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Butterfly Holistic Therapy
Medical Form
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How Did You Hear about Butterfly Holistic Therapy?
Treatment Choice
Express Manicure (file & polish)
Express Pedicure (file & polish)
Holistic Facial with Head and Shoulder Massage
Indian Head Massage
Back, Neck and Shoulder Massage
Do you suffer from any medical conditions?
Are you taking any medications?
Are you pregnant?
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Do you suffer from chronic pain?
Have you had any orthopaedic injuries?
Have you had a massage before?
What pressure do you prefer?
Do you have any allergies or sensitivities?
Are there any areas you do not want massaged? For example, feet, face or stomach?
Covid-19 Symptoms Check: Please state if you have experienced any of the following in the past 14 days: fever/temperature, coughing, shortness of breath, loss of taste or sense of smell.
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