Intake form

Help us serve you better

Name *

Email address *

What is your preferred appointment date?

What is your preferred appointment time?

Have you received a sensual massage before?

What areas of your body would you like to focus on?

Please select at least one option.

Back

Neck

Shoulders

Arms

Legs

Feet

Do you have any specific health concerns or conditions we should be aware of?

What type of massage pressure do you prefer?

How did you hear about velvet relief?

What is your comfort level with sensual massages?

Additional questions or comments

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Velvet Relief