Fitness, Wellness & Coaching · community shared

Massage Intake Form — shared by the community

Dev A. shared this 21-question build with 3 conditional rules already wired up. Test it below, then take a copy.

A ready-to-use fitness, wellness & coaching form for clinics, coaches and therapists: 21 questions, 2 pages, 3 conditional rules.

Shared by
Dev A. · Freelance consultant
Questions
21
Replies
14
Copies taken
619
See the library version

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Live preview and test console

This is the real form. Answer it to test the flow — nothing is sent or stored.

Page 1 of 2 — Your session priorities

Massage client intake

Include your country code.

Include your country code.

Preferred pressure

This template runs as a straight sequence — no branching rules.

Works for you? Take Dev A.'s copy into your own workspace — questions, rules and settings included.

Who this template is for

Massage Intake Form is built for clinics, coaches and therapists who need to collect intake detail and consent before the first session.

  • Clinics, coaches and therapists working in fitness, wellness & coaching.
  • Teams who need to collect intake detail and consent before the first session without writing code or paying for a custom build.
  • Anyone replacing paperwork eating the start of every appointment with one structured record per enquiry.
  • Respondents are clients and patients — the form asks them 21 questions across 2 screens.
  • Mobile-heavy audiences, thanks to the one-question-per-screen card layout.

Why this form is useful

It removes the cost of paperwork eating the start of every appointment and turns each submission into a record your team can act on immediately.

  • 10 questions are required, so submissions arrive complete instead of needing a follow-up email.
  • It collects a verified email address so replies and confirmations land.
  • It captures a phone number for urgent follow-up.
  • It records a signature you can keep as proof of agreement.
  • It pins the request to a specific date.
  • Conditional logic hides 3 questions until they are relevant — shorter forms convert better than long ones.
  • Splitting the form across 2 pages keeps each screen short and shows respondents how much is left.
  • Every response is stored, searchable and exportable, so nothing depends on one person's inbox.

How to use this template

From copy to live form is a few minutes of work, and every step is reversible.

  1. 1Press “Use this template” — a fresh copy of Massage Intake Form lands in your workspace, ready to edit.
  2. 2Rename or delete any question, and change what is required. Nothing here is fixed.
  3. 3Open Notifications and add the email addresses that should be alerted on each submission; add an auto-reply to the respondent if the form collects an email address.
  4. 4Publish it, then either share the link directly or paste the embed snippet into your site — the embedded form resizes to fit and loads no marketing or advertising trackers.
  5. 5Watch responses land in Submissions, where you can filter, label and export them to CSV or PDF.

Logic and conditions blueprint

Exactly how this form behaves as it is answered — 3 conditional rules ship with it.

  • Features conditional validation: if “Any product allergies or sensitivities?” is Yes, “Products or ingredients to avoid” becomes mandatory before the form can be sent.
  • Features conditional validation: if “Any recent injury, procedure or health concern to review?” is Yes, “Relevant concern for the therapist” becomes mandatory before the form can be sent.
  • Features conditional validation: if “Do you need positioning adjustments?” is Yes, “Requested positioning support” becomes mandatory before the form can be sent.
  • All 3 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.

What this form asks

Page 1 — Your session priorities

  • Full namerequired
  • Email addressrequired
  • Phone number
  • Emergency contact and relationship
  • Emergency contact phone
  • Reason for this massage appointmentrequired
  • Requested focus areas
  • Areas you do not want massaged
  • Preferred pressurerequired
  • Preferred session date
  • Requested session length

Page 2 — Health context and boundaries

  • Any product allergies or sensitivities?required
  • Products or ingredients to avoid
  • Any recent injury, procedure or health concern to review?required
  • Relevant concern for the therapist
  • Do you need positioning adjustments?required
  • Requested positioning support
  • Communication, privacy or draping preferences
  • Session consentrequired
  • Client signaturerequired
  • Date of consentrequired

Conditional logic in this build

  • When “Any product allergies or sensitivities?” is Yes, require “Products or ingredients to avoid”.
  • When “Any recent injury, procedure or health concern to review?” is Yes, require “Relevant concern for the therapist”.
  • When “Do you need positioning adjustments?” is Yes, require “Requested positioning support”.

Questions about this shared form

Can the client change their mind during the session?

Yes. The consent wording expressly allows changes, declined areas and stopping; the therapist should reinforce this in person.

Is this a medical treatment plan?

No. It gathers preferences and relevant background for a therapist's review without prescribing care.

Do I still need booking confirmation?

Yes. The requested date is not a reserved slot; Appointment Request Form can support a separate booking process.

What if someone needs rehabilitation assessment?

Physical Therapy Intake Form is structured for a physical therapy practice. This massage intake should not be used to imply equivalent services.

Is the Massage Intake Form template free to use?

Yes. You can preview and test Massage Intake Form on this page without an account, and take a copy into your own HelloForms workspace on the free plan. There is nothing to install and no card required to publish it.

What does the Massage Intake Form template ask for?

It asks 21 questions across 2 pages, 10 of which are required. Every question is listed in full further down this page, and each one can be renamed, reordered, made optional or deleted after you copy the template.

Can I edit the Massage Intake Form form after copying it?

Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the classic and card layouts, restyle it to match your brand, and set who gets notified on each submission.

How does the conditional logic in this fitness, wellness & coaching form work?

3 conditional rules ship with the template: Features conditional validation: if “Any product allergies or sensitivities?” is Yes, “Products or ingredients to avoid” becomes mandatory before the form can be sent. Features conditional validation: if “Any recent injury, procedure or health concern to review?” is Yes, “Relevant concern for the therapist” becomes mandatory before the form can be sent. Features conditional validation: if “Do you need positioning adjustments?” is Yes, “Requested positioning support” becomes mandatory before the form can be sent. All rules are editable in the Logic tab.

Where do responses to the Massage Intake Form form go?

Submissions land in your workspace under Submissions, where you can search, filter, label and export them to CSV or PDF. You can also email a notification to your team on every submission and send the respondent an auto-reply.

Can I embed the Massage Intake Form form on my own website?

Yes. Publish the form and paste the embed snippet into any page or share the direct link. The embedded form resizes to fit its container and loads no advertising or marketing trackers inside the iframe.

Is the signature on this form legally usable?

The template captures a drawn signature and stores it with the submission, along with the timestamp, so you keep evidence of who agreed and when. Whether that is sufficient depends on your jurisdiction and the agreement itself.