Barkley Chiropractic and Wellness
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Massage Feedback
Massage Feedback Form
Please take a few moments & share your experience with us. It is only with your feedback that we are able to improve our services. THANK YOU for taking the time to do this!
My massage was with
Danny Sweet, LMT (Male)
Marnie Manier, LMT (Female)
Did the Therapist explain to you what they were going to do before they started their treatment (i.e. where to put clothes, jewelry, undressing, how to start treatment face up or face down)?
Yes
No
I'm not sure
Did the Therapist work on the areas you requested?
Yes
No
Was the amount of pressure to your request?
Yes
No, it was too much pressure.
No, it was not enough pressure.
Did you feel comfortable asking for more/less pressure?
Yes
No
Was the temperature of the room acceptable?
Yes
No, it was too warm.
No, it was too cool.
Did the Therapist talk too much?
Yes
No
How did this Massage fare with other professional Massages you have had?
Better
Same
Worse
Would you recommend this Therapist to a friend?
Yes
No
Would you recommend Barkley Chiropractic & Wellness to a friend for Massage?
Yes
No
Additional Comments
Would you like to be contacted about your feedback?
Yes
No
Is it okay to use your comments as a testimonial in our marketing materials?
Yes, only use my first name & the first letter of last name (i.e. Jane D.)
Yes, you may use both my first & last name (i.e. Jane Doe)
No
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Home
Services
Chiropractic
Treatment Options
Laser Therapy
Weight Loss
Massage
New Patients
Why Us?
About Us
Meet The Doctor
News
Contact Us
Doctor Satisfaction Survey
Staff Satisfaction Survey
Massage Feedback Form
Additional Resources