{"id":1061,"date":"2025-06-18T07:56:20","date_gmt":"2025-06-18T12:56:20","guid":{"rendered":"https:\/\/bjmedia.yourdevsite.ca\/oasis\/questionnaire-sante-massotherapie\/"},"modified":"2025-07-03T12:21:59","modified_gmt":"2025-07-03T17:21:59","slug":"massage-therapy-health-questionnaire","status":"publish","type":"page","link":"https:\/\/oasismassotherapie.ca\/en\/massage-therapy-health-questionnaire\/","title":{"rendered":"Health Questionnaire"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1061\" class=\"elementor elementor-1061 elementor-718\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d2947c1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d2947c1\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cc449cc\" data-id=\"cc449cc\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cfc6f0a elementor-widget elementor-widget-heading\" data-id=\"cfc6f0a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Health Questionnaire from the Massage Therapists Association\n<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0cea8ea elementor-widget elementor-widget-text-editor\" data-id=\"0cea8ea\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div>Please complete our health questionnaire before your massage therapy session. Your information remains confidential and ensures a safe, personalized treatment.<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c752ee0 bjm-form elementor-widget elementor-widget-shortcode\" data-id=\"c752ee0\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1085-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"1085\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1061#wpcf7-f1085-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1085\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1085-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"bjm-form-general\">\n\t<h2>Personal Information\n\t<\/h2>\n<hr \/>\n\t<div class=\"bjm-form-1-2\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name*\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"bjm-form-1-2\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-adresse\"><textarea cols=\"40\" rows=\"2\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Address*\" name=\"your-adresse\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n<hr \/>\n\t<div class=\"bjm-form-1-4\">\n\t\t<p><span class=\"bjm-form-span\">Phone:<\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"bjm-form-1-4\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-tel-res\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Residential Phone\" value=\"\" type=\"tel\" name=\"your-tel-res\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"bjm-form-1-4\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-tel-bur\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Work Phone\" value=\"\" type=\"tel\" name=\"your-tel-bur\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"bjm-form-1-4\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-tel-cel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Cell Phone\" value=\"\" type=\"tel\" name=\"your-tel-cel\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<hr \/>\n\t<div class=\"bjm-form-1-2\">\n\t\t<p><span class=\"bjm-form-span\">Date of birth<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"your-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"your-date\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"bjm-form-1-2\">\n\t\t<p><span class=\"bjm-form-span\">Occupation<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"2\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Please provide a brief description of your job, including physical demands and emotional stress.\" name=\"your-message\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"bjm-form-1-2\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email*\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<h2 style=\"margin-top:40px\">General Information\n<\/h2>\n<hr \/>\n<div class=\"bjm-form-1-2 bjm-form-radio-list\">\n\t<p><span class=\"bjm-form-span\">Do you engage in hobbies or recreational activities?<\/span>\n\t<\/p>\n<\/div>\n<div class=\"bjm-form-1-2\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-gen-act\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"your-gen-act\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"your-gen-act\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<hr \/>\n<div class=\"bjm-form-1-2 bjm-form-radio-list\">\n\t<p><span class=\"bjm-form-span\">Do you practice any sports?<\/span>\n\t<\/p>\n<\/div>\n<div class=\"bjm-form-1-2\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-gen-spo\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"your-gen-spo\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"your-gen-spo\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<hr \/>\n<div class=\"bjm-form-1-2 bjm-form-radio-list\">\n\t<p><span class=\"bjm-form-span\">Have you ever received a massage before?<\/span>\n\t<\/p>\n<\/div>\n<div class=\"bjm-form-1-2\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-gen-mas\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"your-gen-mas\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"your-gen-mas\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<div class=\"bjm-form-precision\">\n\t\t<p>Approximate Date<span class=\"wpcf7-form-control-wrap\" data-name=\"your-gen-mas-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"your-gen-mas-date\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<hr \/>\n<div class=\"bjm-form-1-2 bjm-form-radio-list\">\n\t<p><span class=\"bjm-form-span\">What type of massage?<\/span>\n\t<\/p>\n<\/div>\n<div class=\"bjm-form-1-2\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-gen-mas-gen\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"your-gen-mas-gen[]\" value=\"Swedish\" \/><span class=\"wpcf7-list-item-label\">Swedish<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-gen-mas-gen[]\" value=\"Californian\" \/><span class=\"wpcf7-list-item-label\">Californian<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-gen-mas-gen[]\" value=\"Shiatsu\" \/><span class=\"wpcf7-list-item-label\">Shiatsu<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-gen-mas-gen[]\" value=\"Trager MD\" \/><span class=\"wpcf7-list-item-label\">Trager MD<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-gen-mas-gen[]\" value=\"Kinesitherapy\" \/><span class=\"wpcf7-list-item-label\">Kinesitherapy<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-gen-mas-gen[]\" value=\"Hot Stone\" \/><span class=\"wpcf7-list-item-label\">Hot Stone<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"your-gen-mas-gen[]\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"your-gen-mas-gen-prec\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"If &#039;Other&#039; please specify\" value=\"\" type=\"text\" name=\"your-gen-mas-gen-prec\" \/><\/span>\n\t<\/p>\n<\/div>\n<hr \/>\n<div class=\"bjm-form-1-2 bjm-form-radio-list\">\n\t<p><span class=\"bjm-form-span\">What do you prefer during a massage?<\/span>\n\t<\/p>\n<\/div>\n<div class=\"bjm-form-1-2\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-gen-mas-gen-pref\"><textarea cols=\"40\" rows=\"2\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"\" name=\"your-gen-mas-gen-pref\"><\/textarea><\/span>\n\t<\/p>\n<\/div>\n<hr \/>\n<h2 style=\"margin-top:40px\">Reason for Consultation\n<\/h2>\n<hr \/>\n<div class=\"bjm-form-1-2 bjm-form-radio-list\">\n\t<p><span class=\"bjm-form-span\">What brings you to massage therapy?<\/span>\n\t<\/p>\n<\/div>\n<div class=\"bjm-form-1-2\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-mot\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"your-mot\" \/><\/span>\n\t<\/p>\n<\/div>\n<hr \/>\n<div class=\"bjm-form-1-2 bjm-form-radio-list\">\n\t<p><span class=\"bjm-form-span\">What are you feeling?<\/span>\n\t<\/p>\n<\/div>\n<div class=\"bjm-form-1-2\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-mot-res\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"your-mot-res[]\" value=\"Tension\" \/><span class=\"wpcf7-list-item-label\">Tension<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-mot-res[]\" value=\"Pain\" \/><span class=\"wpcf7-list-item-label\">Pain<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"your-mot-res[]\" value=\"Numbness\" \/><span class=\"wpcf7-list-item-label\">Numbness<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<div class=\"bjm-form-precision\">\n\t\t<p>Since when?<span class=\"wpcf7-form-control-wrap\" data-name=\"your-mot-res-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"your-mot-res-date\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<hr \/>\n<div class=\"bjm-form-1-2 bjm-form-radio-list\">\n\t<p><span class=\"bjm-form-span\">Do you suffer from an injury or inflammation?<\/span>\n\t<\/p>\n<\/div>\n<div class=\"bjm-form-1-2\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-mot-sou\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"your-mot-sou\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"your-mot-sou\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"your-mot-sou-prec\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"If yes, please specify\" value=\"\" type=\"text\" name=\"your-mot-sou-prec\" \/><\/span>\n\t<\/p>\n<\/div>\n<hr \/>\n<div class=\"bjm-form-1-2 bjm-form-radio-list\">\n\t<p><span class=\"bjm-form-span\">Have you consulted a healthcare professional about this?<\/span>\n\t<\/p>\n<\/div>\n<div class=\"bjm-form-1-2\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-mot-con\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"your-mot-con\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"your-mot-con\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"your-mot-con-prec\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"If yes, what was the diagnosis?\" value=\"\" type=\"text\" name=\"your-mot-con-prec\" \/><\/span>\n\t<\/p>\n<\/div>\n<hr \/>\n<div class=\"bjm-form-1-2 bjm-form-radio-list\">\n\t<p><span class=\"bjm-form-span\">Are you currently being treated \/ Have you been treated?<\/span>\n\t<\/p>\n<\/div>\n<div class=\"bjm-form-1-2\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-mot-tra\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"your-mot-tra\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"your-mot-tra\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<hr \/>\n<h2 style=\"margin-top:40px\">Pregnancy and Menstrual Cycle\n<\/h2>\n<hr \/>\n<div class=\"bjm-form-1-2 bjm-form-radio-list\">\n\t<p><span class=\"bjm-form-span\">Are you pregnant?<\/span>\n\t<\/p>\n<\/div>\n<div class=\"bjm-form-1-2\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-gro\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"your-gro\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"your-gro\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<div class=\"bjm-form-precision\">\n\t\t<p>Expected due date<span class=\"wpcf7-form-control-wrap\" data-name=\"your-gro-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"your-gro-date\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-gro-com\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"your-gro-com[]\" value=\"High-risk pregnancy\" \/><span class=\"wpcf7-list-item-label\">High-risk pregnancy<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"your-gro-com[]\" value=\"Nausea\" \/><span class=\"wpcf7-list-item-label\">Nausea<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<hr \/>\n<div class=\"bjm-form-1-2 bjm-form-radio-list\">\n\t<p><span class=\"bjm-form-span\">Is your menstrual cycle:<\/span>\n\t<\/p>\n<\/div>\n<div class=\"bjm-form-1-2\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-gro-cyc\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"your-gro-cyc[]\" value=\"Painful\" \/><span class=\"wpcf7-list-item-label\">Painful<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-gro-cyc[]\" value=\"PMS\" \/><span class=\"wpcf7-list-item-label\">PMS<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-gro-cyc[]\" value=\"Menopausal\" \/><span class=\"wpcf7-list-item-label\">Menopausal<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-gro-cyc[]\" value=\"Hot flashes\" \/><span class=\"wpcf7-list-item-label\">Hot flashes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"your-gro-cyc[]\" value=\"Migraines\" \/><span class=\"wpcf7-list-item-label\">Migraines<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"your-gro-cyc-mig\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"If migraines, please specify\" value=\"\" type=\"text\" name=\"your-gro-cyc-mig\" \/><\/span>\n\t<\/p>\n<\/div>\n<hr \/>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/><br \/>\n<script>\ndocument.addEventListener( 'wpcf7mailsent', function( event ) {\n location = 'https:\/\/oasismassotherapie.ca\/en\/thank-you-health-questionnaire\/';\n}, false );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>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.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1061","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Health Questionnaire | Oasis Massoth\u00e9rapie<\/title>\n<meta name=\"description\" content=\"Please fill out our health questionnaire before your massage therapy session. 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