Maximental Massage Review/Feedback Form
Thank you for trusting Maximental Massage with your body, time, and healing journey. Your feedback helps us grow and continue creating a safe, intentional space for every client.
Name
*
First Name
Last Name
Age
*
under 25
25-50
50+
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Service
-
Month
-
Day
Year
Date
Type of Massage Service Received:
Please Select
The MaxiMental "A Swedish
Massage Experience "
The MaxiMountain "A Deep
Tissue massage experience"
The MaxiMuscle "A Sports
Massage experience"
The MaxiMap "A Trigger Point
Therapy experience"
Length of Service
30 min
60 min
90min
Would you like your review shared publicly?
yes [first name only]
yes [anonymously]
no
Email
example@example.com
Date of Massage Service
-
Month
-
Day
Year
00-00-0000
How would you describe your overall experience at Maximental Massage?
Star Rating
*
1
2
3
4
5
Please click on a star to give your rating
Did you feel comfortable, respected, and safe during your session?
Yes
Mostly
Somewhat
No
If you answered anything other than [yes], explain why [optionsl]
Did you feel emotionally and physically safe during the session?
Yes
No
Were your goals or areas of concern addressed?
If so explain?
How did the pressure, pacing, and communication feel for you?
Excellent
Good
Fair
Need Improvement
After your session, how did your body feel?
More Relaxed
Less Tense
More Mobile
More Grounded
Other [please explain below]
How would you describe the environment and professionalism of Maximental Massage?
Very welcoming
Calm & intentional
Clean & organized
Professional & ethical
Supportive & judgment-free
Did you feel the session was conducted with clear boundaries and care?
Yes
Mostly
No
If you answered anything other than [yes] please explain [optional]
What would you say to someone considering booking a session at Maximental Massage?
Would you recommend Maximental Massage to friends/ family?
*
Please Select
Yes
No
Your Review/Feedback:
*
Please give as much detail as possible.
Can we use your feedback as a testimonial (with or without your name)?
Yes , with my name
Yes, without my name
No, Thankyou
How did you hear about MaxiMental Massage
*
Friend/Family Member
Facebook
Instagram
Google
Other
Can you think of anything we could improve upon?
Submit
Should be Empty: