Massage Appointment

Name*

Email Address*

Telephone Number*

Which type of massage session are you interested in receiving?
60 Minute Integrative Full Body75 Minute Integrative Full Body90 Minute Integrative Full Body60 Minute Deep Tissue75 Minute Deep Tissue60 Minute Hot Stone75 Minute Hot Stone90 Minute Hot StonePrenatalPostpartumInfantFocused Area Session

Are you interested in adding any essential oils to this massage? (+$5)
YesNo

If you are already a client of mine, are you looking to receive this massage in your home? (+$35) If so, please enter your address.

What is the goal of this session?

If this is a prenatal massage, when is the estimated date of arrival for your little one(s)?

If this is a postpartum or infant massage, when did your little one arrive?

Any complications you'd like for me to be made aware of?

Do you have any questions or comments?

How did you hear about Lavender & Mint?

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