Massage Therapy by Gloria, survey

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Please fill out this feedback form with 15 questions about 2-7 days after your massage. Surveys help to improve your experience.

1. How would you rate your experience making an appointment? Click all that apply and/or enter your own answer.

annoying

okay

tolerable

easy

Other:

2. How would you rate the location, parking, bathrooms, and waiting area? (5 being the best)

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3. How would you rate the temperature of the treatment room, cleanliness, and quality of the linens? (5 being the best)

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4. How would you rate the lighting and music? (5 being the best)

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5. How would you rate communication about your massage before your session started? (5 being the best)

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6. How much do you agree with the following statement? My session started reasonably on time and was not cut short, except if I was late. (5 being accurate)

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7. How much do you agree with the following statement? My therapist checked in with me at least once during the massage and I felt comfortable speaking up if I needed something adjusted, such as the pressure. (5 being accurate)

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8. How would you rate the pressure according to your preferences and needs? Click all that apply and/or enter your own answer.

Too heavy overall

Too heavy at times

Too light overall

Too light at times

Needed adjusting so I asked the massage therapist to adjust the pressure.

Okay overall

Good, I am satisfied overall

Other:

9. How much do you agree with the following statement? The massage therapist mostly refrains from conversation throughout the massage so I can spend time being quiet and focus on how it feels. I felt comfortable with the amount of talking. I was able to zone out and relax. (5 being the best)

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10. How much do you agree with the following statement? The massage was customized for me according to the conversation before the massage, my preferences were acknowledged, and my focus areas were addressed. (5 being accurate)

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11. How did you feel in the days after your massage? (Check all that apply.)

Good, not sore.

I was sore in a good way, which eventually passed.

I was sore in bad way and uncomfortable.

I felt good after any soreness passed.

I was in less discomfort or pain temporarily.

Other:

12. How would your rate the effectiveness of your massage for deep relaxation, stress relief, and short-term pain relief? (5 being the best)

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13. How much do you agree with the following statement? Life happens so policies should be fair and lenient. If I need to cancel less than 24 hours, I feel comfortable with a 15% fee and if I miss my appointment, I feel comfortable with a 30% fee. Extenuating circumstances include sudden illness or emergency. (5 being accurate)

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14. Please explain if you scored less than 5 on any questions or would like to provide other feedback.

15. Please include your name if you wish to identify yourself so that your feedback can be implemented at your next session. (optional)

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