Application Form | Deserved Massage

Full Name *

Email *

Phone Number *

When is best to call you to discuss this application? *

Are you able to commit to six weekly sessions over the next six weeks? *

Yes
No

What are the main areas of discomfort or pain you are experiencing? *

How long have you been experiencing this discomfort? *

Less than 1 month
1-3 months
3-6 months
Over 6 months

Have you received any previous treatments for these issues? *

What are your top 1-2 goals for this program? *

On a scale from 1 to 10, how committed are you to attending each session and following any recommended self-care practices?

Selected Value: 1

Are you willing to provide a short testimonial or review if you experience significant improvement through the program? *

Yes
No

Describe your typical activity level: *

Sedentary
Moderate
High-intensity

Do you currently engage in any activities that might contribute to tension or mobility issues? (e.g., desk work, sports, physical labor): *

Are you currently training for an event or engaging in activities that increase muscle tension? *

Do you have any medical conditions, injuries, or recent surgeries we should be aware of? *

Are you prepared to make an investment in your wellness journey with this one-time £500 payment? *

Yes
No

Do you have any questions or concerns about the payment or the program commitment?

Transformational Relief Guarantee: To qualify for the refund guarantee, all six sessions must be completed within the designated timeframe. Do you agree to these terms? *

Yes
No