Chair Massage Survey · Bodywork at Work
Bodywork at Work

Session Feedback

1 Company / Event Name *
Responses 0
* Required · No asterisk = Optional
2 Session Info
Tell us about today's session
Participant name and therapist name are optional.
3 Stress Levels *
How's your stress?
Rate from 0 (none) to 10 (extreme) — before and after your session.
😐
5
0 · None 10 · Extreme
😐
5
0 · None 10 · Extreme
💡 A quick thought
4 Mood & Morale *
My overall mood has improved from this session.
Be honest — your feedback helps us serve you better.
Strongly Agree😄
Agree🙂
Neutral😐
Disagree😕
Strongly Disagree😞
5 Workplace Wellness *
How would you feel if this wellness service was removed?
Your answer helps us demonstrate the value of this program to your company.
😢Very Disappointed
😟Somewhat Disappointed
😶Not Disappointed
🤷I Don't Use It
6 Additional Comments (optional)
Anything else you'd like to share?
Tap a quick phrase below or write your own.
✦ Positive
✦ Critiques
7 SOAP Notes (therapist only — optional)
Clinical Session Notes
For internal therapist use. These notes are not shared with the participant.
S — Subjective What the client reported (pain, tension, complaints)
O — Objective What you observed or assessed (posture, ROM, palpation)
A — Assessment Your clinical interpretation of findings
P — Plan Recommendations or follow-up notes

Fields marked * are required · All other fields are optional.

💆‍♀️
Thank you for your feedback!
Your response has been recorded. We hope you feel a little lighter — see you at the next session.

DEEP BREADTH SURVEY