Please select which of the following we may contact you about *
Appointment ConfirmationAppointment RemindersMarketingNone
Do you have any allergies/intolerances? *
How often do you exercise?
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Do you follow a specific diet?
Do you smoke?
Do you drink alcohol?
Are there any areas you do not want massaged?
Please answer Yes or No for the following questions.
Please provide details for any questions that you answer Yes for at the end of this section.
If you have answered YES to any of the above questions, please provide further details here:
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