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Kundala Massage & Bodywork

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Deep Tissue/ Swedish Intake Form

Client Name

Date

Pressure Preference: does it differ from area to area?

Light Medium Deep

Places to Avoid

None

Hair

Face

Feet

Other

If other, please list

For our own marketing information how did you find out about us?

Please specify anything we should know about that might interefere with the massage

Do you have any focus areas that you'd like us to spend time on? Please list below

Disclaimer
By checking each box and signing below, you agree to and understand the following:

Draping: Your comfort is our main priority. PLEASE CHOSE ONE OF THE FOLLOWING: Our drape is a handmade piece you step into, that securely covers private areas while leaving everything else accessible. This minimal draping allows the Artist to move smoothly between muscle groups. Your Artist will demonstrate how to put it on. Multiple layers of towels are also used on the front for additional privacy. Individuals who identify as female will be covered with a towel on their chest, in addition to their provided coverings. OR you may opt for a traditional body sheet, that you would get at any spa as your drape preference.

Draping Preference

Glute Work: Is recommended and is standard in our services, but we wish to accomodate your comfort. Please specify what you would prefer (1, 2, or 3). 1: Glutes accessible and massaged on the skin (most common). 2: Glutes covered and massaged over the draping. 3: Glutes covered and NOT massaged.

Glute Preference

Proper Client Etiquette: As a client, you agree not to actively touch the Artist or engage in provocative behavior. Doing so is not only distracting to the Artist, but is against company policy, and will result in warnings/ termination of the appointment, and suspension of future appointments.

Medical: Kundala Massage is not meant to replace medical advice or treatment. For advice or treatment outside the scope of massage, please refer to your physician.

Covid Disclaimer: Masks are optional for Artist and Client; all Artists are vaccinated and masks can be worn upon request.

Temperature and Oil: Our massage rooms are typically kept at 80-83 degrees Fahrenheit. When you're at the table, at the beginning of your session, let your artist know if you feel uncomfortable in any way. In addition, during our massage services, the Artists use a large amount of fragrance-free, hypoallergenic massage oil. Oil is notoriously difficult to get out of the material. You may feel some oil residue on the sheet, but understand that sheets are diligently cleaned.

Communication: As a client, you agree to inform the Artist if you are in pain or uncomfortable at any point during the massage, so the Artist can make proper adjustments.

Your Signature

LMT Signature

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