Massage Clients Form

Please fill out this form after Booking a Session. This information will help me to adapt the Session for your individual needs and wishes. Of course, your information will be treated confidentially and will not be passed on to third parties.

Name
Pronouns
What should be the focus of your massage
if none please type „x“
if none please type „x“
if none please type „x“
if you have none please type „x“
Please Check all that apply to you
if not please type „x“
if not please type „x“
if none please type „x“
if not please type „x“
Declaration
I hereby confirm that all information provided here is true and complete. I understand that a massage is intended for relaxation and not for the treatment of an illness, chronic condition, or other physical impairments or injuries. I have informed my masseuse about my health condition to the best of my knowledge. If my doctor or therapist has given me recommendations or restrictions regarding a massage, I have informed you of this. I agree that the massage is performed at my own risk and I have read the AGB