Lady having Integrated Massage Therapy at August Moon Spa

Massage Intake Form

Complete This Form in Advance of Your Massage Treatment

When booking a massage treatment during your Finger Lakes stay at August Moon Spa in Ithaca, NY, please complete our Massage Intake Form.

Massage Intake form

Is this your first massage?
Do you have a pressure preference for your service today? *
Do you have any of the following conditions: *
Are you currently on any of the following medications: *