Before your session

New Client Intake

Please take a few minutes to complete this form before your first appointment. Your responses help Emily tailor the session to your needs and ensure your safety and comfort.

Personal Information

Full Name *

Date of Birth *

Email Address *

Phone Number

Session Preferences

Service of Interest *

Pressure Preference

What is your main goal for this session?

Health History

This information is kept strictly confidential and helps Emily provide the safest, most effective session for you.

Current health conditions, injuries, or chronic pain

Current medications or supplements

Allergies or sensitivities (oils, scents, latex)

Are you pregnant or trying to conceive?

Recent surgery or medical procedure

Anything Else?

Additional notes or questions for Emily

How did you hear about Emily's Massage and Watsu?

Your information is kept strictly confidential and used only to personalise your session.