Name *

First Name

Last Name

Phone *

Country

(###)

###

####

How did you hear about Glasgow Holistic Massage? *

Barclays

Barclays gym member

Have you had a massage before?

Yes

No

Not in years

Preferred massage pressure/style/focus

Light

Firm

I don't have a point of reference

Specific area

Sport massage techniques

What's your current stress level?

Ok, pretty chilled

Average

Somewhat stressed

Almost at capacity