Online booking

Booking Inquiry

Name(required)

Email(required)

Phone number

When are you available?(required)

AYM session inquiry (e.g what would you like to get out of the session? Would you like home visit? )(required)

Client Health Form

Please fill in the form below prior to your first session.

Name(required)

Surname (required)

E-mail (required)

Date of birth (required)

What are your goals for this session? (e.g relaxation, tension/ stress relief, energize etc.) (required)

What pressure do you prefer?(required)

Light Medium Deep

Are you currently undergoing any medical treatment? If so, please provide further details.(required)

Do you take part in any sports or physical activities? *(required)

Have you undergone any surgical operations in the last 10 years?* If so, please provide further details. (required)

Are you pregnant? (required)

Do you suffer from any of the following? (Tick all that apply)(required)

Spine problems Circulatory problems High blood pressure Low blood pressure Heart disease Respiratory problems Diabetes Allergies Fatigue/Stress Depression Mental health issues Other chronic problems

Are you currently experiencing any of the following? (Tick all that apply)

Back pain Lower back pain Chest pain Pelvic pain Neck pain Shoulder pain Elbow pain Wrist pain Knee pain Ankle pain Other types of pain

I hereby consent to receive Ayurvedic yoga massage treatments. I understand these treatments are provided at my request and I agree to undergo these treatments at my own risk. I have been informed of the nature and purpose of the treatments. I understand that the above information will be kept confidential.

I agree

Cancellation Policy : 24 hours

Last minute cancellations , or changes to scheduled appointments with less than 24 hours notice will be subject to 50 % charge of the original session price.

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Booking Inquiry

Client Health Form

Cancellation Policy : 24 hours

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