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soap note for massage spa
How did you hear about us?

Medical Information

1. Are you taking any medication?
2. Are you currently pregnant?
3. Are you suffer from chronic pain?
4. Have you had any orthopedic injuries?
Please indicate any of the following that apply to you

Massage Information

1. Have you had a professional massage before ?
2. What type of massage you seeking ?
3. Do you have allergies or sensitivies ?
4. Are there any areas you do not want massage ?
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5. Please click any areas of discomfort.

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

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