Client Intake Form
To help you receive the most personalized and effective massage possible, you’re invited to complete the Client Intake Form prior to your first visit. This form allows us to review your health history, areas of concern, and session goals so your time on the table can be focused entirely on your comfort and care.
Massage therapy is most beneficial when it’s tailored to your body’s needs. Sharing relevant health information helps ensure your session is safe, appropriate, and aligned with what you’re hoping to achieve, whether that’s relaxation, targeted relief, or deeper therapeutic work.
Simply click the link below to download the form to your computer. You’re welcome to print and complete it in advance at your convenience. If you prefer, you may arrive a few minutes early and fill it out in person at A Quiet Space. Your information is kept confidential and handled with professionalism and care.