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Free TemplateMassage

Massage Client Intake Form

Simple client intake form for massage practices. Focuses on contact info, health screening, and service preferences. Great for spa and relaxation massage.

Last updated: April 2026

Researched by the CheckinPulse Research Team

Use This Form Digitally

Paper forms work, but digital forms work better. Here is what you get when you use this template on CheckinPulse:

  • Clients fill out on their phone (no app needed)

    Scan a QR code or tap a link — works on any device

  • E-signatures with legal timestamp

    IP address, timestamp, and audit trail on every signature — valid in all 50 states under the E-SIGN Act

  • Submissions go straight to your dashboard

    No more clipboards, filing cabinets, or illegible handwriting

  • PDF waivers stored for 7 years

    Encrypted, searchable, and accessible anytime on paid plans

Use this form digitally — free

Form Preview

This is what your clients will fill out. 14 fields, mobile-friendly.

Massage Client Intake Form

All fields marked with * are required

Text
Email
Phone
Date
Google
Swedish/Relaxation
30 minutes
Light
Neck, shoulders, lower back, feet...
Blood pressure issues, recent injuries, allergies to oils/lotions...
Yes
Soft/ambient
Warm
Submit Form

Legal References

E-SIGN Act (15 U.S.C. ch. 96) — Congress.gov

The federal law that makes electronic signatures on consent forms and waivers legally equivalent to handwritten signatures in all 50 US states.

Frequently Asked Questions

Keep it short. Spa clients want relaxation, not a medical questionnaire. Cover the essentials: contact info, health screening (blood pressure, pregnancy, recent injuries), service preferences (type, length, pressure), and comfort preferences (temperature, music). You can always ask follow-up questions in person.

Yes, especially for a spa environment. These small touches make clients feel like the experience is customized for them, which increases rebooking rates. It takes 2 extra fields and costs nothing. Clients who feel heard about preferences are 40%+ more likely to return.

Have a digital intake form they can fill out on a tablet in the lobby — takes 2-3 minutes. Keep it short (this template is designed for that). You can collect detailed health history after they decide to become a regular client. Don't let a 10-page form scare off a walk-in who just wants a 60-minute massage.

Ready to go paperless?

Turn this template into a digital form your clients fill out on their phone. E-signatures, auto-saved PDFs, and a dashboard to manage everything. Free to start.

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