Client Feedback Form
I appreciate your honest feedback as I continue to improve my practice and create the best massage experience I can for my clients. Thank you!
Please rate your experience in the following categories and provide comments. Please answer with the scale being 1 ( worst) to 5 (best)
Appointment-Making Process*
1
2
3
4
5
Appointment Reminder*
1
2
3
4
5
Cleanliness of Room*
1
2
3
4
5
The therapist exhibited a high level of professionalism before, during, and after the session.*
1
2
3
4
5
The discussion before the session was thorough and we created a plan for the session together.*
1
2
3
4
5
The level of pressure throughout the session was appropriate. The therapist checked in and adjusted the level of pressure as needed.*
1
2
3
4
5
The draping of the sheet throughout the session was secure and comfortable.*
1
2
3
4
5
The positioning of my body throughout the session was comfortable.*
1
2
3
4
5
I received the session and treatment I asked for.*
1
2
3
4
5
Add any comments on above
Would you return to my practice for additional sessions?*
Yes
No
Would you recommend my practice to others?*
Yes
No
Please provide a quote that describes your experience during our session that I may use for marketing my practice. (Optional but appreciated!)
Name (optional):