Currently or during pregnancy have you suffered with any of the following conditions?
If you answered yes to one or more questions, you must check with your doctor before taking part.
Please check the boxes below to confirm that you understand the following:
I hereby confirm that the information stated above is answered to the best of my ability. I further fully understand that thorough and honest responses to these questions are essential to my safety. I undertake to inform my massage therpist (Natasha Sahota) should any answers to the above information change.