Massage Intake Form

Full Name

Date of Birth

Address

Emergency Contact Name

Emergency Contact #

How did you hear about us?

Are You Taking any Medications?

If yes please mention

Are you pregnant?

If yes, how far along?

Any high risk factors?

Do you have chronic pain?

If yes please explain

have you had a professional massage before?

What pressure do you prefer?

Do you have any allergies or sensitivities?

Do any of these conditions apply to you?

If yes please explain selected conditions

Full Name

Date

By submitting the Massage Intake form, you agree to the following. I have completed this form to the best of my ability and knowledge and agree to inform my therapist if any of the above information changes at any time.

Muse Bathhouse is a crystal-laden spa and retreat in Loganholme, Queensland. We offer a variety of bathing, spa, and massage treatments to help you relax, rejuvenate, and connect with your inner self. Come experience our tranquil oasis and leave feeling refreshed and restored.

Contact Us:

Reception Hours:

Opening Hours:

Bath House. Massage & Treatments

Monday – 9am to 5pm
Tuesday – Closed
Wednesday – 9am to 5pm
Thursday – 9am to 5pm
Friday – 9am to 5pm
Saturday – 9am to 5pm
Sunday – Group Bookings Only

Massage Intake Form

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Contact Us:

Reception Hours:

Opening Hours:

Bath House. Massage & Treatments

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