Massage Schools

Post Graduate Survey

Please respond to all questions.

Contact Information

Name

Class

Mailing Address

City State Zip

Telephone Ex. 000-000-0000

Email Address

Licensure Information

Have you applied for taken passed the National Certification Exam?

If you did not pass, what was your area of weakness?

Have you applied for state licensure? Yes No

Have you received a North Carolina state license? Yes No

Have you received a license from another state? Yes No

If yes, which one(s)?

Student Information

Are you currently a student? Yes No

If yes,

School name

Area of study

Degree/certification

Expected graduation date Ex. MM/DD/YYYY

Employment Information

Are you currently working in an occupation other than massage therapy?
Yes No

If yes, explain.

Are you practicing massage therapy professionally? Yes No

If yes, complete this section:

Self-Employed Yes No

Business Name

Mailing Address

City State Zip

Telephone Ex. 000-000-0000

Employee or Independent Contractor Yes No

If yes, please provide your business(es)' information.

Business 1:

Business Name

Mailing Address

City State Zip

Telephone Ex. 000-000-0000

Business 2:

Business Name

Mailing Address

City State Zip

Telephone Ex. 000-000-0000

Business 3:

Business Name

Mailing Address

City State Zip

Telephone Ex. 000-000-0000

Which of the following describes your work setting? (Check all that apply)

Massage Office or Clinic
Your Home
Spa/Day Spa
Health/Sports Club
Medical Office/Hospital
Chiropractor's Office
Rehabilitation Center
Beauty Salon
Resort
Cruise Ship
Outcall Service
Other

What is your average # of massages/week?

If you are not currently practicing massage,

Are you uninterested or unable to professionally practice massage therapy at this time? Yes No

If yes, please explain.

Are you currently unemployed (not working in any occupation)?
Yes No

If yes, explain.

Center for Massage & Natural Health Feedback

Would you like our assistance with finding a massage therapy job?
Yes No

Name any subjects for massage therapy continuing education that you are interested in studying but do not see on our current workshop calendar:

Are you satisfied with the training you received through our Massage Therapy Certification Program? Yes No

If your work/life experience since graduation has given you any new insight into the strengths and weaknessess of our program, please share: