NATIONAL HOLISTIC INSTITUTE

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If you have not been in to see me for a massage, please answer the following 3 questions in the box below so I can better serve you:

1.  What are your goals for receiving massage?

2.  Do you have any current injury or medical condition?

3.  Who referred you to my website?

 

 

NATIONAL HOLISTIC INSTITUTE

(800) 315-3552

1610 Arden Way
Suite 110
Sacramento, CA 95815

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