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Reopening Appointment Waiting List
Balanced Body Therapeutic Massage, LLC
Locations:
227 W. Broad St, Bethlehem, PA 18018
419 State Ave, Emmaus, PA 18049
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Email
*
Your email
First & Last Name
*
Your answer
Best Phone Number
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Your answer
Are you a new client?
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Yes
No
If you are a new client, how did you hear about us?
Your answer
Which service are you interested in scheduling?
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30 Minute Customized Massage
60 Minute Customized Massage
60 Minute Reflexology
Do you have one of the following:
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Groupon Voucher
Gift Card
None of the above
Which location would you like to schedule in?
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Bethlehem
Emmaus
Both locations work for me
What days and times do you prefer to schedule?
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Your answer
What are your goals for this session?
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Your answer
Have you or anyone in your household been tested for COVID-19 or presumed positive?
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Yes
No
Maybe
If you answered yes, can you please specify below. All information entered will be kept confidential.
Your answer
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