Confidential

I would like to make your massage experience the best that it can be. Please feel free to leave any comments or suggestions. Leaving your name is optional.

Q. The Space, please rate each category:

• Lighting?

  Poor

  Ok

  Good

  Great

  Fabulous

• Cleanliness?

  Poor

  Ok

  Good

  Great

  Fabulous

• Scents?

  Poor

  Ok

  Good

  Great

  Fabulous

• Music?

  Poor

  Ok

  Good

  Great

  Fabulous

• Temperature?

  Poor

  Ok

  Good

  Great

  Fabulous

Q. The Massage, please rate each category:

• Flow?

  Poor

  Ok

  Good

  Great

  Fabulous

• Pressure?

  Poor

  Ok

  Good

  Great

  Fabulous

• Draping?

  Poor

  Ok

  Good

  Great

  Fabulous

Q. Were your problem areas addressed correctly?

Poor

Ok

Good

Great

Fabulous

Q. Use of Hot Towels:

• Temperature?

  Poor

  Ok

  Good

  Great

  Fabulous

• Areas used?

  Poor

  Ok

  Good

  Great

  Fabulous

• Suggestions?

Q.The Massage Therapist:

• Professionalism?

  Poor

  Ok

  Good

  Great

  Fabulous

• Knowledge?

  Poor

  Ok

  Good

  Great

  Fabulous

• Communication?

  Poor

  Ok

  Good

  Great

  Fabulous

Q. Comments and Suggestions?



Q. Name (optional):

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