Mobile Massage Appointment Request

Thank you for your interest in booking a mobile massage session with Rockin’ Good Health, LLC!

Mobile massage means I bring everything needed for a relaxing, professional session right to your location. To ensure a smooth and comfortable experience, please fill out the form below. I’ll review your responses and contact you to follow up. No appointment is confirmed until I speak with you directly.

Please note, mobile massage service is only available in the Lehigh Valley area, Lehigh and Northampton Counties.

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BASIC INFORMATION - Full Name *

Phone Number *

123-456-7890

Email *

Have you received massage from me before? *

and of Description

SESSION DETAILS - Preferred date(s) and time(s) *

Session location (full address) *

What length and style of session are you looking for? *

60-minute Masssage
90-minute Massage
60-minute Lomi Lomi Massage
30-minute Manual Lymph Drainage
60-miniute Manual Lymph Drainage

Are you interested in any of the following add-ons?

Salt Foot Scrub
Cupping Therapy

Is this a gift or booking for someone else? *

If "Yes", name of recipient:

ABOUT THE SPACE - Where will the session take place? *

Home
Office
Other

Do you have a quiet, private space with enough room for the massage table and for me to work comfortably around it (about 8 ft x 10 ft)? *

Yes
No
Not sure - please describe below

Space Description

Are there any stairs, elevators, or entry instructions I should know about?

Will pets be present during the session? *

No
Yes - please describe below

Pet Description

Is free, accessible parking available nearby? *

Yes
No
Paid/street parking only

PREFERENCES - Would you like me to provide music during your session? *

Yes - see below
No
I'll provide my own

What is your preference for the music?

Do you prefer scented or unscented lotion or oil?

Massage Oil - Unscented
Lotion - Unscented
Lotion - Lavender
Lotion - Rose
Lotion - Peppermint
Lotion - Ylang Ylang
Lotion - Frankincense
Lotion - Calming (blend)
Lotion - Tranquility (blend)
Lotion - Memory (blend)
Lotion - Meditate (blend)
Lotion - Eastern (blend)

FINAL DETAILS - Anything else I should know to help make your session safe and comfortable?

Schedule A Massage Today!

Experience the difference at Rockin’ Good Health

Message Us

Rockin’ Good Health provides massage therapy for clients in the Greater Lehigh Valley.

Our Services

Massage Therapy
Manual Lymph Drainage
Foot Scrub
Lomi Lomi Massage
Cupping Therapy
Chair Massage

Office Hours

Monday – Closed

Tuesday – 11:00am – 9:00pm

Wednesday – 11:00am – 9:00pm

Thursday – 11:00am – 9:00pm

Friday & Sat – 11:00am – 9:00pm

Sunday – 11:00am – 7:00pm

Contact Us

(484) 802-7365
35 E Elizabeth Ave Ste. 304, Bethlehem, PA 18018

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