Name * First Name Last Name Phone * (###) ### #### Email * Age * Are you new to Ayurveda? * Yes No What are your primary goals for working together? (e.g., stress reduction, pain relief, emotional well-being, etc.) * Are you currently taking any medications or undergoing any treatments? * Have you had any recent injuries or surgeries? * Do you have any existing health conditions or allergies? * How is your sleep quality? * What is your typical diet like? * How would you rate your energy levels on a scale of 1-10? * Do you have any current emotional or mental health concerns? (Optional, can also be discussed during a session) * What self-care practices do you currently enjoy or find most helpful? * Do you have a regular meditation or yoga practice? If so, please describe. * What is one thing you would like to shift or improve in your life right now? * Preferred method of communication (phone, email, text) * email text Opt-in for receiving emails, newsletters, or promotions. yes no Waiver * I acknowledge that the services provided by Sattva Wellness, including bodywork and Ayurvedic treatments, are not a substitute for medical care. I understand that it is my responsibility to inform the practitioner of any medical conditions, injuries, or allergies that may affect the treatments. I release Sattva Wellness, its practitioners, and staff from any liability for adverse reactions or injury during or after the session. yes Date MM DD YYYY Thank you! New Client Form Let's Connect * Let's Connect * Let's Connect * Instagram FOLLOW ALONG Facebook GET INSPIRED Email GET IN TOUCH
