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Intended Health Benefits

This form will help you clarify your goals for your overall health and vitality, including our time together.

Fill it in here if you like. Use Print or save as PDF to keep a copy. This page does not send the form anywhere.

This form will help you clarify your goals for your overall health and vitality, including our time together.

List the specific health benefits you intend to achieve through massage therapy.

Now describe the level of health you'd like to be experiencing one year from today.

Are there any mental or emotional changes you need to make to achieve that goal? (optional)

These are my goals, in my own words.Type your full name to sign