Client Pre-Massage Assessment Form
Client Pre-Massage Assessment Form
Please fill out this form to help us tailor your massage to your needs.
Date
Name
Phone Number
Do you have any of the following conditions?
Select all that apply:
-
High Blood Pressure
-
Diabetes
-
Heart Condition
-
Arthritis
-
Recent Injury or Surgery
-
None
Are you currently experiencing pain or discomfort?
If yes, please describe
Allergies
Preferred pressure level for massage
Specific areas of focus or concern (e.g., back, shoulders)
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Thank you for completing this form!
If you have any questions, please feel free to ask before your session.
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