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Health Questionnaire

Enjoy your well-deserved break in the Nature Spa.

Do you have any intolerances or allergies related to cosmetic ingredients?

Do you have any intolerances or allergies related to cosmetic ingredients?
If yes, which ones?

How firm would you like the massage pressure to be?

How firm would you like the massage pressure to be?

Which part of your body would you NOT like to have massaged?

Which part of your body would you NOT like to have massaged?

Have you had any surgery or injuries recently?

Have you had any surgery or injuries recently?
If yes, which ones?

Have you been ill in the past 7 days?

Have you been ill in the past 7 days?
If yes, which illness did you have?

Are there any health-related concerns?

Are there any health-related concerns?
Others:

Do you take any medication?

Do you take any medication?
If yes, which one?

Are you pregnant?

Are you pregnant?
If so, in which week of pregnancy?

Any other information for the SPA team?

Date

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No diagnoses are made and no promises of healing are given as part of any spa treatments. Each guest assumes personal responsibility, and no liability is accepted for any potential damage to property or personal injury. By booking an appointment and submitting this form, you automatically agree to the liability waiver.
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