| How would you describe your overall experience at The Massage Store? |
Excellent
Good
Fair
Poor
|
| How would you rate the overall appearance and ambiance of the office? |
Excellent
Good
Fair
Poor
|
| How would you rate your massage experience? |
Excellent
Good
Fair
Poor |
| Did
your massage therapist discuss and understand your
goal for your massage? |
Yes
No |
| Did
your therapist successfully tailor your massage to
address your goal? |
Yes
No |
| During
your massage, did the therapist communicate with
you to be sure the pressure was ok? |
Yes
No |
| Who was your therapist? |
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| Would
you rebook with this therapist? |
Yes
No |
| Do
you plan to return to The Massage Store? |
Yes
No |
What did you like most about your visit or appointment?
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What did you like least about your visit or appointment?
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| First Name: |
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| Last Name: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| State: |
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| Zip Code: |
(5 digits) |
| Daytime Phone: |
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| Evening Phone: |
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| Email: |
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