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To download the form in a Word format
Aquatic Bodywork - Watsu
To help you have a better session…
Name
Address
Contact Details: Tel Email
How did you come to want to receive a session?
How is your relationship to water? Any hobbies in water like swimming, diving, sailing?
Have you experienced any traumas in water, recent or past?
Have you ever had any difficulties with your neck or back?
Do you have any tendency towards motion sickness, in cars or boats?
Do you have any health conditions, injuries or sensitivities?
Are you under the care of a doctor or therapist?
Do you take any medications?
Signature Date
Watsu is a form of aquatic bodywork and makes no claim to treat medically diagnosed conditions for which one would consult a doctor.
Your information is strictly confidential.
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