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
Why type of massage therapy experience do you seek?
*
Why type of massage therapy experience do you seek?
A
Deep tissue
B
Sports massage
C
Relaxing, gentle massage
D
Reiki, crystal healing
E
Aromatherapy
F
Breath work
G
Table thai massage, private party, sports event
H
Corporate, chair massage, workplace massage
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
Submit