top of page
LLerina
olehTanzzy
About
New Page
New Page
Membantu Tangan
Blog
Search Results
Shop
More
Use tab to navigate through the menu items.
First name
Last name
Email
Phone
Address
Company name
Are you taking any medications? If yes, please list: Any allergies? (oils, lotions, nuts, fruits, skin, etc.) yes no If yes, please list: Are you pregnant? Areas of broken skin?(e.g.rash,wounds) History of joint replacement surgery?
Multi choice
Areas of swelling
Autoimmune disorder
Back / neck problems
Bleeding disorders Blood clots
Bruise easily
Bursitis
Cancer
Contagious condition
Decreased sensation
Diabetes
Fibromyalgia
Seizures
Stroke
Tendinitis
Varicose veins
Vertigo / dizziness
Headaches
Heart condition
Hypertension
Kidney disease
Neurological condition
Reason for seeking massage: Relaxation Specific problem Please indicate any areas of discomfort pressure do you prefer?
Next
bottom of page