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We appreciate you taking the time for quick survey, and to provide your contact information.

1) Do you experience stress in your workplace, family or other aspects of your life?

(please check one that apply)

 A: YES
B: NO
 

 
2) What are your expectations when you go to receive a massage?

(please check all that apply)

 A: Pain Relief
B: Reduce Tension
C: Postural Correction
D: Relaxation

 

 
3)Regular massage therapy may help enhance your overall sense of emotional and physical well-being and increase your quality of life.  It is always better to get treatment early to be able to correct and prevent the progression of problematic conditions.  When was your last massage?

(please check one that apply)

 A: a week ago
B: a month ago
C: 3 months ago
D: 6 months ago
E:  longer than 6 months ago
4) What are you likes about McCallum Massage?

(Type in the space provided)
 
 
5) What are you dislikes about McCallum Massage?

(Type in the space provided)

  
6)  How can we make your massage experience better?

(Type in the space provided)

  
7) How did you hear about McCallum Massage Therapy?

(Type in the space provided)
8) What other professions would you like to see part of our family?

(please check all that apply)

 A: Chiropractor
B: Acupuncturist
C: Registered Nutritional Consultant
D: Naturopath
E: Physiotherapist

 
9) What workshops would you be interested in learning about?

(please check all that apply)

 A: Life Coaching
B: Nutrition
C: Relaxation Techniques
D: Sex, Passion and Rock n' Roll

10) We appreciate any comments you have to better your experience here?

(Type in the space provided)

  
 
We would like to provide you with information relative to these questions. Our email newsletter and e-flyers for seminars and events. Please let us know how we may contact you.  (Here is a link to our privacy policy)
   
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