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RIVER OAKS
THAI MASSAGE

CLIENT INTAKE & WELLNESS FORM

Help us personalize today’s massage for your comfort and well-being.

HOUSTON, TEXAS
RELAX · RESTORE · RETURN

01GUEST INFORMATION

02YOUR MASSAGE PREFERENCES

Preferred Pressure Level (Select one)

Pressure can be adjusted at any time for your comfort.

Massage Style Preference (Select one)
Thai Bodyweight Technique (Thai Walking / Back Walking)

03YOUR HEALTH & SAFETY

Please let us know of any conditions so we can provide a safe, comfortable, and personalized experience.

Please select any conditions that may apply:

04TODAY’S SESSION

What are your goals for today’s session? (Select all that apply)

05AREAS OF FOCUS

Circle areas where you would like additional attention.
Mark an X over any area you would like your therapist to avoid.

Use your finger or Apple Pencil

Body illustration unavailable. Please use the Focus Areas and Areas to Avoid fields below.

Select Specific Areas:

06ENHANCE YOUR EXPERIENCE (OPTIONAL)

Select Your Enhancements:
Aromatherapy
Select Your Scent:

Enhancement selections indicate interest only and are not automatically added or charged.