Pregnancy Massage Health Screening Form
Personal Details
Medical Screening













Terms

Please check the boxes below to confirm that you understand the following:

[Step5Title1]

[Step5Content1]

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.

[Step5Title2]

[Step5Content2]
[Step5Title3]
[Step5Content3]
[Step5Title4]
[Step5Content4]