Client Appointment Booking Form - Brisdale Wellness

Full Name

Please enter your full name as it appears in your identification.

This field is required.

Phone Number

Your contact number for appointment confirmations and follow-up.

This field is required.

Email Address

Your email address for booking confirmation.

This field is required.

Preferred Contact Method

Choose how you would prefer to be contacted.

Service Interested In

Select the massage service you are interested in.

This field is required.

Duration of Massage

Choose the duration of your massage session.

This field is required.

Message / Additional Notes

Please provide any additional notes or information.

Have you visited us before?

Select Yes or No to help us track client history.

Yes

No

How did you hear about us?

Select how you learned about our services.

Consent to contact via email/text

I agree to receive communication regarding appointments and promotions.

This field is required.