Sensitivities (if any)
Treatment Preferences
Primary Reason for Visit
Preferred Pressure (for massages)
-
Light
-
Medium
-
Firm
Areas of Concern
-
Face
-
Neck
-
Shoulders
-
Back
-
Arms
-
Legs
Additional Comments or Requests
Client
Name:
Date:
Thank you for submission!
We appreciate you taking the time to submit.
Create free forms at Template.net
