Intake form

Name *

Email address *

What services are you interested in?

Please select at least one option.

Relaxing massages

Therapeutic massages

Sound therapy

Aromatherapy

Tarot readings

Spiritual baths

Healing baths

Facial yoga

Lymphatic drainage

Crystal products

Essential oils

Candles

Incense

Astrology-related items

Beauty products

Relaxation products

How did you hear about equilibrium soul spa?

Do you have any specific health concerns or conditions we should be aware of?

What is your preferred appointment date and time?

Do you have any allergies or sensitivities to products or materials?

Are you currently taking any medications?

What is your level of experience with yoga or meditation?

Would you like to receive personalized recommendations for products or services?

Additional questions or comments

Equilibrium Soul Spa