Thank you!

Thank you for placing your booking with us here at Glasgow Thai Massage.  Prior to your first Massage here at Glasgow Thai Massage we ask you to complete the following medical questionnaire. We do this so that we have all the information we need to help you get the most out of your time with us. Please answer as fully as you can, all questions require a an answer. If you need any help with any of the questions please [contact us here](https://glasgowthaimassage.co.uk/contact-us/). ## Medical Questionairre Name Email Address Post Code Phone How Did You Hear About Us Please select Google Search Friend Recommendation Poster/Flyer Facebook LinkedIn Twitter TikTok Other Occupation Please select Physical Work Office Work Physical/Office Home/Kids Have You Received Massage Therapy Before? Yes No If yes details.. Do You Exercise? No Once a week or so.. More than once a week Age Please select 18-40 41-60 61-70 70+ What Are You Looking To Achieve From Your Session? Please select Pain Relief Relaxation/Stress Relief Improved Flexibility Enhanced Well-being Emotional Balance: Injury Prevention Injury Rehabilitation * * * Please tick any of the following conditions that you have Diabetes High Blood Pressure Low Blood Pressure Heart Condition Kidney Condition Liver Condition Recent Surgery Headaches/Migraines Nerve Pain/Damage Neck/Spine Injury Sports Injury Bruises/Abrasions Acute Pain Osteoporosis Blood Clot Varicose Veins Infections Cold/Flu Any other conditions or injuries we should be aware of Any areas of your body we should not massage I understand massage therapy is for stress reduction, relief from muscular tension or spasms, or for increasing circulation. I understand the massage therapist does not diagnose illness disease or any other physical or mental disorder. The massage therapist does not prescribe medical treatment or perform spinal manipulations. I will inform the therapist of any current conditions at the time of each visit. I understand that any inappropriate activity or advances towards the massage therapist Will be reported to the authorities immediately. Client's Signature (Type your name in full if completed online) Date Send