Thank you for your feedback.

Massage students learn best through feedback from their clients. Please be honest and descriptive in your responses.

* 1. When was the session?

Date / Time
/
/
:

* 3. How did you feel BEFORE your massage?

  Not at all Some Moderate A lot Extreme
Tension
Stress
Pain

* 4. How did you feel AFTER your massage?

  Not at all Some Moderate A lot Extreme
Tension
Stress
Pain

* 5. Did your therapist ask about/address your goals for the session?

* 6. Do you feel that your goals were achieved with the massage?

* 7. How would you rate the environment where you received the massage?

  Definitely aided comfort level Neither aided nor distracted / neutral Caused distraction during the session
Equipment used (table, pillows, bolsters, etc.)
Draping / covering
Temperature of the room
Music / sound during the session
Lighting
Aromas / smells

* 8. How likely is it that you would recommend this therapist to a friend or colleague?

Not at all likely
Extremely likely

* 9. Do you have anything to share with the therapist who worked on you?

T