Conversational form
Massage booking form for a mobile therapist
A mobile massage booking is a logistics problem before it is a wellbeing one, because somebody has to carry a table from a car to a room. This booking form settles where the session happens, what the parking is like and how long it runs, then asks about style and pressure in words a client can actually answer.
The form itself
The first screen of the form. A conversational form shows one question per screen, so the remaining screens are listed in the field table below. Nothing here can be filled in or submitted, so read it as a reference and build your own from the button above.
Every field, and what it collects
The complete field list, in the order respondents meet it.
- Where would you like the massage?Single choiceRequired
- Mobile visits include the table, linen and oil. The clinic room in Coburg has a heated table and a shower, and it is the cheaper of the two.
- Options: At my home · At the clinic room in Coburg · At my workplace · At a hotel or serviced apartment · At an aged care or supported living address
- What is the address?Short textRequired
- Include the unit or apartment number if there is one. If you picked the clinic room, write clinic here.
- Parking and getting inShort text
- A table and a trolley have to come from the car to the room. Twenty minutes hunting for a park is twenty minutes off the end of the session, which nobody enjoys.
- How long?Single choiceRequired
- Prices include GST and the travel inside twelve kilometres of Coburg. A ninety minute session is the one most people wish they had booked.
- Options: 45 minutes, $110 · 60 minutes, $135 · 75 minutes, $160 · 90 minutes, $185 · Two people back to back, 60 minutes each, $250
- What kind of massage?DropdownRequired
- Remedial works on a specific problem and is the one health funds usually rebate. Relaxation is exactly what it sounds like and is not claimable.
- Options: Remedial, working on something specific · Relaxation or Swedish · Deep tissue · Sports and recovery · Pregnancy, second or third trimester · Lymphatic drainage · Not sure, recommend something
- How much pressure do you like?Single choiceRequired
- Described as behaviour rather than as a number, because light and firm mean different things to everybody. Pressure is checked and adjusted during the session regardless of what is picked here.
- Options: Light, I should feel like I am being soothed · Medium, firm but I stay relaxed · Firm, I want to feel it working · Strong, go as deep as you can · Start light and build as you go
- Will you be claiming on private health?Single choiceRequired
- Remedial massage is claimable on many extras policies when the therapist is registered with the fund and the receipt carries the provider number. Relaxation massage is not, whatever the receipt says.
- Options: Yes, I have extras cover for remedial massage · No, paying privately · Not sure, please check my fund · Claiming through a workplace or insurer arrangement
- When could you do it?Multiple choiceRequired
- Tick everything that works. Evening slots after six book out about two weeks ahead, so a daytime option usually gets you in sooner.
- Options: Weekday morning · Weekday around midday · Weekday afternoon · Weekday evening after six · Saturday morning · Saturday afternoon · Sunday · Whenever there is a cancellation
- How do we reach you?ProfileRequired
What each screen of this booking asks, in order
Screen one decides where the session happens, across five real locations including a workplace and a supported living address. Screen two takes the address and screen three asks what the parking and access are like, which is the screen that decides whether the therapist arrives on time. Screen four takes the duration, with five options carrying prices that include GST and the travel inside twelve kilometres. Screen five takes the style as a dropdown of seven, with a not sure option that asks for a recommendation. Screen six takes pressure, described as behaviour rather than as a number on a scale. Screen seven asks about private health claiming, with four answers including one that asks the therapist to check the fund. Screen eight takes the times that suit as a tick list, closing with whenever there is a cancellation. The last screen is a profile block taking name, email and mobile.
The Australian pieces on this form
Prices are written with GST included, which is how a consumer facing price has to be displayed in Australia, and the duration screen says so rather than leaving the client to work it out. The health fund screen is the other local piece: remedial massage is claimable on many extras policies when the therapist is registered with the fund and the receipt carries the provider number, while relaxation massage is not, and the help text says that plainly instead of letting somebody discover it after paying. Offering a not sure option matters because fund rules differ and the therapist can check in a minute.
How to adapt this form
A clinic based practice deletes the location and parking screens and adds a room and therapist preference, which is the equivalent pair of logistics questions when the client is the one travelling. A corporate chair massage service replaces the duration screen with a number of staff and a total hours question, and swaps pressure for a screen about the space available, since a chair in a meeting room is the constraint. A practice that also does pregnancy massage regularly can promote that from an option in the style dropdown to its own screen asking the trimester and whether there have been any complications, and should pair it with a note that a doctor or midwife clearance may be needed, which is a conversation rather than a tick box.
What makes this form work
The address and parking screens come before the date
Where the table goes and how it gets there are settled on screens two and three. A therapist carrying equipment is scheduling travel, not just time, and a booking that skips this is a booking that runs late or gets cut short.
Prices sit on the duration options, GST included
Five choices from forty five minutes at $110 to two people back to back at $250, with the travel radius stated. Nobody has to open a price list, and the client picks the length knowing what it costs, which is what a booking request should settle.
The health fund question has a not sure option
Four answers covering extras cover, paying privately, please check my fund, and a workplace arrangement. It gets a usable answer from the people who genuinely do not know their policy, which is most of them, without any membership number being typed into a form.
Questions people ask
Why is parking a whole screen on a booking form?
Because for a mobile therapist it is the difference between starting on time and starting twenty minutes late with a trolley. Permit zones, buzzers, lifts and gates all change the arrival, and the client knows all of it. One optional text field, asked before the date is agreed, removes the most common cause of a shortened session.
Does the form take a health history?
No, and it says so twice. A brief health check is done in person at the start of the first session, where the therapist can ask follow up questions and see the area being treated. Collecting health details in a booking request means storing sensitive information to answer a question that takes ninety seconds in the room.
Why describe pressure as behaviour instead of a number?
Because a four out of ten means nothing shared. Light, I should feel like I am being soothed, and strong, go as deep as you can, are answers people can pick confidently. The help text also says pressure is checked during the session, which stops the screen feeling like a contract.
Can a client claim a health fund rebate on this booking?
Only where their extras policy covers remedial massage and the therapist is registered with that fund. The form asks so the therapist can confirm before the visit and bring the right receipt, and the help text is explicit that relaxation massage is not claimable whatever the receipt says. No membership numbers are collected here.
Why include a two person back to back option?
Because couples and housemates book that way constantly and otherwise send two separate requests that have to be manually joined. Pricing it as one line makes the travel maths work for the therapist and sets the expectation that the sessions run one after another rather than at the same time.
Does ticking whenever there is a cancellation actually help?
It does for a sole trader. Evening slots book out about two weeks ahead, and a cancellation at four in the afternoon is either filled from a short list or lost. Clients who tick it are the list, and it costs them nothing to say yes to being asked.
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