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Sound Bath Intake Form

Sound Bath Therapy-Session
Date of Birth
Month
Day
Year
Date
Month
Day
Year
Time
Time
HoursMinutes

Session 1: Pre-Session Assessment

Complete this section before the sound bath beings.

Rate your current physical pain on a scale from 0 to 10.
  1. Physical Pain & Discomfort Pain Level Chart:

Mark or describe where you feel tension or pain in your body:
  1. Emotional Trauma/Tension Description:

If you feel comfortable sharing, please briefly describe any emotional trauma, heavy energy, or mental blocks you are currently processing.

  1. Intention Setting

Goal of the Session: What is your primary intention or goal for this sound bath today? (e.g., deep relaxation, relasing grief, physical pain relief, mental clarity)

More Testimonials

A word from a few clients

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I would highly recommend Marcus! Not just relaxing but truly therapeutic!

Kelley S.

Service: Deep Tissue Massage with Marcus D.

Site Maps

Services

Sound Bath Meditation

The Cocoon Experience

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Established License Number E-3917

3000 Eagle Point Corporate Drive suite 500 Birmingham Alabama 35242

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