Appointment Follow-up

Appointment Follow-Up Form

* Indicates required field

Your Name *

First

Last

Email *

Overall, how satisfied were you with your appointment? *

How are you feeling after your massage? Did we succeed in achieving your goals for today? *

If you indicated a specific problematic area (such as neck or low back), did I address that area to your satisfaction? *

Was there anything that you found particularly effective or relaxing? *

Is there anything that was uncomfortable for you, or that you would prefer I do differently next time? *

Were you satisfied with the temperature, music, lighting, etc? *

Are there any other notes you would like me to make for your next visit? *

Do you have any questions or other comments for me? *

Would you like a follow-up phone call or email from your massage therapist? *

Yes Not at this time

If yes, lease leave your phone number and best times to call: *

Submit

Thank you for your feedback!

We appreciate your cooperation and patience with our new policies and procedures as we re-open.