Purple Rose Thai Massage
Client Intake Form
Email address *
Full Name *
Your answer
Your answer
Phone Number
Your answer
first time with thai massage? *
Why are you coming for in for a session?
Your answer
Do you have any serious injury or conditions? *
Your answer
What are you hoping to get out of a Purple Rose Thai Massage Session?
Your answer
Dress comfortable in loose fit clothing. This is fully clothed style of massage. I greatly value your time, energy and presence and ask that you show up 10 minutes prior to a session in order to in respect and value our precious time together. I have fully read the policy and agreed to its terms. *
In gratitude and service of this work. Thank you for considering business with Divine Healing Movement!
To read more about it visit my webpage http://divinehealingmovement.com/services/thai-yoga-massage/
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