New Client? | Sol Massage Therapy

First and Last Name

Birthday

Month

Day

Year

Have you ever received a massage before?

Yes

No

What are your goals for this massage? Please select all that apply.

Relaxation

Pain Relief

Stress Reduction

Muscle Recovery

Health History: Any past or recent injuries? Any chronic conditions or allergies that may affect the massage or the products used?

Areas of focus: Where do you experience the most tension or discomfort? Please be specific.

Areas to avoid: Are there any areas you would prefer we avoid or be particularly gentle with? (recent injuries, sensitive areas)

Are there any other preferences you have? (music, room temperature, use of aromatherapy, etc.)

Emergency Contact (Name, relationship, phone number)

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