Booking Form – My Store

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Field Place MBS Wellbeing fair

Book your experience

Pick a free time, add your details, then answer a few quick health questions. It takes about a minute.

Step 1 of 2

Your details

Your name *

Please add your name.

Mobile number *

Please add a mobile number I can reach you on.

Email address

That email doesn't look quite right. Check it, or leave it blank.

Step 2 of 2

A quick health check

1Can you get on and off a treatment couch without help?

Yes I'd prefer a chair

2Are you pregnant?

No Yes Prefer not to say

3Do you have epilepsy, or a history of seizures?

No Yes

4Do you have a pacemaker or other implanted device?

No Yes

5Are you sensitive to loud sounds, or do you have tinnitus?

No Yes

6Anything else I should know?A recent operation or injury, a health condition, or anything that would help you feel comfortable. Optional.

Thank you for letting me know. I'll have a quick word with you before we start, so your experience feels right for you.

My answers are correct, and I understand this is a relaxation experience, not a medical treatment.

Staff only

Enter your PIN

This keeps people's details and health answers private.

Staff only

Today's bookings

Fair name (shown at the top of the schedule)

Close each unbooked slot 10 minutes after it starts, using this iPad's clock. Untick to test the page outside fair hours.

Choosing a selection results in a full page refresh.
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