Name * First Name Last Name Pronouns Email * Phone (###) ### #### What services are you interested in? Check all that you're interested in Head, Neck+Shoulder massage Hair brushing + Head massage Facial Massage with option of light makeup Preferences Light Chatter Silent, Gentle music Tea Ginger Lemon Chamomile Mint Medley Earl Grey Lavender Elderberry What are you looking to get from this experience? No wrong answers :) Preferences Please advise me of any places you prefer me not to attend to ie. neck, ears Fragrance Preferences Check all that apply Citrus (Lemon, Tangerine, Grapefruit) Lavender Peppermint Eucalyptus Rosemary Preferred Date MM DD YYYY Anything else you'd like to add * Thank you! LETS FEEL BETTER TOGETHER|
