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Please let me know the best way to reach you... when & where you prefer to schedule. I promise to contact you within 24 Hours!

Your Name

Your Address

Tele # Work Cell

Email: 

Best Time To Call...
9am-5PM After 5PM Anytime

What Time of the day would you like your Massage?
9am-12pm 12pm -5pm After 5pm
Anytime

Best Way To Contact You...
Home Work Cell Email

Where shall we meet?
House Call Karen's Studio/Office

I would describe my current body state as:
Some Tension Moderate Tension
Extreme Tension
In Pain Now Extreme Pain Now Chronic Pain

I would like to discuss emergency stressor intervention:
Lvl 1: 3 Sessions/wk Lvl 2: Daily Massage
Lvl 3: Two/day

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