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Nourish ~
Mobile Spa
Consult Form
Guest Details
First Name
Membership status
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Email
Last name
Preferred pronouns
Phone
Treatments
FACIAL - a gentle, calming, cleansing & moisturising facial. With a mini-massage and a foot soak - 45mins
RELAXATION MASSAGE - rejuvenating full body relaxation massage. With aromatherapy and a foot soak - 60mins
MANICURE Manicure - cuticle care, hand massage, polish / optional colour - 20mins
PEDICURE - foot soak, cuticle care & foot massage, plus polish / optional colour - 20 mins
Treatments
Preferences
Preferred pressure:
Injuries:
Any areas of tension:
Concerns:
Skin sensitivity:
Allergies:
Ticklish or sensitive areas:
Are you using any skincare products at home?
What are you wanting from today?
Rest & relax
Stress relief
Treat myself
Gift voucher
Have fun
Advice on skincare
Other
SUPPORT NEEDS:
Mobility
Hearing
Vision
Sensory
Mental health
Other
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