Client Consultation

Please complete this form before your session. It takes about 60 seconds and helps us tailor your experience safely.

Personal Details

First Name

Last Name

Date of Birth

Phone

Lifestyle

Sedentary

Active / Athletic

14-40 yrs

41-60 yrs

Over 61

Session Objectives

Skeletal posture remodelling

Muscle relaxation

Back pain relief

Pre/post athletic performance

Lymphatic circulation

Body remodelling / toning

Psychophysical relaxation

Muscle strengthening

Joint pain relief

Relaxation break

Improved muscle tone

General wellbeing

Anything else we should know? (optional)

Data Protection and Consent

In accordance with the UK GDPR and Data Protection Act 2018, I consent to Sensorial Reset collecting and processing the data in this form for delivering sessions safely. My data will be stored securely and not shared without consent. I may access, rectify, erase or port my data by contacting contact@sensorial-reset.com. I may withdraw consent at any time and lodge a complaint with the ICO.

I consent to my data being processed as described above. I confirm the information is accurate and I have disclosed all relevant health conditions.

Thank you

Your consultation form has been received. We have everything we need to prepare your session safely. See you at King's Cross.

Thank you for your honesty

Based on your responses, we need to review your details before your session. We'll be in touch within 24 hours at the email you provided, or contact us at contact@sensorial-reset.com