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What brings you in for a massage right now?
I'm dealing with pain or tension
I'm stressed & need to relax
I want regular self-care/maintenance
Preparing for/Recovering from a big event (sports, wedding, etc.)
I'm pregnant & want prenatal care
I'm just curious/new to massage
Other
If you selected Other, can you please explain more?
Have you had a professional massage before?
Yes, regularly
A few times
Never
What type of massage are you most interested in?
Not sure-help me choose.
Relaxation/Swedish
Deep Tissue
Sports Massage
Prenatal Massage
Hot Stone Massage
Couples Massage
Chair Massage
Other
If you selected Other, can you please explain more?
What kind of pressure do you prefer?
Very Light
Light to Medium
Medium
Firm
Very Deep
Not sure yet
How long of a session are you considering?
60 Minutes
75 Minutes
90 Minutes
120 Minutes
Not sure. Open to suggestions.
When are you hoping to come in?
As soon as possible
Within the next week
Within the next month
Just exploring options for now
What days/times generally work best for you?
Weekdays-Mornings
Weekdays-Afternoons
Weekdays-Evenings
Weekend-Mornings
Weekend-Afternoons
Weekend-Evenings
Do you have any injuries, medical conditions, or areas we should avoid?
Are you currently pregnant?
Yes
No
Prefer not to say
Anything else we should know to keep you safe & comfortable?
What kind of overall vibe are you looking for?
Very quiet & calming
Friendly & conversational
Somewhere in between
No preference
Do you have any preferences for your therapist?
No preference
Female Therapist
Male Therapist
Stronger Pressure
Lighter Pressure
I'd like someone great with first-timers
I'd like someone experienced with athletes
I'd like someone experienced with prenatal clients
How often would you ideally like to get a massage?
Once a week
Twice a month
Once a month
A few times a year
Just a one-time treat (for now)
Are you interested in learning about packages or memberships to save on regular visits?
Yes, definitely
Maybe, send me info
Not right now
What is your name?
What's the best email to send your recommendation & offers?
What's the best phone number in case we need to reach out about scheduling?
How do you prefer we follow up?
Text
Email
Phone Call
No preference
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How did you hear about us?
Friend or family
Social media
Google search
Walked by/Neighborhood
Hotel/Local Business Referral
Other
If you selected Other, can you please explain more?
Is this visit for a special occasion?
No
Birthday
Anniversary
Vacation
Just because
Other
If you selected Other, can you please explain more?
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