Touch For Wellness Therapeutic Massage
Linda K Patterson LMT NMT
AL Lic. #1228

A Questionnaire With Your Answers



Can YOU Benefit From Massage Therapy?

This questionnaire is designed to help you increase self-awareness and further your understanding of massage therapy and its benefits.


Do you experience headaches?

  • Are they felt in the back of your head, behind your eyes or the sides of your head?
  • Do you find yourself trying to rub your neck and shoulders during these headaches?
Do you use a computer?
  • Do you experience stiff and painful neck, shoulders and back?
  • Do you ever experience numbness or tingling in your hands and wrists?
  • Do you have carpal tunnel syndrome?
Have you ever taken a fall, been in an automobile accident, had any injuries or surgeries?
  • Do you have areas of restricted range of motion?
  • Do you experience waking up with a "crick" in your neck?
Are you stressed?
  • Have you found yourself irritable, edgy, moody, easily frustrated and ready to scream?
  • Do you grind or clinch your teeth?
Have you ever suffered from trauma or abuse?
  • Do you find yourself uncomfortable in your own body?
  • Are you uncomfortable with being touched?
Do you have chronic illness or pain?
  • Do you have arthritis, asthma, hypertension, immune function disorders, chronic fatigue, MS, insomnia or circulatory problems?
  • Would you like to try an alternative to drugs or surgery?
Are you over 55?
  • Are you getting regular exercise?
  • Would you like to experience a greater sense of comfort and well-being?
If you're ALIVE and answered "yes" to any of these questions, then you can benefit from massage therapy!  Almost everyone benefits from reducing stress and fatigue, releasing tight muscles and joints, calming the nervous system and becoming more aware of the mind/body connection!

DON'T WAIT!

CALL TODAY TO SCHEDULE AN APPOINTMENT!
205.410.6292

("Thank You" to Jan DeCourtney, CMT, Life Spring Healing Arts, http://lifespring.netfirms.com, for permission granted years ago to adapt this questionnaire for my use.)

Massage therapy in Birmingham, AL




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