Skip to content
Holistic Wellness Wait List
*
1.
First & Last Name
*
2.
Email Address
*
3.
Cell Phone Number
*
4.
Which massage type is desired?
60 min - $120
90 min - $160
*
5.
Month & year the massage is desired
February 2024
March 2024
April 2024
May 2024
June 2024
*
6.
Which day of the week do you prefer for your massage?
Tuesday
Thursday
Friday
Saturday
Doesn't matter; whatever is first available.
*
7.
What time of day do you prefer for your massage?
10a-11:30a
12p-2p
2:30p-4:30p
Doesn't matter; whatever is first available.