top of page

Jon Binnie - Heart Centred Wellness Ltd

Consultation form for Reflexology related services

Who needs to complete this form?

This form is required only for new customers. If you have already had a treatment with Jon Binnie then you just need to provide a verbal update in the session, and you do not need to complete this form.

What is the form information used for?

The details captured in this form are used to tailor your session to the top presenting conditions that you outline in this form.

Do you need to complete this form now, or can you do so in your session?

If you complete the form ahead of your session, it leaves more time in your session to focus on you. Equally, I understand this is a long form, and you may not wish to enter all the details in advance. Either way is fine. If you

bottom of page