0% found this document useful (0 votes)
3 views3 pages

final performance

The document is a Client Data Report from Dumolog National High School, detailing client information, medical history, vital signs, and therapeutic treatment classification for hand massages. It includes a rating system for evaluating the massage therapist's appearance, communication, preparation, and technique. Multiple sections are provided for different therapists and massage sessions.

Uploaded by

Kiven Ardeno
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
3 views3 pages

final performance

The document is a Client Data Report from Dumolog National High School, detailing client information, medical history, vital signs, and therapeutic treatment classification for hand massages. It includes a rating system for evaluating the massage therapist's appearance, communication, preparation, and technique. Multiple sections are provided for different therapists and massage sessions.

Uploaded by

Kiven Ardeno
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

Republic of the Philippines

Department of Education
Region VI – Western Visayas
Schools Division of Roxas City
DUMOLOG NATIONAL HIGH SCHOOL
City of Roxas

CLIENTS DATA REPORT

Name of Client: ______________________________ Age: _____________ Gender: ________


Blood Type: __________ Height: ________ Weight: ___________ Body size: (Small/ Medium/ Big)
Amount of Pressure: (light/ moderate/ hard) Time duration: Start:________ End: ___________

Medical History Problem:


_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

Primary Test- Administered Vital Signs


Blood pressure: ________ Pulse rate: _______ Body Temperature: _________ Respiratory Rate:
_______ _

Classification of Therapeutic Treatment:


Relief: ________ Strengthening: _________

Name of Therapist: __________________________ Date of Massage: ___________________

Hand Massage 5 4 3 2 1
1. Massage therapist appearance
a. The therapist wear clean garment
b. Therapist has short hair or neatly tied (female)
c. Has short nails
d. sanitizes hands
2. Communication
a. Instructions are being given from time to time
b. My queries were all answered well
3. Preparing client for hand massage
a. A short interview was carried out
b. A short orientation was done
4. Massage technique
a. I feel secure during the session.
b. use of oils and other essences were used
c. Pressure in every strokes suits to my need

Over all Rating _______________

Republic of the Philippines


Department of Education
Region VI – Western Visayas
Schools Division of Roxas City
DUMOLOG NATIONAL HIGH SCHOOL
City of Roxas

Name of Therapist: __________________________ Date of Massage: ___________________

Hand Massage 5 4 3 2 1
1. Massage therapist appearance
a. The therapist wear clean garment
b. Therapist has short hair or neatly tied (female)
c. Has short nails
d. sanitizes hands
2. Communication
a. Instructions are being given from time to time
b. My queries were all answered well
3. Preparing client for hand massage
a. A short interview was carried out
b. A short orientation was done
4. Massage technique
a. I feel secure during the session.
b. use of oils and other essences were used
c. Pressure in every strokes suits to my need

Over all Rating _______________

Name of Therapist: __________________________ Date of Massage: ___________________

Hand Massage 5 4 3 2 1
1. Massage therapist appearance
a. The therapist wear clean garment
b. Therapist has short hair or neatly tied (female)
c. Has short nails
d. sanitizes hands
2. Communication
a. Instructions are being given from time to time
b. My queries were all answered well
3. Preparing client for hand massage
a. A short interview was carried out
b. A short orientation was done
4. Massage technique
a. I feel secure during the session.
b. use of oils and other essences were used
c. Pressure in every strokes suits to my need

Over all Rating _______________

Republic of the Philippines


Department of Education
Region VI – Western Visayas
Schools Division of Roxas City
DUMOLOG NATIONAL HIGH SCHOOL
City of Roxas

Name of Therapist: __________________________ Date of Massage: ___________________

One- handed Raking


One- handed Ironing
One-handed Circular
Two-handed Circular
Two-handed Heart
Alternate hand raking
Alternate hand circular
Nerve stroke

One- handed Raking


One- handed Ironing
One-handed Circular
Two-handed Circular
Two-handed Heart
Alternate hand raking
Alternate hand circular
Nerve stroke

You might also like