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Health Questionnaire from the Massage Therapists Association

Please complete our health questionnaire before your massage therapy session. Your information remains confidential and ensures a safe, personalized treatment.

    Personal Information

    Phone:

    Date of birth

    Occupation

    General Information

    Do you engage in hobbies or recreational activities?

    Do you practice any sports?

    Have you ever received a massage before?

    Approximate Date

    What type of massage?

    What do you prefer during a massage?

    Reason for Consultation

    What brings you to massage therapy?

    What are you feeling?

    Since when?

    Do you suffer from an injury or inflammation?

    Have you consulted a healthcare professional about this?

    Are you currently being treated / Have you been treated?

    Pregnancy and Menstrual Cycle

    Are you pregnant?

    Expected due date

    Is your menstrual cycle:


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    🎉 Enjoy 10% off
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    Offer valid until May 30, 2026
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    🎉 Enjoy 10% off
    Treat yourself to a moment of relaxation… at a reduced price.
    Enjoy 10% off all our packages and massages
    Offer valid until May 30, 2026
    Book now and relax at a reduced price
    Book now and savor every minute!
    Oasis Massothérapie
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