Survey
We would love to hear about you and your interest in our Mobile Massage treatments
Are you?
Female
Male
Would rather not say
Other
What is your age range?
*
0-17
18-24
25-34
35-44
45-54
55-64
65+
How often do you have a massage?
*
Once a week
1 - 2 times a month
more than 3 times a year
Occasionally
In response to pain/fatigue
Never
Why did you book a massage treatment
To ease pain/health condition
Help with relaxation or pain during Pregnancy
Relaxation or to help with stress
Treat/pamper
Other
Would you consider booking a mobile massage treatment (from the comfort of your home)?
Yes
No
Would you like to experience any of these therapies/treatments?
Aromatherapy Massage
Pregnancy Massage
Full Body Massage
Postnatal Massage
Back, Shoulder & Arm Massage
Hot Stone Massage
Indian Head Massage
Reflexology Treatment
Other
Name
*
First Name
Last Name
Please share your email address
*
example@example.com
Postcode / EirCode
*
Street Address
Street Address Line 2
City
State / Province
* Thank you for completing this survey form, I have collected your email address to so I can let you know if you win the competition for the FREE mobile Massage Treatment. I would like to add your name onto our email list so we can let you know about our special offers, please tick here if its ok to email you our newsletter.
Yes please, I wish to be entered in the competition and i'm happy to be emailed
No thank you
Submit
Should be Empty: