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Massage
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Therapeutic Massage
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Classes
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Yoga Classes
Balance & Strength (Terra)
Restorative & Meditation (Luna)
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Beginner
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Lauren Brinkowski, L.Ac, MAOM
Lauren's Approach to Treatment
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Home
Massage
Book a Massage
Therapeutic Massage
The Myo
Deep Tissue Massage
Swedish Massage
Sports Massage
Prenatal Massage
Ashiatsu
The Myo Jr.
Specialty Massage
Lymphatic Drainage
Cranio-Sacral Therapy
Thai Massage
Zero Balancing
Pain Management
Add-Ons / Enhancements
Aromatherapy
CBD Massage
Facials
Head Trip
Hot Stone Massage
Mobile Chair Massage
Packages & Specials
COUPLES MASSAGE
ROMANCE RETREAT
SWEET SURPRISE
MOM TO BE
THE MYO PACKAGE
Fountain of Youth
Classes
Class Schedule
Movement Therapy
Feldenkrais Functional Integration®
Private Pilates
Private Yoga
Yoga Classes
Iyengar Yoga for Hips
Somatic Flow
Slow Flow Yoga
Sound Healing and Meditation
Restorative Yoga
Balance & Strength (Terra)
Floor Barre
Iyengar Yoga for Hips
Somatic Flow
MoveLab
Restorative & Meditation (Luna)
Feldenkrais
Postural Alignment and Somatic Integration
Sound Healing and Meditation
Restorative Yoga
Fitness & Stretching (Sol)
Pilates Fit
Core Barre
Slow Flow Yoga
Workout! with Erica Nix
Beginner
Somatic Flow
Feldenkrais
Slow Flow Yoga
Postural Alignment and Somatic Integration
Floor Barre
Restorative Yoga
Seniors
Feldenkrais
Postural Alignment & Somatic Integration
Iyengar Yoga for Hips
Restorative Yoga
Couples
Workshops & Events
Acupuncture
Book Acupuncture
Lauren Brinkowski, L.Ac, MAOM
Lauren’s Approach to Treatment
Acupuncture FAQ
Pelvic Floor PT
Pelvic Floor Physical Therapy
Birth Support Physical Therapy
Pelvic Floor PT FAQ
Pilates and Fitness
Errin Delperdang
About Us
Our Therapists
Our Instructors
Find Your Treatment
Memberships
Video Tour
FAQs
Policies
Jobs at Myo
Contact
Memberships
Blog
Facial Preferences Form
Facial Preferences
Name
*
Email address
*
Have you received facials before?
Never
Occasionally
Regularly
How often?
Have you ever received a lymphatic facial or lymphatic drainage?
Yes
No
Do you have specific areas of concern?
Are there any areas to avoid?
Do you have any diagnosed or suspected skin conditions? If so, please list.
Do you have topical allergies or sensitivities? Please list.
Are you on birth control pills or hormones currently? If yes please list.
Are you currently taking any new medications? If yes please list.
Do you wear contact lenses?
Yes
No
Do you experience stress often?
Yes
No
Do you smoke?
Yes
No
Is your menstrual period occurring now or soon?
Yes
No
What is your daily water consumption?
Low
Moderate
High
What is your daily caffeine intake?
Low
Moderate
High
What is your daily intake of sugary or artificially sweetened drinks/food?
Low
Moderate
High
Are you using any of the following products?
Cleanser
Toner
Moisture
Exfoliant
Treatment/Mask
Sunscreen
Make up
Bath and Body
Please list brand(s) if known.
Please check any of the following which apply to your skin:
Normal
Combination
Oily
Acne
Dry
Mature
Sun spots/discoloration
Eczema
Rosacea
Sensitive
Scarring
Relaxed elasticity
Wrinkles
Deep lines
Enlarged pores
Other
Other
Please indicate your primary reasons for receiving facials:
Routine facial care
Treatment of skin conditions
Relaxation
Stress Relief
Detoxification
Other
Other
All facial services provided at Myo Massage are performed by massage therapists. Our focus is on relaxing the intricate muscles of expression and enhancing the lymphatic circulation to your skin. We use suki® products which are 100% natural & free of any synthetic ingredients or preservatives. Your facial will not include skin analysis or extractions. For complex skin concerns, please consult an aesthetician.
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