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Post-Graduate Survey
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* Indicates required question
Email
*
Your email
FULL NAME
*
Your answer
PHONE
Your answer
CLASS #
*
Your answer
STREET ADDRESS (STREET, CITY, STATE, ZIP)
*
Your answer
HAVE YOU TAKEN THE MBLEX?
*
Yes, I passed
Yes, awaiting my results
Yes, but I did not pass
No, haven't taken it yet
IF YOU DID NOT PASS, WHAT WAS YOUR AREA OF WEAKNESS?
Your answer
HAVE YOU RECEIVED A PROFESSIONAL LICENSE TO PRACTICE MASSAGE THERAPY?
*
Yes
No
IF SO, WHAT STATE IS YOUR LICENSE FROM, AND YOUR LICENSE NUMBER?
Your answer
ARE YOU CURRENTLY WORKING AS A MASSAGE THERAPIST?
*
Yes
No
IF SO, ARE YOU WORKING AS AN EMPLOYEE, INDEPENDENT CONTRACTOR OR SELF EMPLOYED?
Employee
Independent Contractor
Self-Employed
Other:
Clear selection
WOULD YOU MIND SHARING THE NAME OF THE BUSINESS WHERE YOU WORK, COMPLETE ADDRESS, PHONE NUMBER, EMAIL ADDRESS AND WEBSITE ADDRESS?
Your answer
ON AVERAGE, HOW MANY MASSAGES DO YOU PERFORM EACH WEEK?
Your answer
WERE YOU EMPLOYED IN THE MASSAGE FIELD WITHIN 6 MONTHS OF GRADUATION?
*
Yes
No
ARE YOU UNINTERESTED OR UNABLE TO PROFESSIONALLY PRACTICE MASSAGE THERAPY AT THIS TIME?
*
Yes
No
Other:
IF YOU ANSWERED YES TO THE PREVIOUS QUESTION, PLEASE EXPLAIN:
Your answer
WOULD YOU LIKE OUR ASSISTANCE WITH FINDING A MASSAGE THERAPY JOB?
Yes
No
Maybe
Other:
Clear selection
ARE YOU SATISFIED WITH THE EDUCATION YOU RECEIVED AT OUR MASSAGE SCHOOL?
*
Completely satisfied
Somewhat satisfied
Rather dissatisfied
Completely dissatisfied
Other:
WHAT DO YOU FEEL WE COULD HAVE DONE BETTER?
*
Your answer
WHAT CONTINUING EDUCATION WORKSHOPS WOULD LIKE TO SEE ADDED TO OUR CURRENT LISTING?
*
Your answer
PLEASE CHOOSE ONE:
*
I WOULD LIKE A $30 CREDIT TOWARDS ANY CE THIS YEAR
I WOULD LIKE A $10 CREDIT AT THE CLINIC
I DON'T NEED ANYTHING, THANKS
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