Congratulations for booking a nurturing session with Charity JOY

Please take the time to fill out the intake form before your appointment.

Name

First Name

Last Name

Phone

(###)

###

####

What is the main reason you are coming in for a session today?

Do you get regular body work?

Have you had Thai Yoga massage in the past

Yes

How often are you looking for treatments?

How did you hear about Charity Joy?

Please share any other information you would like Charity to know regarding your health concerns/ any specific injuries or chronic pain?