5 Melrose Drive
Farmington, CT 06032
58 West Main Street
Plainville, CT 06062

Client Questionnaire

Thank you for visiting Massage By Nikki (the terms "Massage by Nikki", "", "therapist", "our", "we" or "us"). In order to maximize the effectiveness and safety of our sessions together, we ask that you take the time to read the Client Questionnaire carefully and complete the necessary medical history when on-site with us. This document will be referred to my us for each session and kept completely confidential.
Appointments must be scheduled with the therapist in advance.
Clients will receive appointment confirmation either by text message or email if an email address and/or mobile telephone is provided and marked as preferred method of notification.
Fees are payable by cash or charge (MasterCard, Visa or Discover) prior to sessions beginning. Checks are not accepted. Clients are responsible to pay all fees in full at the end of session.
Appointments start and end on time based on the scheduled appointment time. If you are late the services will be adjusted to the amount of time remaining. The price of the session will not be adjusted. We reserve the right to cancel for tardiness. See Client No Show policy.
A $20 cancellation fee will be assessed for clients who fail to show for scheduled appointments. It is important that we are compensated for reasonable time and travel expenses where appropriate. Excessive tardiness or no show may result in cancellation of future appointments.
Please provide at least 24 hour notice if you need to reschedule, cancel an appointment, or reduce your appointment time. This gives us enough time to fill vacated time slot. Please email cancellation to:, complete our online form, or call or text cancellation directly to 860-386-8244. It is the client’s responsibility to ensure proper notification is provided and received by the therapist. If you fail to cancel or reschedule prior to 24 hours before your scheduled appointment, a $20 cancellation fee will be assessed. See also Client No Show policy.
We reserve the right to cancel or stop a session for any reason, including but not limited to:
  • Alcohol or recreational drug use is evident;
  • If we feel the client’s behavior or language is inappropriate;
  • If we feel the session poses a threat to the health and/or safety of the client or therapist;
  • If we feel the session negatively effects other client’s experience;
  • We shall not be held liable for any conditions that arise after the massage
If cancellation occurs during the session, by no fault of the therapist, the client will be responsible for the full payment for a full session. In all situations we will work with our client as much as possible and where our health and safety are not compromised.
By receiving service from anyone at Massage by Nikki, clients agree to the terms and conditions specified here. Additionally,
  • Clients agree to the above terms for the initial and future massages by signing the consent form.
  • Consent may be withdrawn at any time by either party.
  • Clients are encouraged to continuously communicate boundary requirements with us.
  • Client agrees to inform us of any new conditions or changes in health at the beginning of each session.
  • Client agrees to provide health history, in writing, prior to beginning a session. Health History must be documented and provided to us in a clear, concise, accurate and complete manner.
  • We reserve the right to cancel appointments based on health history or conditions.

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