demo-for-client - Healthcare Branding

Massage Intake — Demo Flow (White)

Demo For Client By Sarthak Jain

Proposal from Sarthak Jain for Client (Booking System) — live demo build

Basic Info

Full Name *

Please enter your name.

Phone (WhatsApp preferred) *

Enter a valid phone number (7+ digits).

Email (optional)

We’ll send confirmations here if provided.

Massage Type *

Please select a service.

Pressure Preference

Light Medium Firm Mixed / Depends

Focus Areas (select any)

Neck / Shoulders Upper Back Lower Back Legs / Calves Arms / Hands Head / Scalp Full Body

Health Notes

Preferred Date *

Preferred Time *

Communication Preference

WhatsApp SMS Email

I agree to be contacted about my appointment.

Please pick a date, time, and confirm consent.

Demo only — will replace the form action with your webhook (Make.com, n8n, or custom backend).

Name

Email