Client Reflexology Consultation Form Template

Independent reflexologists running a home or clinic practice, mobile therapists who visit clients at home, multi-therapist wellness studios that need consistent intake across staff, holistic health centres offering reflexology alongside massage or acupuncture, reflexology training schools collecting case-study intake, and continuing-education practitioners building a documented client log for insurance or membership bodies.

Generic intake forms ask the same 12 boilerplate medical questions. Reflexology has its own list — recent foot surgery, varicose veins, neuropathy, lymphoedema, pregnancy trimester — and a form that doesn't ask them puts you at risk in the very first session. This template was built around that specific clinical context. If a question doesn't quite fit your practice, you can change it. Describe what you want in plain English — "add a question about pressure preference" or "split the medical history into two pages" — and the form updates without touching any code. Submissions flow straight into Google Sheets for your client log, or into Notion if you keep a session journal there, and a webhook can push the data into whatever practice-management tool you already use. It works the same on every channel. Share the link in a booking confirmation email and clients fill it out before they arrive. Embed it on your therapy website. Or drop the same form into your own Android and iOS app using the Kotlin Multiplatform mobile SDK — useful if you run a wellness studio with a branded client app. The free forever plan covers solo practitioners comfortably, and there's no charge for asking clients to sign.