Tell us a little about yourself

Please complete the following intake form before your appointment.

We take your privacy very seriously. Your personal information will never be shared.

 

*IMPORTANT* Did someone forward this to you? If so, please note that it will not work properly. Instead, we will have a physical intake form for you at the spa on the day of your appointment. (your email address must already be in our system to save your entry.)

Your Contact Information
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Your Emergency Contact
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General Information
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*    Yes Please! *    No Thanks!

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Health Questionairre
The following questions help us to address concerns and assess if you have any conditions that might be contraindicative to floating. Please check all that apply and explain if necessary. We also recommend for you to follow our link to our Float Contraindications page to read more about whether or not you should float.

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