Medical Form

This form will need to be completed by any person attending a Pink Sauna Ritual

If you need any help completing this form please email hello@thepinksauna.co.uk

First name

Last name

Phone

Address

What is the Date, Time and Venue of your Booked Ritual

Medical issues or concerns:

Mobility issues or concerns:

Cardiovascular health/conditions Y / N

Have you been advised by a doctor to avoid high heat or strenuous activities Y / N

Do you have any blood pressure issues Y / N

Respiratory conditions that are aggravated by heat, steam or essential oils Y / N

Skin conditions or sensitivities, allergies, eczema, psoriasis, open wounds or infections Y / N

Are you Pregnant or could be? (saunas and hot tubs are typically not recommended)

Injuries Y / N please advise if Yes

Medications being taken Y / N that impact your sauna session?

Infections or Conditions (flu, fungal, stomach bug etc or fever) Y / N

Neurological or musculoskeletal medical conditions that aﬀect balance, sensation or mobility Y / N

Disabilities Y / N - if comfortable please share if these may affect the sauna or use of water

Long answerNeurodivergence and Sensory Needs - sensory sensitivities to sound, volume, smell, temperature, claustrophobia? Or other? Y / N

Mental Wellness and Comfort Concerns such as any experience of PTSD, or mental health conditions that could be aﬀected by high heat or enclosed space, or anything else Y / N

Accessibility Needs - do you require any aids to walk, a wheelchair or hoist or anything else Y / N

Is there anything we can do to feel more grounded and calm and safe, such a slower paces, quieter, safe space such as scent free and quieter sessions/groups.

Rituals include moments of thermal massage where a host 'whisks' you with soften leaves, do you consent to this Y / N or do you have any preference for a touch-free, self whisk Y / N

On the day of the ritual you confirm, by attending, that are feeling well on the day of the ritual and have not been advised by a doctor to avoid saunas and that you use at your own risk Y/ N

Have you had a medical or any cosmetic procedures or operations that you are still healing from which may advise to not sauna in the last month

You agree to sauna, use cold water and ritual at your own risk?

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Medical Form

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Medical Form

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