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Customise Form

Personalise your ASMR massage to suit your unique preferences.

Choose from customisable options across these categories: comfort, ambience, physical touch, and sounds.

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This form is to be completed after your booking has been made. If you haven’t secured your session yet, please book your appointment [here]

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Please note: ASMR massage is not a traditional or remedial massage. It is a gentle, sensory-based experience designed to calm the nervous system using nurturing touch and a variety of soothing tools and textures. If you have any questions or concerns, feel free to contact me directly.

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Important Information
I currently provide services exclusively for women. Please confirm you are female checking the box in the form.

  • If you are male, please notify me so I can arrange a deposit refund.

  • If you falsely confirm you are female and arrive for your appointment, you will be asked to leave, and your payment will not be refunded.

  • If you refuse to leave, the police will be contacted.

Please Complete

Contact details

Permissions

Testimonials, Reviews and Recordings all significantly help my business to grow and helps other people like yourself to know about this amazing unique service. 

Please select all options you are comfortable with

Comfort

Do you run hot or cold?
Are you comfortable with an eye pillow?

Ambience

Choose your ambient noise

Massage Options

60 minutes massage choose 2-3. 90 and 120 minute massage choose 3-4. 150 minutes choose 4-5.

Trigger Sounds

Choose all the trigger sounds you are comfortable with. If you are having a massage without the ASMR sounds, please select 'No ASMR sounds'

Additional Information

Thank you, See you soon.

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