Post-Graduate Survey

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Email *

FULL NAME
*

PHONE

CLASS #
*

STREET ADDRESS (STREET, CITY, STATE, ZIP)
*

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?

HAVE YOU RECEIVED A PROFESSIONAL LICENSE TO PRACTICE MASSAGE THERAPY?
*

Yes

IF SO, WHAT STATE IS YOUR LICENSE FROM, AND YOUR LICENSE NUMBER?

ARE YOU CURRENTLY WORKING AS A MASSAGE THERAPIST?
*

Yes

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?

ON AVERAGE, HOW MANY MASSAGES DO YOU PERFORM EACH WEEK?

WERE YOU EMPLOYED IN THE MASSAGE FIELD WITHIN 6 MONTHS OF GRADUATION?
*

Yes

ARE YOU UNINTERESTED OR UNABLE TO PROFESSIONALLY PRACTICE MASSAGE THERAPY AT THIS TIME?
*

Yes

Other:

IF YOU ANSWERED YES TO THE PREVIOUS QUESTION, PLEASE EXPLAIN:

WOULD YOU LIKE OUR ASSISTANCE WITH FINDING A MASSAGE THERAPY JOB?

Yes

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?
*

WHAT CONTINUING EDUCATION WORKSHOPS WOULD LIKE TO SEE ADDED TO OUR CURRENT LISTING?
*

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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