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LAVA MASSAGE & DAY SPA
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CLIENT INTAKE-MASSAGE
Answering the following will be kept confidential. These questions help us better serve you in your sessions here at LAVA.
First Name
Last Name
Email
Phone
Emergency Contact Name
Emergency Contact Number
What is your primary goal for your service today? (ie., recovery from injury, pain relief, relaxation
Have you ever received spa services or massage before?
Yes
No
What's your preferred massage style?
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What type of pressure do you prefer?
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Is there any area of your body you would like to focus on today?
Is there any area of your body you would like your therapist to avoid?
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