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Energy Flow Feedback Form

Dear valued client,
Thank you for taking care of yourself and your health by booking a massage with us. We hope you had a good experience, and we look forward to seeing you again soon.
It is very important to us that our clients are happy with their massage experience, and we appreciate that you take a few minutes to complete this survey.
Thank you,
Our honour to serve you

Questions with an * must be answered

* Indicates required field

My massage was with: *

Jitra Sam

What did you like about your massage? *

Do you feel your needs were met? *

Do you feel your expectations were met? *

What else could I have done to make your experience even better? *

Would you recommend this therapist to a friend? *

Yes No

Is it okay to use your comments as a testimonial in our marketing materials? *

Yes Yes, please only use my first name and the first letter of my surname (ie. John D) No

We would appreciate any addition comments or suggestions so we can improve your experience at Energy Flow: *

Quality of the massage? *

Excellent Good Fair Poor

Comments *

Professionalism? *

Excellent Good Fair Poor

Comments *

Attitude of the therapist? *

Excellent Good Fair Poor

Comments *

Listening skills? *

Excellent Good Fair Poor

Comments *

General Atmosphere? *

Excellent Good Fair Poor

Comments *

Environment? *

Excellent Good Fair Poor

Comments *

Your name (optional) *

First

Last

Your email (optional) *

Submit

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Energy Flow Feedbac﻿k Form

Energy Flow Feedback Form