TREATMENT FEEDBACK.

Name *

First Name

Last Name

Treatment date *

MM

DD

YYYY

How did you find the booking process?

1 | Easy-Peasy

2 | Moderate

3 | Challenging

4 | Impossible

How was the environment in which your treatment took place

Consider lighting, music, temperature, décor, cleanliness, beverages and furnishings

1 | Perfect

2 | Minor Niggles

3 | Needs work

4 | Poor

How did you feel during the consultation?

Was the need for the consultation explained? Were the questions appropriately asked? Did you feel comfortable providing accurate and detailed responses?

1 | Relaxed

2 | Comfortable

3 | Uncomfortable

4 | Judged

How would you describe your comfort during your massage

Consider the massage table, towels, blankets, pressure, coverage and reassurance provided

1 | Relaxed

2 | Content

3 | Tense

4 | Painful

Did the treatment offer your desired outcome?

Consider how to you felt during, directly after and the days following your treatment

1 | Exceeded

2 | As expected

3 | Not really

4 | Not at all

How likely are you return for another treatment or recommend a friend?

1 | Certain

2 | Likely

3 | Unlikely

4 | Remote