Page 1 of 1
Massage Therapy Inquiry
*
*
*
Have you had a professional massage before?
*
Have you had a professional massage before?
A
Yes
B
No
What are you looking for in a massage session?
*
Please give 3 days and times that would be acceptable to text you.
*
By signing here, you consent to be contacted by G. Jean to inquire about providing massage therapy services; you also acknowledge and understand that G. Jean is a licensed massage therapist and that your relationship with them will be therapeutic in nature, and all communications will be professional, friendly, and clear.
*
Signature
Upon submission of this form, G. Jean will contact you to inquire about building a massage treatment plan.
Submit