This is your initial contact & reservation request form! Yay!

This information is part of the screening process & is required to move forward with any initial reservation request. this information will be used to create a client file & begin your medical history intake. Once this form has been submitted PLease USe this Link To schedule a phone call to book your reservation. 


Name *
Individual receiving massage services
Phone Number *
Phone Number
Address Where the Massage Will Take Place *
Address Where the Massage Will Take Place
Apartment, Single Family Home, Color, Cars in the Driveway, etc.
Gate/Door Codes, Driving Instructions, Special Entrances, Free/Paid/Validated Parking, Suggested Parking, Etc.
Please describe your job title and daily activities. i.e. Sitting, Standing, Walking, Riding, etc.
Activity level, current areas of interest.
Where are they stored and what sensations do you notice in those areas?
How to you fill your inner well?
Injuries, Pathologies, Car Accidents, Emotional Trauma, Surgeries, Mental Illness, Medications, Herbal Supplements, Allergies, Sensitivities. Please include Dates, Dosing, Current/Past Treatment and how it relates to your current goals.
How often do you need to receive Massage Therapy? This will be discussed further concluding your first massage reservation.
How did you hear about Bodhi Logic? *
Let us know who sent you our way!
We are open Tuesday - Saturday. Closed on Sunday and Monday.

Thank you for submitting your initial contact form!

Don't forget to hit 'submit' before closing your BROWSER window.

Once You have SUBMITTED this form please visit our 'calendly' to schedule a phone call to book your reservation. 

To book your future reservations just text or call with your request.

You know that you need to receive touch. Not just from your partners and children, but in a desexualized therapeutic format. So you book a mobile massage. YAS! So what's next? Click here to learn how to mentally, emotionally, physically and energetically prepare.