Client Feedback Form

Please utilize the form below to provide feedback on my services. If you choose to include your name, I will credit your account $5 for use on your next session as a token of my appreciation for providing feedback. Thank for your feedback!

Client providing feedback:

Name (first/last):

 

The room temperature was:

Just Right
To Warm
To Cold

The pressure used was:

Just Right
To Light
To Heavy

What did you enjoy most about the experience?

 

What about my service needs improvement?

 

If you would like to compose a testimonial to display on my website, please utilize the following space:

 

May I publish your comments on my website?

Yes
No

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Austin, Texas
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