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New cosutmer form

Please fill in the form before your visit

New costumer form

About you

I acknowledge that this is a professional massage / therapy performed by a professional masseur. Therefore, the boundaries of both the patient and the therapist are respected.

The patient remains in underwear, covered with a blanket, and the intimate parts of the body remain covered during the procedure at all times. The patient’s privacy is strictly respected.

In a full body massage, the back, arms, back and front of the legs and chest are massaged.

In partial body massage: head, neck, back of hands and, in case of hypertonic pectorals muscles, torso. In partial massage of lower body: legs (front and back), chest wall – if necessary to realign intercostals muscles.

In sports massage: buttocks as the gluteal muscle area is very important to release to maintain correct alignments of the muscles.

Suggestions for massage of intimate parts or suggestions to obtain by the client massage other than remedial, deep tissue or sports massage are not allowed and will not be tolerated.

Shall this happen, the massage/therapy will be terminated immediately with no right for a refund.

All policies can be found here (click).

Please do not book an appotitment if you are unable to comply with above rules.

About your condition

About your general health

About your lifestyle

Visual indication of condition

 

Describe in your own words (or see an anatomy mapper here) areas of complaint:

By submitting the form:

I agree my personal data to be processed by „Catherine”. It will not be shared with any third parties. I have access to my personal data on request and I can request to have them modified/deleted at any time.

Information provided above are accurate.

I understand that I can be sore after performed massage / treatment.

I was informed about possible side effects of treatment