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BECOME A PROVIDER

STEP 2 of 3: QUESTIONNAIRE

Please fill out the following form.

Gender
Female
Male
Non-Binary
Other
Do you feel at ease traveling to clients' residences, offices, or hotels to deliver massage services?
No
Yes
Maybe
Other
Please check all massage modalities that you're licensed for and that you wish to receive offers for.
How did you hear about Luxe Touch?
Facebook
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YouTube
Google Search
Direct Mail
Flyer
Wellness Professional
Friend
Indeed Job Posting
Linkedin
AMTA or ABMP
Email invitation from us
Other
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