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Massage - Feedback Form

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Your Experience
Your Health
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Your Details
Age group 
Please tell us more about your massage experience

Rate each question on a scale of 1 to 5, where:
1 = Poor / No
3 = Good / Possibly
5 = Excellent / Absolutely

How did you feel BEFORE your massage today? 
How did you feel AFTER your massage today? 
How beneficial did you find your massage today? 
Do you believe other families would benefit from this service? 
How do you rate your overall experience from today? 
Did the massage help with any of the following?
Please tick any that are relevant to you
How did you find the service, are there any improvements we can make?
From time-to-time data collected is used for research and clinical statistical purposes. Do you consent to your Feedback which is de-identified being used for oncology massage research purposes?  
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