My name is Loren Rae and I am currently studying massage therapy at Pacific College of Health and Science in San Diego, CA.

Pacific College of Health and Science

Massage Intern

Give feedback

If you received a massage from me during my training, I welcome and appreciate your feedback during my learning and honing process. Your honesty and clarity is valuable to me during this process. Please fill out this form!

Name

First Name

Last Name

Date of Treatment

YYYY

Pre-Massage

~Did I start your appointment on time? ~Did I take a current medical history or track your progress from the last treatment? ~Did I discuss your needs and agree on your treatment priorities with you? ~Did I answer your questions?

Massage

~Did you feel comfortable and secure with the draping of your body areas not being worked on? ~How was your comfort level? ~How was the temperature, table, face cradle and/or bolster position?

Post-Massage

~Did the appointment end on time? ~Was the session wrapped up in a way that made you feel comfortable and taken care of?

List the best aspects of the treatment session:

Did the treatment meet your needs? What would you change to make the session better?

Additional Feedback

Is there anything else you would like to share about your experience with me and receiving treatment?

Stay in touch

If you would like to stay connected to potentially work together in the future, please feel free to join my email list.