Form | Metta Spa And Massage | England

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Pre-Consultation form

Please fill out the following form to help us understand your physical condition.

Full Name

Email Address

Date of Birth

Level of aches and pains

Low

Medium

High

Very high

Level of stress

Low

Medium

High

Very high

Sleeping pattern

Sleep well

Modirate level of sleep

I find it challeging to fall asleep

I can't shut down at night and feel exhausted in the moring

Are you currently suffering from a medical condition, illness, or injury? if so please give details

Reason for treatments

Any other conditions we should be informed?

By ticking this box I give permission for my data to be held by Metta Spa and agree that the company may process data to me for offers, news letter, VIP invitations and manangement purposes

Thanks for submitting!

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Massage and Spa London

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Contraindication form

07862121192 | info@mettawellness.co.uk

75 Abbey Road London NW8 0AE

© 2023 by Kwanny Kwan

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