Massage Feedback Form v1
Uploaded by
Joecess LimMassage Feedback Form v1
Uploaded by
Joecess LimClient Feedback Form
Thank you for taking the time to provide feedback on your recent massage experience. I appreciate your honest
feedback as I continue to improve my practice and work to create the best client experience possible.
5 = Excellent/Agree 4 = Good 3 = Average 2 = Fair 1 = Poor/Disagree
Please Circle
Comments
Score
The appointment-making process was easy and convenient. 5 4 3 2 1
The discussion before the session was thorough, and my
therapist listened to my needs, answered my questions, and we 5 4 3 2 1
created the treatment plan together.
The atmosphere at the massage office and treatment room was
5 4 3 2 1
professional, relaxing and clean.
My massage therapist was professional, friendly and
5 4 3 2 1
knowledgeable.
I received the type of massage or bodywork that I requested. 5 4 3 2 1
My massage therapist started and ended the session on time. 5 4 3 2 1
The treatment that I received today was effective at meeting my
5 4 3 2 1
treatment goals and exceeded my expectations.
I felt comfortable throughout the entire session (e.g. correct
5 4 3 2 1
pressure, good positioning, stayed warm, etc.)
The draping was appropriate, secure and comfortable
5 4 3 2 1
throughout the entire session.
On a scale from 0-10, how likely are you to recommend this massage business/therapist to a friend or colleague?
(Not likely at all) 0 1 2 3 4 5 6 7 8 9 10 (Extremely Likely)
If we earned a score of "8" or lower, what 1 thing could we do to bring our score up to a "9" or "10"? ______________
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