Have you ever had a professional massage? *

Have you had any broken bones in the past two years? *

Do you experience frequent headaches? *

Do you have tension or soreness in a specific area? *

Are you pregnant? *

Do you have cardiac or circulatory problems? *

Are you wearing contact lenses? *

Do you suffer from back pain? *

Are you very sensitive to touch/pressure in any area? *

If you answered "yes" to the previous question, are you taking medication for this? *

Have you ever had surgery? *

Do you suffer from seizure disorders or epilepsy? *

Do you have any other medical condition that I should be aware of? *

Do you suffer frequently from stress? *

Are you allergic to anything? (Lotions, fragrances, pain relievers, etc.) *