Government guidelines states that all consultations should be done online, so we’d really appreciate it if you could take the time to fill this form in after you book an appointment with us so we receive it prior to your treatment.

It’s the exact same form you would fill in on paper when you attend an appointment but now online so that we can be as contactless as possible to ensure your safety.

As an aromatherapist, I’m aware that some oils should be avoided with certain conditions. We ask during our online consultation for you to disclose any health problems which may prevent a treatment from taking place/an adaptation to be made. If you take regular medication, please let us know at the appointment, as sometimes oils can interact with them. We just want to ensure that you are catered for and safe during your appointment with us.

Online covid-19 CLIENT questionnaire/DECLARATION:


Our priority during these unprecedented time is to keep both you, our clients and us as therapist’s, as safe as possible. In order to achieve this, we have taken measures in line with the Coronavirus act of 25th March 2020 and are duty-bound to ask you the following set of question, the day before your scheduled appointment (we will send a reminder by text message) We assure you that the information you give remains confidential unless legally bound to release it to NHS Track and Trace system. Thank you for your support!

Here at earthbound holistics we take data protection seriously…

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We are committed to protecting any data that we collect and we will keep this in line with GDPR legislation (that came into place on 25th May 2018.) By using our services you agree to allow us to securely store your details and keep you up to date on any event/treatments we may be providing now and in the near future.