Massage Consultation Form | Sami's Atelier

Are you currently taking any medication? (If no, please leave blank)

Have you had any recent major surgical procedure or injury? (If no, please leave blank)

Have you been in contact with anyone that has tested positive for COVID-19 within the last 14 days? (If no, please leave blank)

Any additional health concerns that you have not mentioned? (If none, please leave blank)

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