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RELAX TIME
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Intake form
Help us serve you better
Name
*
Email address
*
What type of massage services are you interested in?
Please select at least one option.
Swedish Massage
Deep Tissue Massage
Hot Stone Massage
Aromatherapy Massage
Sports Massage
Preferred appointment date and time
Do you have any specific areas of concern?
How did you hear about us?
Select
Social Media
Website
Friend/Family Referral
Do you have any medical conditions we should be aware of?
Would you like to receive notifications about your appointment?
Select
Yes
No
What is your preferred method of contact?
Select
Phone
Email
Which service or services are you interested in?
Please select at least one option.
Swedish massage
Deep massage
Aromatherapy massage
Additional questions or comments
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