Before Booking (Quick Consultation)

Please fill in this short form before booking.

We'll get back to you within 1–2 business days with available appointment times.

    Your name

    Email address

    First visit?
    First timeI've visited before

    Your concerns (multiple OK)
    Cold / SwellingStress / FatigueMenstrual discomfortSkinSleepOther

    Preferred location
    Mobile session (hotel/home)Salon near Ishikawacho St.

    Preferred days / times

    Experience with acupuncture
    First timeHave had it before

    Questions or concerns (optional)