INVOKE | Intake Form
Welcome to Invoke. Please take a few moments to fill out this form so we can tailor your session to meet your goals and needs.
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Email *
Name *
What are your Pronouns? (ex: they/them, she/her, he/him, etc.):
How did you hear about INVOKE? *
My goal for our session today is primarily *
Date of your Visit *
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Email Address: *
Home Address
Phone Number *
Emergency Contact (Name, Phone Number, Relationship) *
Date of Birth *
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Occupation(s)
What kinds of activities bring you joy?
What areas of your life are you looking to shift right now? (example: career, relationships, health, hobbies, self-understanding, etc.)
Have you had a professional Massage Before? *
If you have had a massage before, when was the approximate date of your last massage?
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Have you had any type of intuitive work done before? This could include energy work like Reiki, Tarot, a psychic or mediumship session, or shamanic journeywork? If so, please briefly describe what kind:
Do you hold specific religious or spiritual views that you would like to share?
Do you have any difficulty lying on your front, back, or side?
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Do you have any allergies to oils, lotions, or ointments?
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If you have any allergies please list them here:
Do you have sensitive skin?
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Do you sit for long hours at a workstation, computer, or driving?
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What is your goal for today? *
When you receive a massage, what kind of pressure do you generally like?
Are you uncomfortable with any of the following areas to be massaged?:
Have you been diagnosed with any conditions by a Doctor?  If yes, please describe:
Do you see a chiropractor?
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Please list any medications or supplements you are currently taking: *
Please list any injuries/accidents/illnesses still affecting you: *
Please list your history of surgeries: *
Is there a particular area of the body that you are experiencing tension, stiffness, pain, or other discomfort? Please describe:
Energetic, physical and emotional health is brought about by the individual with the aid of practitioners. You are ultimately your own greatest healer. Engaging in bodywork or soul work with Invoke is an acknowledgment that I am committed to my own health and growth. *
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