DETOX TREATMENT FORM

904-381-8686

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SERVICES
SPA PACKAGES
ABOUT
MEMBERSHIPS
EVENT RENTAL
BLOG
CHARITY
- LUVIN ARMS
- LUVIN ARMS STORY

DETOX TREATMENT FORM

*First Name
*Last Name
*Email
*Mobile Phone	( ) –
*Mobile Service Carrier
*Birthday
*Address Street 1
*Address Street 2
*Address City
*Address State
*Address Postal Code
*Gender	Not SpecifiedMaleFemale
*Referred By
*Occupation
*Anniversary
*Emergency Contact Name
*Emergency Contact Relationship
*Emergency Contact Phone	( ) –
*Do you experience fatigue or low energy levels around 3pm in the afternoon?	Yes No
*Do you experience brain fog, lack of concentration and/or poor memory?	Yes No
*Do you eat fast foods, fatty foods, pre-prepared foods, or friend foods on a regular basis?	Yes No
*Do you drink coffee and soda during the day to “get yourself going?”	Yes No
*Do you smoke cigarettes?	Yes No
*Do you crave or eat sugary snacks, candies, or desserts?	Yes No
*Do you have less than 2 bowel movements per day?	Yes No
*Do you feel sleepy after meals, bloated, and /or gassy?	Yes No
*Do you experience heart burn or indigestion after eating?	Yes No
*Are you overweight or do you rarely exercise?	Yes No
*Do you experience reoccurring yeast or fungal infections?	Yes No
*Do you experience frequent headaches or migraines?	Yes No
*Do you have arthritic aches and pains or stiffness?	Yes No
*Do you take prescriptive medicine on a regular basis?	Yes No
*Do you take prescriptive sedatives or stimulants?	Yes No
*Do you live with or near polluted air, water, or other environmental pollution?	Yes No
*Do you use fluoridated toothpaste or drink fluoridated / chlorinated water?	Yes No
*Do you experience depression or mood swings, (mental highs or lows)?	Yes No
*Do you have bad breath or excessive body odor?	Yes No
*Do you have food allergies or bad skin?	Yes No
*Are you showing signs of premature aging?	Yes No
*Have you ever used an internal cleansing product or followed a complete internal cleansing program?	Yes No
*I hereby agree to adhere to all safety precautions and home skin care as recommend and that all information is accurate to the best of my knowledge. I understand the 24 hours notice of cancellation is required or I will be charged 50% of the service and 100% of the service for my second missed appointment.	I Agree
*By filling out this form electronically I hereby declare that all information is accurate and if it should change it is my responsibility to notify the therapist. I also hereby declare that Seventh Wonder Day Spa is not held liable for a customers failure to follow all after care procedures recommended for treatments.	I Agree

Contact Us

Seventh Wonder Holistic Spa
4236 St. Johns Avenue
Jacksonville, FL 32210

Map & Directions

904-381-8686

Please be advised that we offer snacks that may contain peanuts and nuts.

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Hours of Operation

Monday 10:00 am – 6:00 pm
Tuesday 10:00 am – 6:00 pm
Wednesday Closed
Thursday 10:00 am – 6:00 pm
Friday 10:00 am – 6:00 pm
Saturday 10:00 am – 6:00 pm
Sunday Closed

Please be advised that our no-show or day-of cancellation policy is 50% of the services booked.

Seventh Wonder Holistic Spa is not a licensed medical facility. All material on this website is for guidance, and is not intended to replace your legal medical advisor and do not claim to cure any illness. You are also encouraged to discuss any Ayurvedic herbal supplements or therapies you consider with your medical doctor in advance of using them.

About Us

Seventh Wonder Holistic Spa is a relaxing sanctuary away from all the stressful environments of the outside world. We welcome you to partake in the best treatments for your body.

For facials, massages, and ayurvedic treatments, Seventh Wonder Holistic Spa is your stop for treatment of the mind, body, and soul.

Check out Seventh Wonder Holistic Spa on Yelp

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