Personal Training

Chair Massage

Please fill out this form for us to get a better idea of how we can serve your needs. Once we receive your form we can give you an accurate quote and check on availability for you. Thanks!

To speak to us in person about a quote: (845) 544-2472 or

Email for more information: info@jivawellness.com


Company/Organization*
Company/Organization Address*
Contact Name*
Title*
Work Phone
Cell Phone*
Email*


What type of Event are you having?
Frequency of Massage visits
Event/Service Date   
Event/Service Hours Start:    End:
If recurring services, what day
of the week is ideal?
Expected Total of Massage Participants
Number of Massage Therapists Required
We can help determine this if you are unsure.
How long should each massage be?
Please note each massage is actually 1-3 minutes less for turn around time.
Scheduling   Participants are treated on a first come, basis.
  Participants are scheduled at appointed times.
Please tell us any additional details about parking, stairs, elevators, service entry ways, if the massages will take place outside, etc.
Payment Options
Please note that all cost are ordinarily covered by the company. The company can then get reimbursed either partially or completely by their guests/employees.
How would you like to pay?
Would you like to include gratuity for your therapists?
How did you hear about us?