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CLIENT INTAKE FORM

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Have you already made an appointment with Flourish? The following form is for use by first-time Flourish clients in advance of appointments for which an appointment confirmation email message has already been received. If you haven't already scheduled your appointment, please do so here

Massage & Health History

The information requested below will be used to help plan safe and effective massage and/or yoga sessions. Please answer these questions to the best of your knowledge.

What is (are) your preferred massage pressure(s)?
I have difficulty lying on my

Acknowledgements

CONTACT

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FLOURISH MASSAGE WELLNESS

395 West Broadway  |  Eugene, Oregon

541 • 359 • 8617

SCHEDULE AN APPOINTMENT

SUN

9AM–7PM

MON

9AM–7PM

TUE

8AM–7PM

WED

8AM–7PM

THU

8AM–7PM

FRI

8AM–7PM

SAT

9AM–8:30PM

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​© 2026 Flourish Massage Wellness. All Rights Reserved.

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