Consultation Forms for ReikiEma's new clients Complete the new client consultation form online in advance of your treatment, and cut out the hassle and faff on the day. Grab a brew and let's get this done! Pre-treatment Consultation Forms & New Client Information New Client Form (Reiki, Womb Massage & Shiatsu) "Natural Lift" Holistic Facial Massage - Client Form Pregnancy and Post-Natal Massage: Client Form Animal Reiki New Client Consent form Animal Reiki Terms & Conditions Under-16s Reiki Consent Form Terms & Conditions, and Client Code of Care

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Discover the power of animal healing meditation with ReikiEma's guided Animal Healing meditation. Learn how to support your animal companion, with this easy to follow, tutorial and guided audio by Ema, in Cheshire, Merseyside, Greater Manchester and Lancs, UK. You and your furry friend can reap the benefits of Ema's applied experience of this holistic therapy. Find greater calm and bonding through this experience, designed to bring you both deeper, peace and presence. Animal Healing Meditation Guarda Anteprima £ Acquista da 0,99 £ Facebook Twitter Pinterest Tumblr Copia il Link Link copiato

https://static.wixstatic.com/media/7cafce_370971e2a0bb42209a67f25a5bf4c7e3%7Emv2.png Reiki Master Teacher Reiki Courses CNHC Reiki practitioner Animal Reiki Natural Lift facial Shiatsu massage Womb massage Pregnancy massage Meditation https://static.wixstatic.com/media/7cafce_1e380e6d99034f7d927697a7920778de~mv2.png Ottieni 5 £ di sconto sulla tua sessione Usa il premio per il tuo primo ordine. Ricevi premio

Experience the therapeutic power of Shiatsu at ReikiEma in St Helens, Merseyside, Cheshire, Greater Manchester and Lancashire, UK. Learn more about the holistic benefits Shiatsu can offer with a local student practitioner. About Shiatsu "The Art of Touch" “Shiatsu is a touch based therapy that applies pressure to areas of the surface of the body through loose comfortable clothing for the purpose of promoting and maintaining wellbeing. A Shiatsu practitioner will initially consult with the client and plan the Shiatsu treatment. The client will then be positioned comfortably, with appropriate adjustments being made throughout the session. Clear and accurate aftercare advice will be given. Shiatsu is a Japanese word that literally means finger pressure and derives its theoretical and practical roots from the ancient traditions of Oriental medicine. Today it is an autonomous treatment method influenced by Chinese, Japanese and Western knowledge. In addition to being regularly used by thousands of people all over the world, a variety of charities, health foundations, NHS trusts and hospitals in the United Kingdom provide Shiatsu to support patients whilst receiving treatment for a range of health issues and to help them maintain their general wellbeing. Complementary & Natural Healthcare Council What is Shiatsu? Welcome to ReikiEma, where I provide a range of holistic therapies to help you achieve balance and vitality. While many people associate Shiatsu with massage chairs and gadgets, it is actually a powerful and little-understood therapy that can have a profound impact on your health and well-being. Allow me to introduce you to this transformative therapy, today. Book now Shiatsu's Background Discover the ancient healing art of Shiatsu at my Holistic Therapy practice. Originating in Japan and rooted in Traditional Chinese Medicine, Shiatsu is a holistic approach to healing that focuses on the interconnected relationship between the body, mind, and spirit. With my expertise, you can release tension, reduce stress, and achieve overall balance in your life. Originating in Japan, with its roots in Traditional Chinese Medicine, Anma (an ancient form of Chinese massage similar to Tui Na, which was taken to Japan in the 10th Century CE.) The system of Anma was later developed as a profession for people who were blind; with Anma schools for the blind being founded across Japan - sighted people were banned from practising Anma! Book now In the 20th Century, Shiatsu was created as a healing modality, in its own right - making use of techniques from Anma, and other Japanese healing therapies, as well as the Traditional Chinese Medicine system of meridians and acupressure points in the body. Since its creation, Shiatsu has been developed and evolved to reflect many different approaches and techniques by different teachers and practitioners, and ranges from taking a Western/Eastern hybrid approach, though Zen Shiatsu, which uses extensions of the Classical Meridians, developed by a prominent teacher/practitioner in the 20th Century: Shizuko Masunaga . There is also "Seiki" - developed by one of Masunaga's top students, Akinobu Kishi . Seiki relies on "being" rather than "doing", more in the realm of the energetic and less on "working" meridians (not Reiki, but with many areas of communality). What connects all of these diverse schools of, and approaches to Shiatsu, are the therapeutic relationship between receiver and practitioner, the element of healing through touch, and the energetic connection between giver and receiver, which takes place during treatments. Book now What happens in a Shiatsu session? Shiatsu is highly adaptable, and can be tailored to people in most states of health and medical conditions. A Shiatsu treatment can be carried out with the receiver seated at a desk, lying on a treatment table, or (more traditionally) on a comfortable futon mat, on the floor. Book now Before a first treatment, the practitioner will often ask their client a fairly detailed set of questions around lifestyle, medical history and about the client's general picture of health and wellbeing. These questions help the practitioner to build up a picture of their client’s energetic picture, and any factors which are likely to be impacting on their overall holistic health and wellbeing. Some practitioners will ask to see a client’s tongue, as the Traditional Chinese Medicine technique of "tongue diagnosis" can be incorporated into Shiatsu; whereas some practitioners use observation of the client’s movements, speech, behaviour (what they say & do as well as how they say & do it) and any other outward signs of energetic or constitutional patterns – sometimes using the 5-elements/phases model as a framework. There will normally be a pre-treatment conversation, which usually covers asking the client which lying positions they are comfortable with, whether there are any areas they would prefer not to be worked on (some people are sensitive about their feet, for example), any symptoms present on that day, as well as giving the Shiatsu receiver the chance to decide/say what they would like to get from that day's treatment. After the pre-conversation, the client will be invited to lie down on the Shiatsu futon or treatment table (wearing comfortable, loose clothing, and having removed shoes and any chunky jewellery/watches/glasses), and offered a pillow and/or blanket/bolsters for additional support/comfort. Book now The Shiatsu practitioner often begins a treatment with “Hara diagnosis” – palpating areas of their client’s abdominal area, each of which correspond to a Traditional Chinese Medicine organ (reflexologists do the same). Hara Diagnosis offers the practitioner the chance to connect with their receiver's energy, to observe the relative qualities of energy in the different Chinese organs, and how they respond to the practitioner's own energy. Shiatsu practitioners will often use the information they pick up during Hara diagnosis, to decide which meridians will likely be their focus for the treatment - this is particularly the case with Zen Shiatsu practitioners. In the treatment itself, the practitioner uses hands (palming), thumbs (thumbing) and sometimes even knees, fore-arms and elbows, to work along the meridian lines (or energy channels) of their client’s body. Sometimes they will incorporate movement into the treatment, and include supported rotations, and/or stretches. Shiatsu practitioners are trained in safely and confidently moving amd supporting their clients’ legs, arms, heads, feet etc, and so if the client is able to completely relax and make their body as loose and floppy as possible, this is best for the treatment. "Helping” by doing the movement yourself actually means that you won’t get the full benefit of the movement – although this isn’t easy to (not) do for everybody, especially if you're new to Shiatsu - and your practitioner should understand if you find yourself not able to fully relax into being moved, straight away. Book now Book now What to expect after Shiatsu After a treatment, clients may feel a little light-headed or “spacey”, and so they’re encouraged to sit and drink some water or tea, and come back fully, before leaving after a Shiatsu session. Their practitioner will offer advice on ways to support their wellbeing (such as activities which will help support the work they have begun in the session, food energetics) and if the receiver has any questions, they are free to ask them – although as with Reiki and other energy-work modalities, the experience of the receiver is most important. It’s advisable to stay well hydrated after a Shiatsu treatment, to take things easy if possible. There may be a few aches and pains after Shiatsu, because it can be uncomfortable to re-establish a flow of energy where there may have been stagnation or deficiency - think about how it feels when the blood starts flowing to a hand or foot again, after circulation has been cut off for a while! The body can also sometimes go into a detoxification state, and some people feel a little under the weather because of this – they might have mild cold symptoms, or a minor headache, for example. This should only last for a day or two at most, and will only be very mild. Book now What does Shiatsu do? Each treatment will feel very different, and will do different things. What you need, and how you'll receive the maximum benefit on the day, depends upon your energy at the time of treatment. And one crucial thing you need to know about energy is that it doesn't stay still! It's always moving, changing and transforming. This is true of the energy around us, as well as the energy within our bodies and the energy that makes us, well, us! Some of the general overall outcomes intended by the practitioner for each Shiatsu session are: to help bring the person’s Qi into better balance; to promote the smooth, healthy flow of Qi through the meridians; and to help alleviate any aches, pains physical discomfort and symptoms which may be present. A Shiatsu treatment can be a deeply relaxing experience, a vigorous enlivening experience, a profoundly moving spiritual experience, and anything in-between! Shiatsu can help people to feel connected into their own bodies – and can bring a sense of peace and stillness. Some people describe it as "like going to church", others say it’s "like connecting into the Universe", and some people find it helps them to have moments of clarity and self-awareness about how they relate to the people in their lives and the world around them. It's probably fair to say that Shiatsu is not your standard massage! Book now How does Shiatsu work? Shiatsu makes use of the same energetic pathways (or Meridians) which Acupuncturists and Traditional Chinese Medicine practitioners use. Shiatsu is based on the foundations of Traditional Chinese Medicine theory, but many Shiatsu practitioners incorporate other elements into their treatments, as they evolve, learn and develop their practice. This is why it’s helpful to read reviews from other clients and also to talk to your practitioner before trying Shiatsu, to check whether their style and approach resonates for you. Energy work (as other forms of therapy) is always most successful when the client and practitioner’s energy resonate well with each other. Factors to consider are: how confident you feel in them and their skills, whether you feel they are compassionate (if that's what you prefer), whether their approach and way of expressing themselves feels right for you and whether you feel you just click. No matter how amazing a practitioner's skills and knowledge, you have to feel confident and safe with them, in order to reap the full benefits of the treatment. For more information about Shiatsu you can visit the Shiatsu Society (UK) or the CNHC ’s information about Shiatsu. Book now Shiatsu reviews Due to Ema massaging I have more flexibility in my joints less pain and a better understanding of my inner self and my thoughts Ema always takes time to listen to any problems you may be experiencing after my session my posture is so much better Ema is a lovely person Kate Neeson I have been receiving sessions with Ema over the last few months and I have to say they have been truly amazing. From start to finish each session has been a glorious experience. I have felt calmer, more inner peace and energised and much more focused. I highly recommend to anyone looking to improve your overall well being This was my fifth session and each one seems to get better. I was so relaxed during the session today that I nearly fell asleep. I came into the session feeling tired and stressed and left feeling calm, relaxed and energised. Booking my next session soon Shiatsu client at Juniper Clinic Phil Jordan

ReikiEma's heartwarming journey and involvement as a holistic therapist volunteering with Reiki at the RSPCA and Reiki Medic-Care. Discover Ema's impact and experiences in Warrington, UK and further afield. Volontariato My Animal Reiki Story - from RSPCA volunteer to Accredited Professional Il 2020 è stato l'anno in cui ho iniziato a fare volontariato con la RSPCA! Sono appassionato di benessere degli animali (e un grande tenero), quindi ho deciso di allevare un gatto che ha bisogno di una casa sicura e amorevole! Poco dopo che Tiggs (nella foto con me a destra) è tornato a casa con me, ho iniziato a notare un notevole cambiamento nel suo comportamento quando gli ho dato Reiki! Si sarebbe rilassato fisicamente sdraiato e avrebbe avuto uno sguardo molto estasiato - ci sarebbero state anche le fusa e qualche gattino che si rotolava sul pavimento! Non solo, ma anche lo stato emotivo generale e i livelli di benessere di Tiggs hanno iniziato a cambiare. È passato dall'essere un ragazzo molto stressato e ipervigile (che saltava al minimo rumore e si rannicchiava se accidentalmente avesse fatto cadere qualcosa o mi avesse beccato con un artiglio in gioco) a un elegante lucertola rilassata, che si allungava sul suo termosifone o davanzale preferito! Non fraintendermi - Tiggs è ancora stressato a volte, ma il suo comportamento generale e la sua capacità di recupero emotiva sono migliorati così tanto - è come un ragazzo diverso! Quindi ovviamente ho offerto alla RSPCA i miei servizi come volontario, per entrare e dare Reiki ad altri residenti della RSPCA! Aveva aiutato così tanto il mio Tiggs e volevo aiutare quanti più animali bisognosi possibile. Avanti veloce fino ad oggi: ora sono un terapista di Animal Reiki qualificato e ancora volontario presso la RSPCA ogni settimana (ho anche il mio armadietto lì ora!). Il mio tempo lì mi insegna così tanto, mi permette di connettermi e aiutare a rafforzare e guarire anime belle e gentili che hanno spesso subito traumi, abusi e problemi fisici. Può essere a volte strazianti, ma la loro straordinaria capacità di recupero e capacità di fidarsi di nuovo è così forte: sono i miei eroi! Li amo tutti e voglio aiutarli il più possibile. (Nel caso qualcuno se lo stesse chiedendo, Tiggs è un adottivo fallito! ) Ema fa volontariato con i suoi servizi per la filiale RSPCA di Warrington, Halton & St Helens da un po' di tempo e i cambiamenti che ha apportato sono notevoli! Ema è sempre così calma, comprensiva e paziente con gli animali. Chiede sempre i diversi modi in cui ogni animale preferisce ricevere Reiki ed è estremamente adattabile per soddisfare le esigenze di ogni animale. La maggior parte degli animali di cui ci occupiamo ha subito maltrattamenti o negligenza verso i quali Ema mostra la vera compassione. Le conoscenze e le competenze di Ema sono una risorsa fantastica da avere nella nostra filiale. Siamo tutti immensamente grati per il tempo e l'impegno che Ema ci dedica e raccomandiamo al 100% il suo servizio a chiunque e qualsiasi animale che abbia bisogno di ulteriore aiuto/supporto. Alana Bibby Capogruppo per il benessere degli animali Sono anche incredibilmente fortunato a partecipare a uno studio di Animal Reiki con l'Università di Chester e Warrington Halton e la RSPCA di St Helens! Abbastanza sorprendentemente, non ci sono molti dati là fuori sugli effetti di Animal Reiki, quindi quale modo migliore per aiutare ad aprire questa straordinaria terapia a più animali bisognosi, che fare qualcosa per affrontarlo! Mi sono avvicinato al dipartimento di studi sugli animali dell'Università di Chester, tramite il loro fantastico Business Hub, e ho lanciato l'idea di uno studio per esaminare gli effetti comportamentali del Reiki sui cani da salvataggio. Quindi la raccolta dei dati è ora in corso e puoi vedere Dennis sulla sinistra, godendosi gli effetti collaterali del mio invio di Reiki a distanza a uno dei suoi compagni di canile, durante una giornata di raccolta dati nel luglio 2021. Dovrei menzionarlo quando l'ho Lo conobbe per la prima volta, Dennis era un ragazzo incredibilmente ombroso e pauroso che si sottraeva alle mie mani e continuava a cercare di nascondersi dietro di me. Da un estremo all'altro! Non tu appena amo quel momento di "deve.....tenere....occhi.....zzzzzz". Se hai domande su Animal Reiki, puoi mandarmi un messaggio qui sotto, iscriverti e seguimi sui social media! Book Animal Reiki

Indulge in the soothing mind and body benefits of safe, expert pregnancy massage at ReikiEma Warrington, St Helens, Wigan, and mobile treatments covering the whole North-West. Discover a holistic approach to wellness for expecting Mamas, and their babies too. Ema is an experienced, qualified and insured pregnancy massage practitioner. This is a full-body massage adapted to be safe during pregnancy, but can also be tailored to help support and support individual pregnancy symptoms. Pregnancy Massage Full-body massage, specially adapted for pregnancy, and suitable for aiding in post-partum recovery. This treatment offers a range of Health & Wellbeing benefits; for both Mama-to-be, and baby A gentle, relaxing, health-promoting full-body massage, tailored to support pregnancy, from trimester 2 until childbirth, as well as aiding in postpartum recovery. Massage during pregnancy can alleviate symptoms, help to ease and soothe tightness, pressure on joints, organs and ligaments, and calms stresses. Price and Booking The Benefits of Massage during pregnancy Regular massage during a pregnancy can benefit Mothers, as well as their unborn baby, and supports the Mother emotionally and physiologically - and the endorphins it brings to the Mother are passed to b aby as well. It can help childbirth to be easier, as well as having benefits for postpartum recovery. Some of the benefits of regular massage during pregnancy are: 1. Stimulation of the blood circulation: bringing nutrients and fluids to the organs of the body, and to the baby. 2. Lymphatic drainage: detoxification, eliminating toxins and waste, and reducing oedema (swelling). 3. Promoting healthy digestion; 4. Releasing muscular tension and compression, 5. Helping avoid varicose veins; 6. Inducing deep relaxation and reducing emotional stress; 7. Helping maintain a healthy, balanced blood pressure. Massage also encourages the release of oxytocin , which is a pain reducing hormone - providing pain relief during labour and childbirth. Price and Booking "With the end of my second trimester in a couple of weeks, I wanted to get myself third trimester ready with the summer time bliss package* with Ema - it sounded amazing! It started with a massage which was wonderful and got rid of so much tension, it was tailored to exactly what I needed according to symptoms, pains etc. The reiki going into the guided meditation was lovely and I’ve never felt so relaxed during a treatment. I highly recommend this treatment to anyone who is needing that extra self care and connection in pregnancy. Thank you, Ema." KD, Cheshire * (The "Bliss" pregnancy packages with Ema combine a full Pregnancy Massage, Reiki session, and a guided connection meditation, for mamas-to-be and their little ones. Spending some special quality time together, in a safe, held, energetic space)

Learn about the use of cookies on our website. Find essential Cookie Information and our Privacy Policy from ReikiEma in Leigh, St Helens and Warrington, UK Home Page Informazioni sui cookie XSRF-TOKEN Uso: motivi di sicurezza Memorizzato per: Sessione Tipo di Cookie: Essenziale hs Utilizzo: ragioni di sicurezza Conservato per: Sessione Tipo di Cookie: Essenziale svSession Utilizzo: in connessione con il login dell'utente Conservato per: 2 anni Tipo di Cookie: Essenziale Cache SSR Utilizzo: per indicare il sistema da cui è stato eseguito il rendering del sito Conservato per: 1 minuto Tipo di Cookie: Essenziale _wixCIDX Utilizzo: per il monitoraggio/debug del sistema Conservato per: 3 mesi Tipo di Cookie: Essenziale _wix_browser_sess Utilizzo: per il monitoraggio/debug del sistema Memorizzato per: S esion Tipo di Cookie: Essenziale politica del consenso Usa : per i parametri del banner dei cookie Conservato per: 12 mesi Tipo di Cookie: Essenziale smSessione Utilizzo: per identificare i membri del sito registrati Conservato per: Sessione Tipo di Cookie: Essenziale ST* Utilizzo: per motivi di sicurezza e antifrode Conservato per: Sessione Tipo di Cookie: Essenziale bSessione Utilizzo: per la misurazione dell'efficacia del sistema Conservato per: 30 minuti Tipo di Cookie: Essenziale fedops.logger.sessionId Utilizzo: per la misurazione della stabilità/efficacia Conservato per: 12 mesi Tipo di Cookie: Essenziale wixLanguage Utilizzo: su siti Web multilingue per salvare la preferenza della lingua dell'utente Conservato per: 12 mesi Tipo di Cookie: Funzionale

Discover flexible great deals on holistic treatment bundles in the NW of England. We offer convenient payment plans and great offers at ReikiEma . Ema offers tailored plans and pricing to suit your needs. Plans and Pricing We've plans to suit every budget. Unlock savings and enjoy exclusive extras, by joining one of our plans, today. Are you thinking of gifting a Plan or a treatment bundle? If so, then you'll need an e-gift card ~ as our plans and bundles can't be transferred or shared. E-gift Cards Scegli il tuo piano a pagamento VIP Gold Membership £ 225 225£ Ogni mese Invest in the ultimate Zen! Your holistic wellness, balance and flow, taken care of. Acquista ora Weekly treatments from our selected menu below Advance notice and discounts for events Free access to online recorded meditations 50% off voucher to gift a friend Silver Membership £ 100 100£ Ogni mese Perfect for regular/top up treatments Valido per 6 mesi Acquista ora 2 x 1-hour treatments per month Discounts on forthcoming events Gift voucher for 50% off a Reiki, Shiatsu or Animal Reiki. Animal Reiki bundle of 3 £ 120 120£ The gift of wellbeing for your companion animal. Valido per 12 mesi Acquista ora 3 x hours of Animal Reiki (distance or mobile sessions) Distance Animal Reiki - bundle of 6 £ 205 205£ 6 hours of Animal Reiki treatments Valido per un anno Acquista ora 6 hours of distance Animal Reiki treatments Ultimate Uplift Plan £ 140 140£ Ogni mese Weekly sessions at £35 per session - for the maximum facial rejuvenation effect! Acquista ora The Ultimate Uplift package (x12) Tr. Plan Facial Uplift Massage: Mobile 5 Elements & You £ 5 5£ Ogni mese Learn how the archetypal energetic patterns of the universe manifest through you, and in your surroundings. Bring greater balance, harmony and wisdom to your everyday interactions and choices. 14 giorni di prova gratuita Inizia la prova gratuita Accessible Online Learning Programs (Automatic Registration) Membership in our Online Community (Automatic Registration) Bundle of Joy: Trimester 2 £ 555 555£ From Trimester 2 through to Post-Partem, let us take care of you and baby's "us time", with weekly pregnancy massages from Trimester 2, onwards. Helping your health, wellbeing, easing symptoms. Valido per 12 mesi Acquista ora Treatment Plan: Mobile Pregnancy Massage Bundle of Joy: Trimester 3 & Postpartem £ 800 800£ Let us support you and your baby, during the last few precious weeks before you meet each other in the wide world. Receive that extra support and comfort, easing you into childbirth and recovery. Valido per 6 mesi Acquista ora Treatment Plan: Mobile Pregnancy Massage 30-day Reiki Challenge phased payments £ 16,66 16,66£ Ogni mese Spread your payments and join in the 30-day Reiki Challenge Valido per 3 mesi Acquista ora 30-day Reiki Challenge Monthly Healing Membership £ 16,66 16,66£ Ogni mese Pay in each month towards a quarterly Reiki session. Acquista ora 4 Distance Reiki sessions to be taken throughout the year. Family & Friends Sharing Bundle £ 235 235£ A month of wellbeing to share amongst friends and loved ones. 4 x 1-hour sessions, in-clinic and/or at home. Valido per un mese Acquista ora Expert Reiki Master guidance Personalized healing session A range of relaxing therapies to suit everyone

Pregnancy and post-partum Massage New Client online form Pregnancy & Post-Natal Massage Client Form Pregnancy/Post-Natal Massage: Medical & Consent Form * First name * Last name * Date of Birth Giorno Mese Mese Anno * Address * Phone Email * Emergency Contact: Name & relationship to you * Emergency Contact: Phone number (for us to phone/text) How did you hear about ReikiEma? Google Search Other Website Search Recommendation/Word of Mouth Social Media Other Yes, subscribe me to your newsletter. * Have you received Massage Therapy or Bodywork before (including before pregnancy)? Yes No Medical Details * GP Address * GP Surgery Phone number * Have you received Massage Therapy or any other Complementary or Holistic Therapies before? Past Complementary Therapies/Massage If yes, what type of therapy, and (approximately) when was your last treatment? Other therapies * Are you currently taking any Medication? Yes - prescribed Yes - not prescribed No * If you are taking any medications, please specify the name if you can, and what it's for. Medications info * Do you exercise? Yes No If you answered "yes" to the previous question, how many times per week, for how long, and what type(s) of exercise? Exercise info Please list and briefly describe any conditions or symptoms you have experienced, or are experiencing. * Any allergies or sensitivities * Have you had any serious or chronic illness, operations or traumatic accidents? Serious or chronic illness, surgery or traumatic accidents * Pre-natal Care Provider Pre-natal Care Provider info May I have permission to contact your Care Provider? * Due Date Giorno Mese Mese Anno * This is my (number: 1st, 2nd etc) Pregnancy Pregnancy Number * This will be my (number: 1st, 2nd...) birth. Birth number * Please tick current problems. Anaemia Leaking Amniotic Fluid, or Vaginal Bleeding * Bladder infection * Uterine bleeding * Blood clot or phlebitis * Chronic hypertension * Abdominal Cramping * Diabetes (gestational or mellitus) Oedema/swelling Fatigue Headaches Insomnia High Blood Pressure * Leg cramps Miscarriage * Heartburn Nausea Problems with placenta * Pre-term labour * Pre-eclampsia (toxemia) * Sciatica Separation of the rectus muscles Separation of the symphysis pubis Skin disorders / athlete's foot Excess thirst Varicose Veins Visual disturbances * Previous caesarian birth Contagious conditions Muscle sprain/strain Heart attack/stroke Constipation Carpal Tunnel Syndrome Low Blood Pressure Morning sickness Anxiety, stress or mood swings Breathlessness Other conditions or problems in current or past pregnancy (please detail below) Anything else you would like me to know? (please detail below) Current pregnancy conditions and symptoms * Please tick any problems experienced in previous pregnancy(ies) Anaemia Leaking Amniotic Fluid, or Vaginal Bleeding Bladder infection Uterine bleeding Blood clot or phlebitis Chronic hypertension Abdominal Cramping Diabetes (gestational or mellitus) Oedema/swelling Fatigue Headaches Insomnia High Blood Pressure Leg cramps Miscarriage Heartburn Nausea Problems with placenta Pre-term labour Pre-eclampsia (toxemia) Sciatica Separation of the rectus muscles Separation of the symphysis pubis Skin disorders / athlete's foot Excess thirst Varicose Veins Visual disturbances Previous caesarian birth Contagious conditions Muscle sprain/strain Heart attack/stroke Constipation Carpal Tunnel Syndrome Low Blood Pressure Morning sickness Anxiety, stress or mood swings Breathlessness Other conditions or problems in current or past pregnancy (please detail below) Anything else you would like me to know? (please detail below) Previous pregnancy conditions and symptoms Further details on current/past pregnancy conditions/symptoms Further details on pregnancy conditions/symptoms I am experiencing a low risk/high risk pregnancy, according to my doctor/midwife. Disclaimer / Client Statement For my records, I need to confirm that you have read, understood and answered all of the previous questions. If there is anything you do not understand, or wish to ask about, please ask me now (before signing this statement). Otherwise, please read the following statement, and sign below to show that you agree. To the best of my knowledge, the information I have given in this form is true, and I have not withheld any information concerning my health. I will keep Ema Melanaphy updated on my health, should there be any changes to the answers already given. If I have, or develop any medical complications (marked with * in the list above) I will discuss the condition with my massage therapist, and will get a medical release signed by my pre-natal care provider, before continuing bodywork. * Client Signature Modalità di disegno selezionata. Per disegnare è necessario un mouse o un touchpad. Per l'accessibilità tramite tastiera, seleziona Digita o Carica. Date Giorno Mese Mese Anno Submit