Massage Therapy Intake Form Template
Collects contact details, massage preferences, health information, pregnancy status, allergies, and consent from clients before a massage session.
When to use it
- Before a new client's first massage
- When a returning client reports changes to their health
- Before a session involving oils or other massage products
- To record pressure preferences and session consent
What it asks
- What is your name?
- What is your email address?
- What is your phone number?
- Where are you experiencing tension or discomfort?
- What pressure do you prefer?
- Do you have any health conditions your therapist should know about?
- Are you currently pregnant?
- Do you have any allergies or sensitivities to massage oils or products?
- I consent to receive massage therapy and understand I can pause or stop the session at any time.
Why it should be encrypted
Health conditions, pregnancy status, and allergies are private, and contact details identify the client. Only the client and their massage therapist should be able to read these answers.
Tips
- Tell clients how to update their answers if their health or allergies change.
- Add a question about specific products or ingredients the client wants to avoid.
- Review the consent wording so it clearly reflects how your sessions work.