Are you a massage therapist or running a massage therapy clinic?
This massage therapy client intake form is perfect for you. It helps you collect essential information about your clients, understand their needs, and provide a personalized experience. Watch your business flourish by streamlining your intake process and offering tailored treatments.
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Questions to include on your massage therapy client intake form
1. Personal Information
Collecting basic personal information is essential for identification and communication purposes.
- What is your full name?
- What is your date of birth?
- What is your gender? (Male, Female, Other)
- What is your contact number?
- What is your email address?
2. Health History
Understanding the client's health history will help the therapist provide tailored treatment and avoid potential safety issues.
- Do you have any known allergies? If yes, please specify.
- Do you have any medical conditions we should be aware of? If yes, please specify.
- Are you currently under the care of a medical professional for any ongoing health issues? If yes, please provide details.
- Please list any medications you are currently taking.
3. Therapy Goals
Gathering information about clients' goals and preferences will help therapists deliver a personalized experience and address their needs more effectively.
- What are your main reasons for seeking massage therapy? (Pain relief, relaxation, stress management, other)
- What areas of your body are causing discomfort or tension? Please describe.
- Do you have any preferences for pressure during the massage? (Light, medium, firm)
4. Previous Massage Experiences
Understanding clients' past experiences with massage therapy will help therapists tailor their approach and avoid any negative experiences.
- Have you received massage therapy before? (Yes, No)
- If yes, what types of massage have you experienced? (Swedish, Deep Tissue, Hot Stone, other)
- Were there any techniques or treatments that you particularly enjoyed or disliked? Please explain.
5. Consent and Policies
Obtaining consent and making sure clients understand the policies ensures a professional and respectful environment.
- I understand that the massage therapist has the right to refuse service to anyone for any reason. (I agree, I disagree)
- I have read and understood the cancellation policy. (I agree, I disagree)
The question about previous massage experiences is important because it helps therapists understand clients' preferences, past issues, and any potential concerns they should be aware of.
Things to consider
- Accessibility - Make sure your form is user-friendly and accessible to all users, including those with disabilities. Use clear labels, proper contrast, and keyboard navigation support.
- Mobile Friendliness - Optimize your form for mobile devices to ensure clients can easily complete the form on their smartphones or tablets.
- Progress Indicators - If your form is lengthy, consider using progress indicators to show clients how far along they are in the process, which can help reduce the risk of abandonment.
- Validation and Error Messages - Implement real-time validation to highlight any errors as the client fills out the form, and provide clear and specific error messages to help them make corrections.
- Consent and Privacy - Clearly communicate your privacy policy and obtain consent to collect, store, and use clients' personal information. Make sure your form complies with data protection laws and regulations.
- Save and Resume Feature - Allow clients to save their progress and resume filling out the form later, especially if it requires detailed information or takes a significant amount of time to complete.
- Thank You Page and Confirmation Email - After the form is submitted, direct clients to a thank-you page and send a confirmation email, reassuring them that their information has been received and processed.
How to create your massage therapy client intake form
Now that you know what questions you should include, it's time to build your form!
The only problem is that traditional forms tools are inefficient.
People will forget to fill out your form. They'll get stuck halfway and not be able to finish it. Or they'll send you the wrong stuff. You end up wasting hours chasing people down over email.
That's why you should give Content Snare a try.
Content Snare is packed with advanced features that will have you hours:
- Automatic reminders - Remind people to complete their form with fully customizable reminders.
- Reject incorrect information - If a single question is filled out incorrectly, ask your client to re-do just that one item.
- Autosaving - No progress gets lost. People can fill out forms in multiple sittings.
- Comments and questions - If the person filling the form gets stuck, they can ask a question without having to email you.
Give it a go by signing up for your free 14-day trial.