Feedback Form | Massagemd

Client Feedback Form

Please take a moment to fill out the form.

First Name

Last Name

Phone

Street Address

Street Address Line 2

City

Region/State/Province

What were your favourite aspects of the massage, and why?

What were your least favourite aspects of the massage, and why?

Please suggest below how you would improve the overall experience:

How would you rate the overall experience?

How would you rate the overall service and masseuse's personality?

I hereby authorize MassageMD to use my feedback as a testimonial and reproduce my testimonial, in full or in part, as marketing and website material.

I understand my testimonial may be edited or transcribed for clarity and/or conciseness. I have voluntarily provided the information above.

I understand my testimonial may be removed from public appearance via a message to www.massagesmd.com.

Thanks for submitting!