Health Questionnaire | Rest And Resonance

Emergency Contact Name

Emergency Contact Phone

Are you currently pregnant or trying to conceive?

Yes

No

Do you have any cardiovascular conditions (including high/low blood pressure, heart disease, or history of fainting?

Yes

No

Do you have a history of seizures or epilepsy?

Yes

No

Do you have any implanted medical devices (e.g. pacemaker)?

Yes

No

Do you currently have any acute illness, infection, or fever?

Yes

No

Do you have any condition that affects heat tolerance or circulation (e.g. heat sensitivity, dysautonomia, MS)?

Yes

No

Have you used infrared sauna therapy before? (If relevant)

Yes

No

Have you used red light therapy before? (If relevant)

Yes

No

Is there anything you would like me to know to support your comfort during your session?

I confirm that the information I have provided is accurate to the best of my knowledge.

I understand I am responsible for communicating any discomfort during my session and may stop at any time.