Testimonial Questionnaire

Because you are a valued client of mine, I would like to ask you to share your massage experience so that I can attract more people that appreciate the benefits of therapeutic massage as much as you do! Please fill out the form below. This will help me generate a testimonial for my website and illustrate the results that my best clients have seen with massage. 

 
To protect your privacy, please only include the first letter of your last name. Example: Mary S. or Bob P., etc.
May I use this testimonial on my website? *