Massage Services - Customer Satisfaction

BACKGROUND INFORMATION

Massage therapist name:
Age:
Gender:

COMMUNICATION OF MASSAGE THERAPIST

Please respond to the statements below using the following scale:
= excellent.... = very poor and ? = no experience/opinion
  5 4 3 2 1 ?
Did the massage therapist familiarize well enough to you problem areas?
During the treatment, were you told enough about the treatment?
Was the massage therapist's communication pleasant?

TREATMENT EXPERIENCE

  5 4 3 2 1 ?
How fluent was the massage therapist's working?
How well the massage met you expectations?
Would you come again?
No, why:

Was the massage strenght suitable for you?
How would you improve our operation?

Thank you for your feedback!