Wellness · free template

Massage Intake Form

Collect massage goals, pressure preferences, relevant health concerns, areas to avoid and session boundaries before a therapist reviews the appointment.

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

Questions
21
Pages
2
Layouts
classic · card
Time to complete
≈ 7 min
Conditional rules
3
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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.

Compliance checklist

Ready to publish
  • Payment items priced — passingEvery payment question charges a real amount, so a submission always records a payment.
  • Conditional logic resolves — passingEvery rule points at a question or page that exists in this template.
  • Medical disclaimer present — passingThis form does not provide medical advice, diagnosis or treatment. Information you share here is not a substitute for care from a qualified clinician. In an emergency, contact your local emergency service immediately.
  • Question labels unique — passingLogic and exports address questions by label, so duplicates are ambiguous.

What happens after submit: nothing is stored in this preview. On your own copy, every response triggers an instant email notification and lands in your response dashboard, ready to export or forward.

Happy with it? Take a copy into your workspace — every question, rule and setting comes with it.

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.

About this template

Comfort during a massage depends on details a client may not volunteer at reception: an area they do not want touched, a sensitivity to a product or uncertainty about how to ask for less pressure. This intake makes those preferences part of the session conversation. It records the reason for the visit and the client's desired focus without treating a request for relief as a clinical diagnosis. A short health section invites relevant recent procedures, injuries and other concerns that the therapist should review within their scope. Product sensitivities have a dedicated follow-up so a vague allergy answer does not get lost in a longer history. Pressure, positioning and areas to avoid sit beside communication preferences, emphasizing that consent can change during the appointment. The closing section acknowledges session boundaries and the client's right to stop or modify the work, with a dated signature after discussion. It is intended for professional massage practices, whether their clients seek relaxation or support alongside other care. It does not prescribe techniques, establish that massage is suitable for a particular condition or replace a therapist's assessment and procedure-specific explanation before the session begins.

What this form asks

Every question is editable — rename it, make it optional, or delete it entirely.

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

21 questions in total.

How the form changes as it's filled in

This template ships with 3 conditional rules, grouped into 3 behaviours driven by 3 questions. Everything below is already set up — edit or delete any rule once the template is in your workspace.

Driven by “Any product allergies or sensitivities?”

  • Makes answers required

    If “Any product allergies or sensitivities?” is Yes, “Products or ingredients to avoid” becomes required before the form can be submitted.

Driven by “Any recent injury, procedure or health concern to review?”

  • Makes answers required

    If “Any recent injury, procedure or health concern to review?” is Yes, “Relevant concern for the therapist” becomes required before the form can be submitted.

Driven by “Do you need positioning adjustments?”

  • Makes answers required

    If “Do you need positioning adjustments?” is Yes, “Requested positioning support” becomes required before the form can be submitted.

Set it up step by step

  1. 1

    Use your actual session menu

    Replace the generic length choices with the durations and fee information offered by your practice.

  2. 2

    Review sensitivities before setup

    Read ingredient restrictions before selecting oils, lotions or other session materials.

  3. 3

    Confirm boundaries verbally

    Talk through areas to avoid, positioning and communication preferences before asking for the signature.

  4. 4

    Carry preferences into the room

    Give the treating therapist access to the relevant answers and recheck consent as the session changes.

Mistakes to avoid

  • Treating a pressure preference as permission to ignore discomfort.
  • Burying product sensitivities inside a general comments box.
  • Assuming a prior signature authorizes every technique at a later appointment.

What it pairs with

Most teams don't run this form on its own. These are the forms and systems it sits next to.

What to do with the responses

The therapist should clarify health concerns and boundaries, confirm the session length and fee, and document any changes to the agreed work in the client record.

Works in both layouts

Browse classic templatesBrowse card templates

Forms that overlap this one

These pages cover the same subject ground as the massage intake form, matched on the words people actually search for.

Privacy & compliance

This form collects health information. Keep access limited to the people who need it, turn on encrypted answers for the clinical questions, and set a retention window so records don't sit in the dashboard forever.

Frequently asked questions

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.

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