RelaxMax

Your Sanctuary of Serenity.

1. Personal Information

Full Name

Email Address

Phone Number

Date of Birth

2. Choose Your Service

Please specify the type of massage

3. Session Duration

60 Min 90 Min 120 Min Other

Specify Duration (in minutes)

4. Oil Preference

Unscented Lavender Eucalyptus Coconut Almond None Other

Please specify the oil

5. A Little About Your Lifestyle

What is your occupation?

Lifestyle Context

Marital Status

Unmarried Married

Do you have children?

No Yes

How many hours a day do you typically work?

Is there anything about your daily routine that might be relevant?

6. Just for Fun (and Science!)

A few questions to help us tailor the vibe of your session.

What's your spirit animal when stressed?

If this massage had a theme song, what would it be?

Energy Today: 3

Serene Lake Active Volcano

7. Health & Well-being

Do you have any of the following conditions?

Allergies High Blood Pressure Low Blood Pressure Recent Surgery Injuries Pregnant Other None of these

Please provide details for any conditions selected above.

What is your primary goal for this session?

Relaxation Pain Relief Stress Reduction To feel energized

Current Stress Level: 3

8. Your Comfort & Preferences

Preferred Massage Pressure

Light Medium Firm

Preferred Therapist Gender

Any Male Female

Are you booking for more than one person?

No, just me Yes, with others

Please specify number of people and any preferences

During your session, do you prefer to chat or remain quiet?

I enjoy some conversation I prefer a quiet session

Fantasy & Ambiance

9. Your Home Environment

To ensure a smooth and respectful home visit, please answer the following.

Family/housemates' view on wellness services?

Very supportive and open Neutral / They keep to themselves I'd prefer they weren't aware

I confirm the home visit environment will be safe, private, and free from interruptions.

10. Draping & Consent

Level of Undress

Your comfort is our priority. Please select how much you are comfortable undressing. You will be professionally draped with a sheet at all times, only exposing the area being worked on.

Minimal (e.g. shorts/top) To my underwear Fully undressed

Consent for Private Area Proximity

To effectively treat areas like the hips, glutes, and inner thighs, the therapist may need to work near private body parts. Please specify your comfort level with this.

Upper Body (Chest/Breasts) Lower Body (Glutes/Genitals) Both Upper & Lower

I confirm that I am over 18 and have read, understood, and agree to the draping and touch consent details I have selected above. I give my full and informed consent to this professional service.

11. Location & Scheduling

Your Home Hotel Somewhere Else

Street Address

House / Apt No.

Floor

Society / Building

Area / Sector

City

Pincode

Landmark (Optional)

Hotel Name

Room Number

Hotel Address

City

Pincode

Please describe the location

Apt / Office No.

Street Address

Area / Sector

City

Pincode

Preferred Date & Time

RelaxMax

1. Personal Information

2. Choose Your Service

3. Session Duration

4. Oil Preference

5. A Little About Your Lifestyle

Lifestyle Context

6. Just for Fun (and Science!)

7. Health & Well-being

8. Your Comfort & Preferences

9. Your Home Environment

10. Draping & Consent

11. Location & Scheduling

Booking Submitted!

Thank You!

Just Chill!

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