Thank you for booking into a Healthworks Seated Massage. Please read and complete the following questionnaire and sign the form below.
Is this your first massage?
What is your preferred massage pressure?
Do you have any of the following conditions?
Other conditions
Note that the maximum massage chair safe weight limit is 110kg.
I hereby give consent for massage therapy. I have provided my medical history. I do not expect the therapist to have foreseen any previous or pre-existing condition that I have not mentioned.

I understand that massage may provide benefits for certain conditions but results are not guaranteed. These benefits may include relief of muscular tension, relaxation, reduction in the symptoms of stress-related conditions and provision of general wellbeing. I also understand that massage therapy may produce side effects such as muscle soreness, mild bruising, increased awareness of areas of pain and light-headedness amongst other possible temporary outcomes.

I am aware that the therapist does not diagnose illnesses, prescribe medications nor physically manipulate the spine or its immediate articulations.

I will tell the therapist about any discomfort I may experience during the massage session and understand that the massage will be adjusted accordingly.