Intake Form • Appointments • Book Now • Intake Form • Appointments • Book Now • Intake Form • Appointments • Book Now • Name * First Name Last Name I am currently: * Stressed Weary Depleted Fine Achey Too Hot Too Cold Manic Something I am working on: * Getting Enough Sleep Moving around during the day Looking at something other than a screen Thinking about getting someone a nice present Working more Focusing better Recover faster from binge drinking Hydrating I want to feel _____ when this is all over: * Nice Sleepy Depleted Empty Smooth Hairless Clean Adored Sore I enjoy: * Deep rub Light touching Crushing pain Scratches Hair clean-up Ear cleaning Foot rubbing Acceptable Flavors. * Please select all flavors you would like. Lavendar Lemon Rosemary Coconut Cucumber / Vegetable Acceptable Soap Types. * Please select soap delivery methods you would like. Bar Liquid Salt Mixture None of these Hydration. * A critical part of the procedures. Juice Smoothie White Claw Prosecco Diet Coke Cold Water Red Wine Hot Water Style. * Just answer the question. Business Casual Appropriate Spa-Wear Athletic Leisure Bath robe T-Shit Nothing at all Going-out dress Snack. * Your body will naturally require nutrients over the course of the procedure. Cheese & Cracker Pizza Salsa & Chips Diet Coke again Fruit Basket Chocolate Ice Cream Make your appointment selections below. Bath: * Yes No General Preening: * Up to the practitioner. Yes No Massage: Head Torso Teeth Back Feet Hands Arms Legs Buttcheek Other things I Need: * Ear cleaning Hair removal Psychic healing Crushing pain Oil The sounds of rain Hair combing Supplements Advice Date Selection: * 27-Sep to 1-Oct Time Hour Minute Second AM PM Thank you for submitting your answers. Someone will review and reach out with questions.
