Genoveva Chavez Community Center, Santa Fe, NM

Mailing List

Massage Therapy Survey

We will be offering massage at the GCCC! Please take a moment to complete this survey so that we may try to address your needs.

Age Gender M F

Have you ever had a massage?

Yes No

Would you consider getting a massage at GCCC?

Yes No

What types of massage do you prefer, or would you like to try? (check all that apply)

Chair
Trager
Swedish

Sports
Shiatsu
Other (please specify)

How often do you, or would you, get a massage?

Weekly
Once a month

2 or 3 times a month
Several times a year

Why do you, or would you, get a massage? (check all that apply)

Pain relief
Flexibility
Relaxation

Improved immune function
Improved sports performance
Other (please specify)

Please specify the days & times that would be most convenient for you to receive a massage at GCCC (ex: “Mondays, Wednesdays or Fridays after 6pm”, “Sunday mornings”, etc.).

Feel free to add additional comments and suggestions

Massage Therapy Survey

Download paper copy of survey and return to Front Desk

If you have any questions, please contact:

Fitness Supervisor
505-955-4009