PLEASE RATE

  1 = Entirely inadequate / unacceptable

  5 = Excellent in every way                                                                                

1

2

3

4

5

1.The assistance you may have had in getting             

   on to the table    

1

2

3

4

5

2. The assistance you may have had in sitting up

after the massage

1

2

3

4

5

3. The assistance you may have had in getting

off the table             

1

2

3

4

5

4. The process of getting prepared to

   mount the table

1

2

3

4

5

5. The extent to which you felt properly

 covered up when getting on the table

1

2

3

4

5

6. The extent to which you felt properly

covered up during the massage

1

2

3

4

5

7.The degree to which the massage

 movements were flowing and smooth

1

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3

4

5

8. The extent to which the massage

movements were rhythmic

1

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3

4

5

9. The extent to which you felt cared for (i.e. not abandoned) at all times during the massage

1

2

3

4

5

10. The extent to which the massage was of the correct firmness/pressure at all times

1

2

3

4

5

11. The extent to which the massage felt confident and reassuring (not hesitant, clumsy)

1

2

3

4

5

  PLEASE RATE

  1 = Entirely inadequate / unacceptable

  5 = Excellent in every way                                                                                 

1

2

3

4

5

13. The extent to which the temperature was acceptable (not too warm/too cold)

1

2

3

4

5

14. The extent to which you felt the massage was complete  (i.e. not lacking in some way by omitting something)

1

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3

4

5

15. The extent to which you felt the massage was                                                                      

 'professional'

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3

4

5

16. The extent to which any requests you made were responded to

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3

4

5

18. The extent to which the control of external noise (e.g. radios, colleagues conversations, telephone) was acceptable

1

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3

4

5

19. The extent of your comfort when lying on your back on the table e.g. pillow supports in correct places

1

2

3

4

5

20. The extent of your comfort when lying on your front on the table, e.g. pillow supports in right place, position of your head

1

2

3

4

5

21. The extent of your comfort if massaged seated                                      

1

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3

4

5

22. The extent to which the masseur/ masseuse  went in the preliminary consultation for the massage, e.g. asking you why you wanted a massage, plus details about you

1

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5

23. The extent to  which  the masseur/ masseuse                                                       

 went in talking to you about the massage immediately after the massage

1

2

3

4

5

24. The opportunity to choose which oils

 (or powder) were used in the massage

1

2

3

4

5

25. The degree to which the masseur checked                                                         

 that you did not have a condition which would prevent massage (a 'contra-indication')

1

2

3

4

5

  PLEASE RATE

  1 = Entirely inadequate / unacceptable

  5 = Excellent in every way                                                                                 

1

2

3

4

5

26. The appearance/clothing of the masseur / masseuse as suitable for the giving of a massage

1

2

3

4

5

27. The hands of the masseur/masseuse as suitable for a massage (e.g. smooth or rough, manicured or sharp/long nails etc.)

1

2

3

4

5

28. The extent to which the massage has relaxed you  

1

2

3

4

5

29. The extent to which you have had relief of                         pain / discomfort

1

2

3

4

5

30. The quality of the advice you were given                                          

for the 24 hours following the massage

1

2

3

4

5