I Knead Serenity: Practitioner Listing
Looking for referrals? This form will help both of us to get started! (Looking to be removed? Please provide your e-mail and name and click the appropriate box at the end of this form. No other information required!)
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Email *
Your Name: *
Your "Doing Business As" Name, if Applicable:
Your Business Phone Number:
How do you prefer to be contacted by clients?
What is the nature of your business?
Where is your business located? If you offer mobile services, what is your service area?
What kind of work do you do in your business? (i.e. deep tissue massage, Swedish massage, pregnancy massage, oncology massage, Reiki, Polarity Therapy, yoga, etc.)
What is the price-range for your services? Do you offer a sliding-scale fee or any specific discounts?
What are your hours of operation?
Describe your target clientele:
i.e. Retirees, pregnant clients, athletes, post-surgical rehabilitation, office workers, laborers, other age ranges.
If you use hands-on techniques, how would you describe the depth of your touch?
While you may be capable of adjusting your pressure to your client's preference, please pick the range that's most comfortable for you. If not applicable, leave blank.
Light (Gentle Brushing)
Deep (Rolfing)
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What is the *one* technique or modality you love to do the most?
Are there some techniques or modalities that you don't enjoy doing? Are there any that you absolutely don't want to do at all?
Use this space for any and all social media links you'd like to share (i.e. website, scheduling site, Facebook, Instagram, etc).
Do you have any questions or feedback for me? Do you have anything else that you would like to share?
"By selecting the checkbox below and submitting this form, I am consenting to the use of the information provided above for the purposes of referring my services to and connecting with potential clients. I have reviewed and agree to I Knead Serenity's Privacy Policy and Terms & Conditions." *
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