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First Name *

Last Name

Your Email *

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Would you like me to call you back to discuss the appointment? *
Choose OptionYesNo

I am / We are *
Choose OptionMaleFemaleMale and Female Couple2 Male Couple2 Female CoupleGroup

Age(s) *

Sexuality *
Choose OptionStraightBi CuriousBi SexualGayLesbian

Body Type Female
Choose OptionPetiteSlimAthleticMuscularGood For My AgeVoluptuousAmpleVary Ample

Body Type Male
Choose OptionSlimSlim FitTonedAverageGood For My AgeMuscularBearChubbyOverweightVery Overweight

I want a massage given by *
Choose OptionMale MasseurFemale MasseurMale and Female Couple2 Male Masseurs

Options For Women
Choose Option105 Minute Absolute90 minute Kama Sutra60 minute Re-Energiser60 minute Semi Sensual3 hour Psychosensual4 hands with 2 male masseurs4 hands with male & female masseurs60 minute Therapeutic only

Massage For Men
Choose Option90 minute Premium75 minute Superior60 minute Standard45 minute Stress Buster60 minute Therapeutic only4 hands with 2 male masseurs4 hands with male and female masseurs

Options For Couples
Choose OptionWatch & EnjoyWatch & TouchGive With MeOne After The OtherTandem with 2 male masseursTandem with male & female masseurs

Have you had a SENSUAL massage before? *
Choose OptionMany TimesA FewOnceNever

Requested Date and Time *

So that I can provide the best massage experience for you, please give further details regarding your specific motivations and expectations for the massage: Also, please give details on any aspects of your health that may be relevant to taking a massage:

Motivation, Expectations & Health

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How did you hear about Massage33 *

The sensual massage for men and women unless requested not to, includes arousal to orgasm which by its nature increases heart rate. Therefore sensual massage is NOT suitable for anyone with the following conditions:
1. You are over 125 kilos or have a BMI over 35.
2. You are diagnosed as either severely or morbidly obese.
3. You suffers from a serious heart condition or has had a recent heart operation
4. You are taking medication for a heart condition
In the cases of skin disorders, epilepsy or if you suffer from fits have high blood pressure or have an STI or are HIV positive, please discuss your condition with the masseur before making the appointment.

By completing this form you give permission for Massage 33 to retain the data provided.