MASSAGENERD.

COM
Presents - Part 1 of 3

350+
Swedish Massage
Techniques
& Others

By
Ryan Hoyme
CMT, NCTMB, HST
 INDEX
1. FIVE TECHNIQUES + more (7)

2. MORE TECHNIQUES (8)

3. SUPPLIES (9)

4. HOW OFTEN FOR A MASSAGE (9)

5. POSSIBLE SIDE EFFECTS (10)

6. MASSAGE ROUTINE (10)

7. DRAPING (11)

8. CLIENT MIGHT ASK (11)

9. EDUCATE THE CLIENT (12)

10. QUESTIONS TO ASK (12)

11. CHECK LIST (13)

12. EXPLANATIONS OF MASSAGING BODY PARTS (14)

13. BEFORE THE CLIENT ARRIVES (16)

14. ARRIVAL OF THE CLIENT (17)

15. DURING THE TREATMENT (18)

16. AFTER THE TREATMENT (20)

17. EVERYTHING I LEARNED… I LEARNED FROM… (21)

18. RECEIVING A MASSAGE (25)

19. CHAIR MASSAGE (28)

20. IN HOME MASSAGE (30)

21. OUTCALL MASSAGE (31)

22. PARTY MASSAGE (31)

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 Legal Disclaimer
All models are at least 18 years of age. The techniques, ideas, and suggestions in this document are not intended as a substitute for
proper medical advice! Consult your physician or health care professional before performing or receiving a massage, particularly if you
are pregnant or nursing, or if you are elderly, or if you have any chronic or recurring conditions. Any application of the techniques,
ideas, and suggestions in this document is at the reader's sole discretion and risk.
The author and publisher of this document and their employers are not liable or responsible to any person or entity for any errors
contained in this document, or for any special, incidental, or consequential damage caused or alleged to be caused directly or indirectly
by the information contained in this document.

Copyright 2001-06 Ryan Jay Hoyme

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 FIVE TECHNIQUES + MORE
“Effleurage, Petrissage, Friction, Tapotement & Vibration”
Traditional Swedish massage uses five main techniques, and many variations, to achieve its relaxing and healing
effects. Many therapists use a variety of techniques.

*Effleurage or Gliding *Friction or Rubbing

(Try not to use the term rubbing)
or Stroking Deep form of effleurage.
(Pronounced ef-flur-ahzh) Assists in realigning scar tissue, Relaxes muscles by
It means light friction. stimulating Golgi tendon reflex. The motion is circular,
Main technique for spreading oil. applying direct pressure, a fast back and forth
When done on the limbs, all strokes are toward the movement or slow or deep gliding over muscles.
heart to aid blood and lymphatic flow. Compression movement performed with the thumb,
Gliding movement in which the hands glide with long fingertips, or the palm of the hand and in circular
even strokes over the body surfaces. Glides are in the motion. Helpful in limbering joints, tendons, and
direction of the heart which helps push along the flow muscles.
of blood and lymph.
It affects the skin and superficial muscles.
*Tapotement or Percussion
(Pronounced tah-pote-mont)
*Petrissage or Kneading A skilled therapist can tap from thirteen to fourteen
times a second.
or Milking Stimulation of tired muscles, Relaxation of hypertonic
(Pronounced pa-tris-sahzh) muscles and Loosens mucus in thoracic cavity.
Just think of the motions used to knead bread dough. Make a loose fist, keep your wrists relaxed, and use
It generally involves kneading and compression motions quick movements, alternating hands. Only use with a
- rolling, squeezing, or pressing the muscles to enhance relaxed wrist.
deeper circulation.
Petrissage attempts to increase circulation with
clearing out toxins from muscle and nerve tissue. *Vibration or Shaking
A compression movement using kneading, pressing,
twisting, and squeezing muscle tissue creating a or Jostling
pumping action that forces the venous blood and lymph (Also put in the friction category)
onward and brings a fresh supply of blood to the Helps find holding patterns.
muscle. It boosts circulation and increases the power of the
muscles to contact.
Moving your hand back and forth on the client’s body
without leaving contact.
A continuous trembling, pressing movement made with
the hands or fingers.

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 MORE TECHNIQUES
*Nerve or Feathering *Compression or Deep Touch or Pinpoint
(Also put in the Effleurage category) Pressure or Ischemic Compression or Trigger
Light form of effleurage. Point Therapy or Direct Pressure Friction
Stimulates the nerves and increases the lymph system.
(Also put in the friction category)
It usually entails the weight of a nickel on your thumb.
Increase the blockage of blood to an area so that,
upon release, there will be a flow of blood.
*Energy work or Superficial Touch Involves staying at a place of discomfort and
Works with the chakras and your energy fields. maintaining pressure until pain is diminished.
It promotes relaxation and relaxes nervous system.
You are lightly touching the body, placing your hands *Connecting Technique
on the body or not touching the body.
(Also put in the Effleurage category)
Long flowing techniques.
*Range of Motion or Stretching or Swedish Example is starting at the client’s feet and gliding to
Gymnastics or Joint Movements their hands without breaking contact.
Elongates the muscles, tendons, and ligaments. It is harder to perform deeper pressure for this
Gently moving a joint into a stretch. technique.

*Traction *Shock Technique

(Also put in the R.O.M. category) (Also put in the friction category)
Helps lengthen limbs and reduces contracted muscles. Coming off the body with a quick motion. Either
Gently pulling or twisting a limb or joint. grabbing the muscle and coming off the body fast or
coming off the body at an angle.
*Cross Fiber Friction or Deep Transverse Very stimulating.
Friction or Cross Grain Friction
(Also put in the friction category) *Broadening Techniques
Works great for adhesions. Works with the fascia when done slow and with little
Back and forth movement over the muscle grain. force.
Stretching the skin, muscles, and fascia in opposite
*Active Palpating Stretch directions.
(Also put in the friction & R.O.M. category)
Helps lengthen the muscle. *Longitude Friction or Stripping Techniques
Finding a tender point, holding it, and performing a (Also put in the friction category)
stretch in that vicinity, while still holding the tender Release and elongate tightened muscle and fascia,
point. flush the muscles with fresh blood, and erase trigger
points.
Involve the application of slow, deep, gliding pressure
along the length of the muscle fibers.

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 SUPPLIES
1. Your hands and body. 27 inches. Here is a summary 17. Appointment book
2. Massage table; Table height-22 from the experts on how to use 18. Business cards
to 34 inches high. Table width-28 bolsters: Look at each body, 19. Wall hangings
to 32 inches wide, there are arm determine its natural alignment, 20. Neutral colors in your office
bolsters to make it wider they determine what type of session 21. Personal items
say if you are less than 5’4” tall you will be doing and then bolster 22. Have room at least 9x9 for your
the width should be less than accordingly to get at the body massage room
30”, 5’4” to 5’10” 28-31” and over part. 23. Pillows
5’10” at least 30” to 33”. Table 4. Clock (one that does not make 24. Candles
length-72 to 73 inches long, sounds) 25. Lamp (dimming)
there are foot extensions to 5. Mirror (make sure it is positioned 26. Cleaning supplies
make it longer. Table weight-21 that you cannot see the client in 27. A door for privacy
pounds and up. Frames-wood or the mirror when you are 28. Music (Without words)
aluminum. Thickness-1 to 3 inches massaging) 29. CD player (With a repeat button)
thick, thin for deep tissue and 6. Water dispenser 30. Small fan (But not directed at
thick for a relaxing massage. 7. Cups the client)
3. Bolsters are tubular, square, 8. Decorations 31. Blankets
rectangular & wave shape…also 9. Wastebasket 32. Temperature-between 68-75
with tubular bolsters there is full 10. Supply cabinet degrees
round, ¾ round and half 11. Chair 33. Linen (Twin set sheets)
round…can help support the 12. Massage chair 34. Massage oils
neck… use a Pillow case for 13. Place to hang the clients clothes 35. Massage lotions
bolsters under the head…flat 14. Phone 36. Baby powder
bottom bolsters stay in place 15. Pens 37. And anything else you could think
better…usually 6 or 8 inches by 16. Calculator of…

HOW OFTEN FOR A MASSAGE

Everyone’s needs are different, but here are a few guidelines that might help you decide.
• No one ever has more • Weddings • After the Death of a Loved
massages than they can use. • Divorces One
• You do not have to worry • Job Hunting • New Mothers and New
about what size or if they • Retirement Fathers
already have one • Bar Exams • Birthdays
• Holidays • College Exams • Anniversaries
• Before and after stresses of • Mitzvahs • All Occasions
the Holidays. • Pregnancies

Daily- When pain is acute and constant, gentle massage provides immediate relief. For Stress Relief-For
Extreme stress and/or high performance demands. For Sports & Exercise-When training for competitions.
Weekly- Light to moderate muscular pain. For Stress Relief-For people in high stress occupations or stressful
living conditions. For Sports & Exercise-For committed exercisers to soothe and restore muscles. Helps when
on a weight loss program.
Bi-Monthly or Monthly- Healthy relaxed bodies are less injury prone. For Stress Relief. Increases body
awareness and body -mind linkage. Helps prevent anxiety and tension. For Sports and Exercise For low impact
exercisers, people in active but less stressful work.

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 MASSAGE ROUTINE
Before the Session
Fill out any necessary forms and questionnaires. Inform the therapist of any medical or health conditions
that he/she should know about. Explain all the areas you will massage and make sure they are o.k. with those areas.
After gathering the information the Certified Massage Therapist (CMT) and you decide what type of massage this
session will cover and he/she will ask you undress to a comfortable level (women typically bra-less and in shorts or
under shorts or nothing and men typically in under shorts or nothing) while the CMT leaves room.

During the Session

When the client is ready, CMT enters room to begin massage. Depending on the type of massage, various
draping methods will be employed. For example, Swedish massage will require areas of the body to be exposed,
whereas, Shiatsu can generally be done while the client is fully dressed in sweatpants or shorts. Remember that
Communication is important. If the CMT is working on areas that you find uncomfortable, it is your right to inform
the CMT to stop working on that area or to stop the session all together if you wish. Similarly, if you find that the
CMT is doing something right or is working on an area that you find pleasurable let him/her know and ask to
continue working that area if you wish. Trust your instincts and you will get the most out of the massage session.

After the Session

The CMT will complete the session by grounding him/herself. Ending the session abruptly can sometimes take
away from the massage; so grounding is a great way to slowly bring yourself back from the relaxed state you are in.
He/She will explain that the session is over and that you can take a couple of minutes to get oriented and then
dressed. It is important to assess the session, either with or without the CMT, so that you know how to make your
next session more pleasurable. This can also be a great way to give your massage therapist important feedback.
Have the client drink a lot of water after the massage.
 DRAPING
• Draping is one of the most overlooked necessities. • A roman drape (or sports drape) is when you tuck the
• If you are not comfortable draping, you will not get sheet under the leg or arm.
that client back in for another massage. • You can have a blanket on top of the sheet for extra
• The trick to draping is not to expose any private areas warmth.
and for them not to feel air. • Some salons or spas use towels to drape the client.
• If you tuck when you drape, be careful where you • Some people use a flat sheet instead of a fitted sheet
tuck. on the table.

CLIENT MIGHT ASK

1. What kind of training have you had and what 11. How can I make an appointment?
certifications do you hold? 12. Do you make house calls?
2. How long have you been practicing massage? 13. Do your hands ever get tired?
3. What school did you go to? 14. Can I bring my own oil?
4. What types of massage do you give? 15. Is it o.k. if my kid comes along?
5. How long will the treatment last? 16. It hurts when I do this, what can I do?
6. Do you have ½ hour, 45 minute, 1 hour, or longer 17. Do you ever get massages and how often?
treatments? 18. Do you use a drape while massaging?
7. What are your prices? 19. What kind of oils, creams, products, etc. Do you use?
8. How hard is it to get an appointment? (Same day, 20. Do you offer the products for sale?
days, weeks) 21. What kind of payment do you accept? Cash, check,
9. Do you have any specials, packages, or discounts? credit card?
10. Do you give discounts for referring people? 22. Do you accept tips?

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 EDUCATE THE CLIENT
1. Be as receptive and open to the process as possible. 17. On the other hand, talking can be a way of "being in the
2. Do not eat just before a massage session. head" and out of touch with one’s body or feelings; and being
3. Be on time. Please let your massage therapist know in silent can be a way of holding back or not opening up.
advance if you need to cancel. 18. Breathing helps to facilitate relaxation.
4. Many massage therapists require a 24-hour notice. 19. People often stop or limit their breath when they feel
5. If you do not want to remove all your clothing, wear clothing anxious or a sensitive area is massaged.
that you will be comfortable wearing during the massage and 20.Tightening up, i.e., contracting or hardening your muscles
will allow the massage therapist to touch and move the areas during the massage is counterproductive.
of your body you expect will need to be worked on. 21. They may need to adjust the massage technique being used.
6. Give the massage therapist accurate health information. They may also be able to help you relax the affected area.
7. Good communication is very important. 22.If you find your thoughts are racing during the massage, one
8. Before the session, let your massage therapist know what way to be more body-centered and to quiet the mind is to
your needs are. follow the hands of the massage therapist and focus on how
9. During the massage session, report any discomfort, whether the touch feels.
it is from the massage or due to any problems or 23.If anything is happening during the massage that you dislike
distractions related to the environment, e.g., room or seems improper, you have the right to ask the massage
temperature, music volume, lighting, etc. therapist to stop. If necessary, you also have the right to
10. Feel free to give feedback to the massage therapist end the session.
regarding the massage, e.g., amount of pressure, speed of 24.If you are dizzy or light headed after the massage, do not
movement, etc. get off the table too fast.
11. Do not be afraid to discuss any apprehensions or concerns. 25.Drink extra water after a massage.
12. Let you massage therapist know if you have any preferences 26.Allow for some open, quiet time after your massage session
regarding music if it is available. if possible. Sometimes one needs a little time to integrate or
13. Some people like to talk during a massage session, while absorb the results of the massage session or needs some
others remain silent. "re-entry" time.
14. If your massage therapist encourages you to talk or not talk, 27.The therapeutic effects of massage are cumulative, so the
it is usually based on whether or not it seems to help let go more often a person gets a massage, the better he or she
of tension and getting in touch with oneself. will feel, and the more quickly one’s body will respond.
15. Sometimes talking can be a way of unburdening oneself or 28.If you are getting massage to address chronic muscular
opening up. tension or recovery from a soft tissue injury, more than one
16. Sometimes being silent can be a way of letting go of session is usually needed, so be prepared to schedule several
thoughts or concentrating. sessions.

QUESTIONS TO ASK
1. Introduce yourself and call the client by his or her last name 10.Ask the client if they bruise easy?
unless specified. 11. What did you like and dislike with your last massage
2. What the client wants out of the massage (relaxation, pain therapist?
reduction)? 12.Current physical conditions?
3. What type of massage do you want (explain each style)? 13.Current Stress level?
4. What are the reasons you are getting a massage? 14.Their life style.
5. How long of a massage do you want? 15.Show them how you drape.
6. What areas do you want worked (explain if they want a full- 16.Did you eat just before a massage session?
body massage)? 17.Ask the client to undress what ever they feel comfortable
7. What areas would you prefer not to be massaged? with.
8. About how long of time do you want me to spend for each 18.Please let me know if the pressure is ever too light or too
area you want massaged? deep.
9. What happened since your last massage (If they ever had 19.Do you want to relax for a few minutes after the massage?
one)?

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 CHECK LIST
CHECK LIST BEFORE YOU SEE THE CLIENT

Make sure your hands and muscles are warmed-up.
Make sure your table is made.

Make sure you have all the supplies you need in the
Check the answering machine for any cancellations.
massage room.
Empty all the garbage.

Make sure you don’t have bad breath and body odor.

CHECK LIST WHEN YOU SEE THE CLIENT

Introduce yourself and call the client by their full name
Cut your nails and remove your rings and watch before you

Read the health form before you start the treatment start the massage

Ask the client questions if they marked anything on the
Be aware of how you smell
health form
Ask them if there are any areas to concentrate on more.

Ask them what they liked about their last massage
Ask them what type of massage they would like.

Explain all the areas that you will be massaging
Ask them if there is any place that they would not liked

Ask every client if they want their glutes and stomach massaged (Explain all the areas you will be massaging).
massaged
Ask them to remove any jewelry.

Explain to the client how far to undress to
Ask questions, ask questions, and ask more questions.

Make sure you tell the client to remove his/her jewelry
Ask them if they have ever received a professional

Ask the client if he/she needs to use the restroom before massage before and what they liked and disliked during
the massage that experience.

Tell the client were to place his/her clothing
Introduce yourself and address them by their full name.

Before you start the massage, tell them to get under the
Have them fill out a health form.
sheets
Go over the health form with them and ask questions.

Be on time and wait in the reception area at least 5 minutes
If they have had a massage from you before; ask them if
before the start of their massage there are any changes since their last treatment.

Ask the client if they want a bolster (if they have low back
Tell the client to get under the sheets on the massage
pain, explain the benefits) table.

CHECK LIST WHEN YOU ARE GIVING THE MASSAGE

Ask them how the pressure is.
Communicate with your client (ask them how’s the

Ask them if they are warm enough. pressure…)

Be aware of their breathing patterns and pain signs they
Be aware of their breathing patterns and flinching
give off. responses

Keep contact while giving the massage
Massaging half the leg is not a massage

Start and end the massage session gracefully
When they are supine, don’t have them lay their head on

Give them a full hour if they are on time the headrest

CHECK LIST WHEN YOU ARE DONE GIVING THE MASSAGE

Tell the client to get up slowly.
Explain the side effects of massage

Explain to the client about possible side effects.
Tell the client to get up slow after the massage

Ask them if they would like to reschedule another
Tell the client to fill out an evaluation form after the
appointment. massage

Give the client some water (Massage dehydrates the
Recommend the client to do things after the session
muscles). (Homework)

If you have business cards, give them one
Perform S.O.A.P. charting on each client

CHECK LIST WHEN THE CLIENT HAS LEFT

Clean your table and make sure you place clean sheets on
Finish charting on the client.
the table.
Place their file back in the file cabinet.

Check the answering machine.

OTHER INFORMATION

Everything to be clean before you leave (even if you didn’t
Do not start a conversation, unless they start one first
do it)
Use your inside voice while giving a massage

No talking about Religion, Sex, Politics and anything that I
Confidentiality, Confidentiality & Confidentiality
would consider inappropriate

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 EXPLANATIONS OF MASSAGING BODY PARTS

Face & Scalp & Neck

 Use no oil (Except the neck and shoulder region, but be careful to not get it in their hair)!
 Jojoba is a saver oil that can be used on the face (For most people and with permission)
 One on the best places to start the massage.
 Have you ever heard the term: “Pain in the Neck”?
 No deep pressure on the anterior neck region (The SCM is to be pinched).
 Look at the scalp and hair as an extension of the body (They need massage as much as everything else).
 Always ask permission before you massage someone’s face or scalp.
 Most of the nervous system runs through the scalp region.

Legs & Feet

 If the client’s feet stink, use aromatherapy.
 Watch out for athlete’s feet.
 Make sure you wipe the oil off the feet, when you are done.
 More pressure towards the heart (Centripetal) and less pressure away from the heart (Centrifugal).
 If there is coarse hair on women’s legs, you might have to go with the grain.
 Make sure you use extra oil on guy’s hair legs.
 You can use compression techniques away from the heart (It doesn’t help circulate blood as good as effleurage.
 There are over 7,000 nerve endings in each foot.
 If you ever feel a pulse or lumps, don’t massage those areas.
 Most women are stronger from the waist down (Compared to males).
 If they are ticklish on their feet, try deeper pressure and more palm techniques.

Arms & Hands

 Make sure you wipe the oil off the hands, when you are done.
 More pressure towards the heart (Centripetal) and less pressure away from the heart (Centrifugal).
 Make sure you use extra oil on guy’s hair arms.
 Be cautious of the median nerve.
 You can use compression techniques away from the heart (It doesn’t help circulate blood as good as effleurage.
 If you ever feel a pulse or lumps, don’t massage those areas.
 Deeper pressure on the upper chest and arms are more then likely to produce tingling down the arm.

Stomach & Chest

 Be aware of the contraindications on the stomach.
 Perform mostly clockwise techniques on the stomach.
 Most of the back techniques can be used on the male’s chest.
 If a male has chest hair, use more oil and perform most of the techniques with the grain of the hair.
 The “No Nipple Rule” applies to males (Can be sensitive).
 If you ever feel a pulse or lumps, don’t massage those areas.
 Most men are stronger from the waist up (Compared to females).

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 Back
 Sometimes you could spend the whole hour on their back.
 Kidneys and spine are contraindications; also no deep pressure on boney areas.
 The back is centrally located, so you don’t have to follow the rules of: Going from Centripetal (Towards the
heart).

Glutes
 Don’t aggravate the sciatic nerve.
 The gluteus maximus is at least 1 inch thick on most people.
 Don’t expose the gluteal cleft.
 Have you ever heard the term “Pain in the Butt”?
 The gluteus minimus can mimic sciatic problems.

Connecting Techniques
 Long, slow, gliding techniques are mostly used.
 Esalen/Lomi Lomi styles incorporate these techniques.
 More oil is used for smoother gliding.
 The typical Swedish massage only works on one area at a time.

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 TREATMENT FACTS
BEFORE THE CLIENT ARRIVES
Before
Before the arrival of the client is one of the most underrated parts of being a Massage Therapist. There are many things you
need to prepare before the client steps into your place of business. Just think of the worst case scenario and multiply it by two and
that makes you be more aware of not becoming a procrastinator.

Cancellations
Use a pencil when taking appointments, because some will cancel and then you can erase and have the spot open for another
client. First thing you need to do is arrive at least 30-60 minutes before your time that your business is open or your first
scheduled appointment. The reason for arriving early is so you can check for any cancellations; if there are any cancellations, you can
free up your schedule and return phone calls of clients that might want to receive a massage today. Clients will leave a cancellation
on the answering machine usually if they know they are canceling within a 24-hour period so they do not have to talk to you. Just
make sure you leave them a message if they would like to make another appointment, because they might feel guilty that they
canceled and never return to receive a massage from you again. Most places of business require at least a 24-hour notice, but some
clients seem to forget that statement, emergencies, and problems do come up. It is up to you how to handle cancellations within a
24-hour period; some therapists only hold appointments with a credit card. Other therapists just let it slide, but the problem with
that is some clients can take advantage of you leniency; the other thing you need to consider is that you are loosing money with them
canceling. Some therapists give a warning and explain the consequences if they cancel again. If you have to cancel an appointment
after 24-hour notice, give them a discount the next time they come in or give it to them free (If you do not follow the 24-hour
cancellation policy, why should they). Give the client a call at home if he or she is 15 minutes late or more.

Open hours
Answering the phone in a professional manner is the first impression over the phone. Make sure do not tell the client over
the phone all the hours you have available, the reason is that if you have a lot of openings it may seem to them that you are not that
good if you cannot be booked most of the time.
There are three different ways to explain your availability to the client:
*First is to ask them when they want to come in for a visit.
*Second is to only tell them a few openings.
*Third is to have them leave their name and number and I will get back to you (the client) as soon as an appointment opens
up.
If you have a receptionist, they have to be kept up to date as to your schedule and educate them on the following; schedule
back to back massages, do not give you a break during the time you are there and not asking the client to arrive 10-15 minutes early
to fill out a health form. Blocking out time in your appointment book is a very good idea and it forces you to take a break.

Returning phone calls

Make sure you have a caller I.D. and an answering machine at your place of business; sometimes it is hard to understand the
phone number, they give you. When returning phone calls make sure you get their full name and a number, they will be available (In
case you need to use one of the three C’s: Change/Cancel or Confirm their appointment). It is always a good idea to give a reminder
call for a first time caller, but make sure you tell them that you will be calling to confirm their appointment. For the first time caller
it will cut down on No-Shows and it will help weed out the problem clients. Always repeat the time at least twice to the first time
client and ask them if they know how to get to your place of business. Also, explain the new client to arrive at least 15 minutes early
to fill out a health form. One very important question to ask is what the reason for getting a massage is; many questions can come
from this (Ex. I was in a car accident a today, I need to relax, or I have a gift certificate). It will help you better prepare for the
client and help you think of more questions to ask, it will also help you determine if the client should receive a massage or not. Start
an information card on the client so you can have some information on them when they come in for their appointment, what are they
contacting you about, what is their physical complaint, who referred them? Always make sure you schedule 15-30 minutes in between
massage sessions, the reason for that is so you have time for cleanup, checking messages, charting, getting ready for the next
massage appointment and to see the current client out the door.

Room appearance

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 People say: “First impressions make a lasting image.” Your area needs to be spotless and clean from clutter and make sure
you vacuum before your first appointment or after your last appointment, it does not necessarily need to be done every day, but
more is better. Clean all garbage cans, some clients want a garbage can near them while they are receiving a massage so they can
throw Kleenex away when they are congested up or have a runny nose. Do not have the appointment book visible to the public and
make sure all client files are properly placed in your business area (Confidentiality). When you arrive early, you can check to make
sure you have enough supplies (Oil, clean sheets, change for the massages…). The temperature of the massage room should be 70-75
degrees and have extra blankets available for the client incase. The way to have you feel comfortable is to have a fan on the floor
directing straight so it does not hit the client.

Self-appearance
Some therapists do not believe in a dress code and they want to be more close to nature with not wearing shoes or socks. It
all depends what your clientele is and if you are working for someone to abide by his or her rules. The clothing you wear while giving
a massage should be comfortable but respectable. Your clothes could make noise; so give a massage to a friend or relative to test
them out (Wind breaker pants, certain shoes, corduroys…). Wearing perfume is not acceptable, because it could aggravate some
people’s scent of smells and could trigger a migraine. Your nails should be cut short and nicely trimmed so that you do not cut or
scratch a client. If you have long hair it might be a better idea to put your hair in a pony tail, so you are less likely to touch the
client with your hair and less likely to keep moving your hair from your eyes. Take anything out of your pockets that could make
noise (Change, keys, cell phone…). Massage therapists do sweat while giving massages, but the ones that sweat a little more should
use a headband to make sure sweat does not touch the client (Sweat has a different temperature and the client will feel the
difference).

ARRIVAL OF THE CLIENT

Introduction
Always introduce yourself and use their full name unless they specify otherwise. A handshake and eye contact explains a lot
about a person. Make sure you have any new client fill out a health form, some places do not require a client to fill out one or even
chart on them. It is many therapists opinion to have the client fill out a health form and to chart on them (Charting is very
important, if anything it gives you that extra memory chip you need when you have not seen the client in a few weeks and hate asking
all the same questions over again). Always ask questions out of the view and sound of other people (Confidentiality). Sometimes you
might have to ask questions in the massage room to make it more private. Clients are more willing to explain in detail about there
problems.

Going over the health form

It is always important to ask questions about what they filled out on the health form. There will be many times that you will
find health problems about the person when they are on the table. The client sometimes does not understand the contraindications
with massage. There will be times that clients do not check any of the health problems, many of the times they think because it
happened so long ago it does not matter, but it does. Medications are the tricky part of the health form; you will see medication
names that you never heard of. Always ask what they use their medications are used for and ask questions. Make sure you have
“Referred by” on your health form, it will help you keep track with your advertising budget.

Explanations
For the first time client ask them the reason they are coming today and what type of treatment they would like (Make sure
you can explain the different types of treatments you perform in more layman’s terms). Always with a first time client explain what
to take off and what areas you massage, it is so important that the client knows what to expect (I usually show on my body what
areas I work and what areas will be covered). After you are finished explaining what areas you massage ask them if any of those
areas they would not like massaged (Most common areas not to be massaged are: stomach, glutes and adductors). Another point I
would like to make is: if a client wants mostly a certain side or part of the body massaged, make sure you make a mental note of that
or write it down. There has a time or two when the client states “do not massage my left arm” and then you are all turned around
when they are in the prone position and then you end up massaging it anyways. It is always important to massage the majority of the
body, so give them options. More and more therapists are not massaging the stomach, glutes, and adductors (Sometimes the
therapist might think the client does not want those areas massaged or the therapist does not want those areas massaged on him or
her and they relay it to the client). At least offer those areas, the client can sense if you feel uncomfortable with massaging those
areas.

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Pain questions
Do you want to make your job easier, well most of you will explain yes. The questions you ask the client can save time and
frustration. If you ask the client where they think the headache is coming from and they say their left side of their neck, well you
can start in that area to save time. Body posture evaluation is also a very valuable tool that very minimally used in the massage
community. You can find out so much about a person on the way they stand, walk, and lift. If one side is higher than the other side,
more than likely the contracted side needs more work.

In the massage room

Make sure you show the client were they can place their jewelry and clothes. A couple mistakes therapist’s make is to not
explain to the client what direction to lie and they do not instruct the client to get under the sheets or towels. If you do not explain
the client, can lay on top of the sheets naked or be facing the other direction. If you start the client supine, make sure their head
is not lying on the headrest, it is more difficult to access the neck, and the life expectancy of the headrest is cut short.

Pay before?
If you have a problem remembering if the client paid you after the massage, it would be a good idea to have them pay
before you start the massage and some clients prefer it because they are so relaxed, but some include the tip into the payment.
Some therapists include sales tax into the massage and others have it extra (It is still work both ways but make sure you only pick
one way).

Charting
A great time to start your charting is when the client is getting undressed; it usually takes a few minutes to get undressed.
If you follow the SOAP Charting format, you can complete the “S” (Subjective). Some therapists will chart right in front of the
client and some just take notes to transfer later onto their file.

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 DURING THE TREATMENT
Positions
During the massage is your time to shine. Everybody performs massage a little different and that is what makes us special.
You can have the client start in a supine or prone position, but some therapists tell the client what position to be. The benefits for
starting in the supine position is you can start with the face and not have to wash your hands after you are done massaging the feet
and another benefit is the client is more likely to talk when supine and then they can relax more when they turn to the prone
position. The benefit with starting the client in the prone position is that most clients want their back massaged the most,
sometimes clients will just tell you to massage their back for the whole hour.

Draping
Draping is very important, if you do not feel confident with it, the client can pick that up. Some therapists want to tuck the
sheet all the time and others just let it lay. If you are going to perform any stretching with your massage, tucking is the only way to
drape. The trick of draping is to perform it in a reasonable period and do not expose any private areas or have the client feel air.

Bolster
The bolster is used to take tension of the hamstrings and low back region. When the client is in the supine position, the
bolster should be placed under the knees. If the client is in the prone position, the bolster should be placed under the ankles.
Always take the bolster out when turning the client, so the client does not get tangled up with it.

Routine
The routine is probably the more difficult thing to master. There are so many options and you want to make sure all areas
of the body have equal time being massaged. Some therapists will break it down to minutes for each part of the body, others will
just massage, and it may equal an hour. The one main good reason for a routine is so that you do not forget a part of the body (When
the client talks a lot, it is easier to get distracted). Some therapists even have a timer in the room to let the client know they are
receiving the full hour. It would be a good idea to have a digital clock in the room but make sure it is out of the view of the client
because some watch the clock. The client can get bored with the same techniques repeatedly, make sure you try to have a variety of
the main five techniques and invent your own.

Table height
Measure the table height with your shoulders relaxed and standing on the side of the table. The measurements you can use
with you hand are: Palm (higher height), Knuckles (medium height), and Fingers (lower height). Other therapists just look at how
many holes on the legs are open and measure it that way.
*If you have a larger client, lower the table.
*If you are going to perform a deep-tissue massage, lower the table.
*If you are going to give a relaxing massage, raise the table.
*If you have a smaller client, raise the table.

First touch
Starting the massage is important because it is the first steps in letting the client trust you. A good way to start the
massage is to either lay your hands on the client to get use to your touch or to massage the client’s body with the sheet on. It would
be too shocking to the client if you started massaging right away, it does not let the client get use to your touch. When adding more
oil to the clients body, always make sure you keep one hand on the client at all times (Some therapists do not agree with this
statement, because they think the client and/or the therapist needs a rest). Others prefer to keep the rhythm of the massage with
one hand, warm up the oil in the other hand, and gradually add the hand with the oil to the client’s body.

Starting the massage

One of the main rules with massage is to start out with light pressure, then gradually move deeper and then back to lighter
pressure. The reason for starting out with lighter pressure is to warm the muscles before you start massaging them. It would send
the client into a form of shock and it will be more difficult to use more pressure because the client is protecting their body from
trauma. Effleurage is the main technique for applying oil or lotion onto the body; the gliding motions allow you to evenly disperse the
oil throughout the body with rhythm. When massaging it is important to perform each technique, at least three times before moving
on to another technique. The logic behind this theory is: the client starts to feel the technique, the second time they feel it more
and the third time they really feel it.

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Changing to a different body part
When finishing with the right arm, therapists tend to use a lighter effleurage or nerve techniques to let the client know
that I am (the therapist) done with the right arm and I will be moving to the left arm. When moving to the left arm, make sure you
keep contact by keeping a hand on the client when moving to the other side or slightly nudging the table to let the client know you
are still there. When starting the massage on the left arm, make sure you start slow with your massage techniques (You do not want
to startle a client that is in and out of sleep).

Body mechanics
You have probably heard the term “bend with your knees,” well the same holds true for giving a massage. Most of your
pressure should come from your legs and not your shoulders and back. Try not to hyper-extend any part of your body. If you are
performing any technique that involves pressure, try not to have a fast movement to it.

AFTER THE TREATMENT

Finished
A great way for the client to relax for a few more minutes is to lay a hot pack or some form of hydrotherapy on their back.
Some therapists explain to the client when the massage is completed that they may rest for a few minutes. Also, explain to the
client to sit up on the table for a minute or two and then slowly stand up.

Side effects
One of the best feelings of a massage therapist is when the client gets up and walks out of the massage room; they seem so
relaxed and calm. Meeting them right as they come out of the room gives you the chance to give them a glass of water and explain
the benefits of water (Water helps to flush the toxins out of the body and hydrates the muscles). It is also a good time to explain
the possible side effects that could happen (Headaches, soreness, dehydration and many others).

Continue with treatments

One of the main things massage therapists do not do is to recommend the client back on a regular basis, give them a
treatment plan (1x wk / 4 wks = evaluation) and if anything try to get them to come back for a Maintenance massage (Every 4-6
weeks). The reason for the treatment plan is so you can be more aware of their problems and to see what works and what does not
work; never use “High pressure selling techniques.” The reason behind maintenance treatments is for the client to be more aware of
their body and to address problems before they become chronic. Ask the client what they liked in the treatment and what they
would like changed for their next massage.

Recommendations
Therapists need to recommend things for the client to help himself or herself at home. We cannot recommend nutritional
supplements or exercises. We can recommend hot or cold packs, mild stretches, and posture changes.

Charting
Charting can be finished while they are getting dressed or after they leave, but try to be outside the massage room when
they leave the massage room. Try not to wait until the end of the day to chart on you massages you gave (Memory is very limited).

Money
Make sure you collect the money, it sounds like a simple thing, but people forget. Some clients include the tip in the price of
the massage, others will give you the tip, also they could leave it in the massage room (Always have the light on when cleaning your
table) and others will never tip. Tips are great, but do not rely on them.

Cleaning
Now is your chance to clean the table, change the sheets and to run to the restroom. It works out very well when a new
client is filling out a health form and then you can clean and tidy up. The sooner you wash your sheets, the better (Have your ever
looked inside the cover of a washing machine, it says “No cooking oils”). Also, make sure there is no files lying around, sometimes you
will go over their health history in the massage room and accidentally leave the health form in the massage room.

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 32. Check and see if you have enough supplies before you start
EVERYTHING I LEARNED… the day.
33. Cut, clean and trim your nails daily.
I LEARNED FROM… 34. Wash your hands before and after each client.
35. Smell your oil from time to time they can go bad.
BEFORE THE CLIENT ARRIVES 36. Have your place of business clean and clear from clutter.
1. Most massages are scheduled over the phone. 37. If you have to cancel an appointment after 24-hour notice,
2. Ask for a phone number when a first time client calls and give them a discount the next time they come in or give it
schedules an appointment. to them free.
3. Call the client at home if he/she is 15 minutes late. 38. Some places only reserve appointments with a credit card,
4. Ask a first time client to come 10-15 minutes early to fill then you can charge them if they don’t show up.
out a health form. 39. Use about 300 IU’s of vitamin E per pint of oil to make
5. Arrive at least 30-60 minutes before first appointment. your massage oils last longer.
6. Be aware of why the client is seeking massage. 40. Clean and check your equipment daily.
7. Does the answering machine cut their calls off? 41. You might have to call certain clients if they have a habit
8. Have caller I.D. of being late or forgetting.
9. If you have a receptionist, they have to be kept up to date 42. Use a pencil when taking appointments, because some will
as to your schedule, etc. cancel and then you can erase and have the spot open for
10. Return all calls within a few hours. another client.
11. Calls should never go unanswered over night. 43. Put your hair up, if you have long hair.
12. Make sure you have time in your schedule to return calls. 44. Be aware of first impressions, and how you come across.
13. Be prepared to describe your service: what type of work do 45. Keep pillows and blankets close by your table.
you do, what are your fees, what is your cancellation policy? 46. Introduce yourself when new clients arrive for their
14. Start an information card on the client so you can have appointments with a firm, friendly handshake.
some information on them when they come in for their
appointment, what are they contacting you about, what is ARRIVAL OF THE CLIENT
their physical complaint, who referred them?
47. Inform them that you are their massage therapist.
15. Take your change out of you pockets before you start a
48. Ask the client what name they would prefer to be called.
massage.
49. Have the client fill out a health form and go over it with
16. Take off your jewelry from your fingers and wrists before
the client before you start the massage.
the client arrives.
50. Spend at least 5-10 minutes going over the health form
17. Set-up a regular treatment time for repeat
with a new client
customers example> save 2:00 on Thurs for them
51. Do you listen closely to their concerns/ health intake
exclusively.
answers?
18. If you are not on time, you don’t get paid and you could
52. Take notes on what they are telling you.
loose that client.
53. Ask the client if he/she wants to use the restroom before
19. Answer the phone in a professional manner.
they get undressed.
20. What is your attitude today?
54. What is the clients current stress level?
21. If you smoke, do it at least one hour before you give a
55. Warm your hands up before giving a massage.
massage.
56. Ask the client if they bruise easy.
22. Supply yourself with a variety of bolsters, pillows, and
57. What are the reasons you are getting a massage?
towels so you're ready for anything.
58. Stretch before and after a massage.
23. Give the client a 24-hour notice if you are going to cancel
59. Tell the first time client what a full-body massage entails
and ask the client to also give you a 24-hour notice if they
and even if they had massages before, it might be
need to cancel or change their appointment.
different than the full body massage you give.
24. Schedule at least 15-30 minutes in between massages.
60. Ask the client if they have any current physical conditions?
25. Be aware of how you breath and body smells (onion and
61. Respect the areas that the client doesn’t want you to work.
garlic are a therapists worst friend).
62. Ask the client to undress to their comfort level and to get
26. Don’t use perfume or any scents on your body.
under the sheets, also if they leave their bra on, ask them
27. Check your appearance.
if it’s o.k. To un-hook the bra and hook it back up when you
28. Check the temperature of the room at least 30 minutes
move to another area.
before the first client arrives, between 68 to 75 degrees
63. Give the client a place to put their jewelry and clothes.
is average.
64. Put up a shield when you have a negative client.
29. Dress professional, but not too professional.
65. Be careful of scents; let the client smell the oils first.
30. Have an extra set of clothes, incase you get oil stains on
66. Ask the client what kind oil they want you to use.
your clothes.
31. Don’t wear cloths that make noise when you move.
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67. Ask your client if he/she wants to use the bathroom 97. Don’t count the time they are filling out the health form,
before you start the massage. dressing and undressing in the time they paid for.
68. Turn off the ringer if you are the only one there. 98. When a client comes in for a ½ hour massage, offer to
69. After the client filled out the health form, ask more massage the back and another area of the body.
questions, there is usually more to the story. 99. Have the client sign an informed consent.
70. You have the right to refuse a client (but keep a record of 100. Measure the table height with your palm, knuckles and
it on file). fingers.
71. The client has the right to refuse a massage from you. 101. *If you have a larger client, lower the table.
72. Ask them if they want to start face up or face down. 102. *If you are going to perform a deep-tissue massage, lower
73. Give the client what he/she wants, not what you think is the table.
best for the client. 103. *If you are going to give a relaxing massage, raise the
74. Ask the client what areas do you want me to concentrate table.
on. 104. *If you have a smaller client, raise the table.
75. What happened since your last massage (If they ever had 105. Ask the client these questions…
one)? 1. Location-where is the pain
76. If you think the client shouldn’t receive a massage, ask for 2. Intensity-on a scale of 1-10 how bad is the pain (10 being the
a written o.k. from their doctor. worst)
3. Duration-how long does the pain last
77. If they have an injury, ask them how they got it.
4. Frequency-how often does the pain come
78. Ask the client about their body mechanics. 5. Onset-how does the pain start
79. About how long of time do you want me to spend for each 6. What aggravates it-at home, work, play, sitting or standing ect.
area you want massaged? 7. What are your symptoms
80. Always knock and ask if they are ready before you go into 8. Relieving-what helps the symptoms
your massage room.
81. Avoid massage immediately after the client has eaten a DURING THE TREATMENT
meal.
106. To test essential oils, place a little in their auxiliary area
82. Have the client sign a client’s bill of rights and keep it in
and wait a minute.
their file.
107. Touch the client with the sheet on, so they can get use to
83. If a health professional says one thing, don’t contradict
your touch.
their statement.
108. If a client has contacts, don’t massage around the eyes.
84. If a client has a disease and you don’t know what it is, ask
109. Look for any open cuts before you start.
them (They are the expert).
110. Let the client know about bruises, moles or any other thing
85. Adjust your table height, it depends on the size of the
that isn’t supposed to be on their body.
client and what kind of massage you are doing.
111. Never comment about a client’s body size or any tattoos.
86. If a client comes in again, always ask them how they did
112. Try not to use any oil on the client’s face.
after their last massage with you.
113. If you start hurting during a massage, stretch that area of
87. Don’t tell the client all the hours you have free, ask them
un-comfort (you can still do this while giving a massage).
what time works out better for them.
114. Bolster under knees when supine and under ankles when
88. Play only relaxing music, unless you and the client are the
prone.
only one’s there and then you can give the client the option
115. Don't over massage an area.
on what they would like to hear.
116. Avoid heavy, rapid, or jarring movements that might convey
89. Songs containing lyrics about lovemaking or instrumental
a fear of injury to the client.
music that sounds seductive will give mixed messages about
117. Never do heavy stroking against the flow of the venous
the intention of your massage session, and about massage,
blood supply.
in general.
118. If the client is obese, it may be necessary to apply massage
90. Your body language speaks louder than words.
with more strength, but not to the point of discomfort.
91. Check to make sure your room is clean while the client is
119. Only massage a muscle that is relaxed.
filling out the health form.
120. Do not over or under lubricate the client.
92. Explain where to place their head.
121. Massage on the opposite side that you're working on when
93. What type of massage do you want (explain each style)?
you’re doing friction.
94. One way to begin any session consists of taking a few
122. Never apply massage so vigorously as to cause fatigue in
seconds to take inventory of your whole self.
the client.
95. Assume nothing, and expect clients to assume nothing,
123. Guys can have an erection on the table, but if they do more
especially if they are new to massage and/or to you.
to it, stop the session.
96. Refrain from commenting about matters such as weight
124. Not everyone wants a face massage.
gain or loss, attractiveness, beauty, and other appearance
125. Massage is an art as well as a science.
issues, especially when the client is on the table.
126. The client is your canvas and you are the artist.

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127. Come to a point between normal and fast, then between 158. Only talk if the client wants to talk if they are quiet
normal and slow for giving deep-tissue. doesn’t initiate a conversation.
128. If someone comes in with hairy back, arms or legs, use 159. Have the client use a pain scale when using deep tissue
more oil so you don’t rip their hair out. techniques.
129. Release can come about in many ways: shaking, moving, 160. Watch the client’s body and breathing pattern, because it
yawning, sighing, crying, groan, yelling, and screaming. might be too deep if they tense up or hold their breath.
130. During the massage, verbally inform the client when you are 161. Use caution when using your elbows, they are lethal
moving to more vulnerable areas, such as the anterior neck, weapons.
medial thigh and abdomen. 162. If you are going to go over the scheduled time, let the
131. If nothing feels good to the client with hairy arms, legs, client know and don’t charge them anything more, unless
back & chest; massage with the grain of the hair. they ask for more time.
132. Always make sure the lotion or oil is warm before you place 163. Never talk about other client’s to your client.
it on the client. 164. Don’t chew gum while with a client.
133. If a guy has a 5 o’clock shadow, use more circular friction 165. Don’t be a counselor.
on the face. 166. Don’t diagnosis.
134. Notice how the skin feels. 167. Don’t intentionally inflict pain.
135. Inform the client when your work gets deeper, and check in 168. Never have your breath hit the client.
to see if it is tolerable. 169. Know your muscles, your clients will ask every now and then.
136. Inform the client five minutes before the massage is to 170. Muscles hold memories.
end, and ask them if they would like you to move your focus 171. Keep your role as a massage therapist when giving a
to an area that may need more attention (within reason). massage, not the role of a friend.
137. Be sure to tell them that they are in control of the session 172. Don’t do things above your qualifications.
and that their feedback is important to the session. 173. Don’t put your oil bottle on the table or on the floor, only
138. Be present at all times for the client (Try not to think under the table or on a shelf or use a holster.
about anything else during the treatment). 174. Check into the speed of your massage.
139. Learn to turn your thoughts off and listen to the client’s 175. It might be just right, but maybe you’re moving on cruise
words and body. control: just one steady (yawn) speed, perhaps you’re so
140. Verbally inform the client when you are about to rest your fast the person may have trouble remembering which
own body on the table. finger or foot you just sailed across.
141. Don't surprise the client with a sudden touch. 176. Ask for regular feedback from your clients, especially for
142. Perform tapotement only after explaining what it is and new clients.
obtaining the client's permission. 177. Don’t have the massage room totally dark.
143. Some clients will state, “You can go as deep as you like, you 178. Massage toward the heart to improve blood circulation and
won’t hurt me” (Don’t believe the hype). lymph return if possible.
144. Try to simulate the massage techniques the same on each 179. In general, massage an area includes; from light to deeper
side of the body to light.
145. Work general to specific and then back to general area. 180. Have the client breathe into the painful area
146. Take out the bolster before you have the client turn and 181. Massage muscles thoroughly: belly of the muscle, origin,
put it back once the client is comfortable. tendons & insertion.
147. Use proper draping techniques. 182. You can feel the muscles better with your eyes shut.
148. The clients pulse, respirations & blood pressure are 183. Some clients can tell what kind of mood you are in just by
decreased during the massage. the way your hands feel on them.
149. The client might get colder because of the body slowing 184. Ask permission if you need to sit on the table for some
down have extra blankets in room for warmth. techniques.
150. Have a fan in the room if you get too hot (But have it 185. If the client wears underwear during the treatment, never
directed straight). massage under the underwear.
151. Wear loose natural fiber clothes so you don’t sweat as 186. Be careful of using candles, you could forget to blow them
much. out when you are finished.
152. Have a rhythm with your massage. 187. Hot packs are for relieving chronic pain, period, cramps etc.
153. Conform your hands to the client’s body. 188. Cold packs are for reducing swelling, sprains and headaches.
154. Invent your own techniques. 189. Watch your body language.
155. Wash your hands if you are going from their feet to their 190. Use different techniques.
face. 191. Only use Tiger balm or Bio freeze after the treatment and
156. Use a technique at least 3 times in a row. wear gloves to put it on the client.
157. Try to keep both of your hands on the client most of the 192. Be aware of the areas that you shouldn’t use deep pressure.
time. 193. Try not to neglect any body part.

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194. If you accidentally touch something that you aren’t suppose 211. Don’t let a pile of dirty sheets sit around.
to, act like nothing happened unless they notice it. 212. Tell the client to get up slow after the massage.
195. If you tell the client to let you know if it’s too painful, they 213. Wash your sheets as soon as you are done using them.
usually won’t. 214. Smell the sheets after they are done drying, if they still
196. Try not to go under the sheet. smell like oil, wash them again.
197. Try to use your Fingers, thumb, palm, heel of your palm, 215. Sometimes a client will feel worse after a massage;
knuckle, forearm & elbows as much as possible. sometimes it has to get worse before it gets better.
198. Don’t use just a few types of strokes (like effleurage), you 216. Collect the money.
will get in a habit of it. 217. Ask the client if they want to schedule another
199. Use your hands, fingers, palm, shoulder & quads to support appointment.
a limb. 218. Recommend stretches (not more than 3 because they will
200. Tell them to call if they have any questions about anything - forget).
the treatment, how they felt that night, how they feel the 219. Try not to schedule your clients more than a month in
day after. advance; you would have to send reminder cards a week
before the appointment (just like a dentist).
AFTER THE TREATMENT 220. When a client tells you that they will come back on a
regular basis (but they don’t set up an appointment at that
201. Call the client the next day or two and ask for specific
time), I’d be rich if they kept their promise.
feedback regarding the treatment (only if you get their
221. Check if the client forgot anything before they leave.
permission).
222. Clean your table and put clean sheets on.
202. Let the client relax after the massage for a few minutes.
223. Check when your next appointment is coming.
203. Don’t take it personal if a client doesn’t come back or
224. Check the answering machine and return all calls.
schedule another appointment.
225. If it’s not written, it didn’t happen.
204. Chart when the client is dressing.
226. Your memory is limited, so chart after each massage.
205. Greet the client after he/she comes out of the room.
227. Keep up with the current codes for billing insurance
206. Explain to the client that they might be sore for a day or
company’s, because they can and will change.
two and that’s common with deep tissue.
228. Things you can recommend for the client to do (stretching,
207. You are a mandated reporter, if a client wants to harm him
exercise, ice/heat packs, change in diet) try alternatives to
self or her self, other people or committed a crime; you
pain medication (ice /heat packs).
have to report it to the proper authorities.
229. Write the appointment on the back of your business card,
208. Tell the client to drink a lot of water after the massage,
it’s easier for them to remember when their appointment is
clients can also get sick after a massage because all the
and it fills your schedule.
toxins are broken up and that is why water is a very good
230. If the client complains that you gave them a bruise, ask
idea.
how their hemoglobin level is, if it’s low, which means that
209. Change your sheets every time.
they are more likely to bruise.
210. When you are ready to remove the sheets, roll the sheets
up in a ball (because there might be something that you
don’t want to touch on the sheets).

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 RECEIVING A MASSAGE
READ OVER THIS FORM A COUPLE OF TIMES BEFORE YOU RECEIVE YOUR MASSAGE
Act like this was your first professional massage and do not tell the therapist that you are going to massage school. Ask the
therapist for a one-hour relaxing massage. Fill out the questionnaire as soon as you are done receiving the massage. Try to go
into detail about every question. Try to stay awake during the massage. Go to a place you have not been before. Be quiet for a
while when you are receiving the massage. Get a business card before you leave and staple it to the questionnaire. Have all the
areas worked that are involved in a full-body massage. The majority of the questions are “yes and no” answers, please explain
further if you can.

BEFORE THE TREATMENT

1. Where did you receive your massage: Health club___ 20. Did your massage start: on time___, late___ little
Chiropractic office___ Hospital___ Salon___ Private earlier___?
Practice___ At your home___ At their home___ 21. What kind of environment was the massage clinic:
Hotel___ Massage School___ or relaxing_____ stressful______ average_____?
other______________________? 22. Was the place clean: yes___ no___?
2. What was the therapist full name (the name of the 23. Did the therapist explain what a full-body massage
therapist will not be shared with anybody in the class) entails: yes__ just a little__ no__?
___________________ 24. Did the therapist explain how they drape: yes___ no___?
3. Did you: Call for an appointment____ Have someone else 25. Did the therapist use: sheets___ towels___ sheet and
make the appointment for you___ or walk in to make an blanket____ to drape you?
appointment? 26. Did the massage table feel like there was extra padding
4. What was the price of a 1-hour massage: less that $30__ on the table: yes___ no___?
$30__ $35__ $40__ $45__ $50__ $55__ $60__ 27. Did the therapist ask if you needed to use the restroom
$65__ $70__ more than $70__ before the massage: yes__ no__ went on your own__?
5. If you called for an appointment, did they explain whom it 28. Did the therapist call the massage table a: bed_____
is with: yes___ no___ did not call___? table_____?
6. If you called, did the person on the phone explain to come 29. Did the therapist explain to get under the sheets:
early to fill out a health form: yes___ no___ did not yes___ no__?
call___? 30. Did the therapist give you an option if you wanted to
7. Was your therapist a: male_____ female_____? start supine or prone: yes__ no__?
8. If you called for an appointment were the directions, 31. Did the therapist tell you were to put your clothes and
they gave you: easy to find___ hard to find___ knew jewelry: yes__ no__?
were it was before___? 32. How far did the therapist tell you to dress down to:
9. Ask how long have they been underwear__ what you feel comfortable with___ or did
practicing_______________? not explain___?
10. Ask where they went to school for massage training 33. Did the therapist knock or ask to come in before he/she
_________? entered: yes__ no__?
11. What city did you receive your massage in 34. Did the therapist wear shoes: yes__ no__ and what
________________? kind______?
12. Did the therapist introduce herself or himself to you: 35. Did the therapist ask if you are allergic to anything:
yes__ no__? yes__ no__ on the health form__?
13. Did the therapist say your name when you arrived: yes__ 36. Was the therapist friendly: yes__ no__?
no__? 37. If the therapist had long hair: long hair down__ long hair
14. Did the therapist seem nervous: yes__ no__? up__ short hair__?
15. Did the therapist seem professional: yes__ no__? 38. Was the therapist nails cut: yes__ no__?
16. Did you fill out a health form: yes__ no__? 39. The music was: too loud__ or soft__ just right__ no
17. Did the therapist go over the health form with you and music at all__?
ask questions: a lot__ little__ no__? 40. Did the therapist have you read a “client bill of rights”:
18. Do you think there could have been more questions on the yes__ no__?
health form: yes___ no___? 41. Did you sign a “Client’s Bill of Rights” (C.A.M. LAW):
19. Was there a question on the health if you wear contacts yes__ no__?
or glasses: yes__ no__? 42. Did the therapist offer stomach massage: yes__ no__?
43. Did the therapist offer breast massage: yes__ no__?

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 44. Did the therapist offer glute massage: yes__ no__? 51. Look to see if they have liability insurance anywhere
45. Did the therapist ask if he/she could massage your scalp: visible: yes__ no__?
yes__ no__? 52. Look to see if they have their diploma anywhere visible:
46. What did the sheets smell like: oil___ clean___ yes__ no__?
Perfume___? 53. Was there oil stains on the walls or carpet: yes___
47. Was the therapist’s sleeves: short___ long___ or long no___?
and not rolled up___? 54. Did the sheets on the table look stained: yes___ no___?
48. Could you see any other client’s files lying around: yes__ 55. Was there a clock in the massage room: yes___, no___?
no___? 56. Did the therapist have pictures of their family: yes___
49. Did the therapist have any cuts or open areas on their no___?
hands or forearms: yes__ no__? 57. Did the therapist have a nametag: yes___ no___?
50. Did the therapist have any jewelry on their hands or 58. Was the therapist’s shirt: tucked in___ or out___?
wrists: yes__ no__?

DURING THE TREATMENT

1. Did the therapist ever go under the sheet: yes___ 24. Did you hear any change in the therapist’s pockets while
no___? you were receiving your massage: yes___ no__?
2. Was the headrest adjustable: yes___ no___? 25. Did you hear other people or sounds while you were
3. Was the table wide enough: yes____ no____? getting a massage: no____ little____ a lot____?
4. Did the therapist offer you a bolster: yes___ no___? 26. Was the massage room: really dark_____ some
5. Did the therapist adjust or take out the bolster before light_____ or a lot of light_____?
you turned: yes___ no___? 27. Could you feel a draft when the therapist was draping
6. Did the massage table have an armrest: yes___ no___? you: yes___ no___?
7. Did the therapist go into detail about their personal life: 28. Could you feel the therapist breath when the therapist
yes___ no___? was draping you: yes___ no___?
8. Did the therapist ever talk about sex, religion, race or 29. Did you feel comfortable with the way the therapist
any other things that are inappropriate: yes___ no___ if draped you: yes___ no___?
yes 30. How much of the quads and hamstrings were exposed:
explain______________________________________ ½___ ¾___ or all___?
_______? 31. Was the room: too cold___ or too hot__?
9. Did the therapist work on only the areas that they said 32. Did the therapist ask you at any time if the room
they would work on: yes___ no___? temperature was comfortable: yes___ no___?
10. Did the therapist have the oil bottle: under the table___ 33. Did the therapist check in with you about the amount of
on the table___ on a shelf___ or in a holster___? pressure given: yes___ no___?
11. Could you hear the therapist breathing: yes___ no___? 34. Did the therapist keep contact with you almost all the
12. Was the therapist quiet when you did not want to speak: time and did they leave body contact to get oil or go to
yes___ most of the time___ no___? the other side of your body: yes___ no___?
13. Could you feel the therapist’s nails: yes___ no___? 35. Was the massage a full-hour from the time they laid
14. Were the therapist’s hands cold to start: yes___ no___? their hands on you, to the time they took them off you:
15. Did the therapist breath smell: yes___ no___? more than___ less than___ one hour___?
16. Did the therapist have body odor: yes___ no___? 36. Did the therapist ask you if you wanted to relax after
17. Were there any scents in the massage room: yes___ the massage and how long: yes___ no___?
no___? 37. If you have tattoos, did the therapist comment on them:
18. Did the therapist have any perfume on: yes___ no___? yes___ no___ did not have tattoos___?
19. Did the therapist have gum or candy in their mouth: 38. If you have moles, did the therapist mention anything
yes___ no___? about them: yes____ no____ did not have any____?
20. Was the massage table heated: yes___ no___? 39. If you have scars, did the therapist mention anything
21. Did the therapist ever go to your feet to your face about them: yes____ no____ did not have any____?
without washing their hands: yes___ no___ started with 40. Did the therapist warm the area up before they started
the face___? to go deeper: yes___ no___?
22. Did the therapist use: oil___ massage lotion___ on your 41. Did the therapist use scented oils without checking with
body? you first: yes___ no___?
23. If you wore underwear, did the therapist tuck the sheet 42. When the therapist worked on your upper chest: yes___
into your underwear: before asking____ did not ask____ no___?
did not tuck them in____ did not wear underwear____?

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 43. Did the therapist work your glutes: with the sheet on__ 50. Did the therapist use each strokes at least 3 times: most
partly draped__ sheet totally off__ or did not even work of the time__ some of the time__ hardly ever__?
them__? 51. Could you feel their shirt or any other part of their body:
44. Did the therapist use: oil___ lotion___ or nothing___ on yes___ no___?
your face? 52. Was the therapist using proper body mechanics when you
45. Did the therapist say anything about energy work: yes__ were supine: most of the time__ or not much__?
no__? 53. Did the therapist ever tell you, to let them know if the
46. Did the therapist do any energy work without asking: pressure was too light or too deep: yes___ no___?
yes___ no___? 54. Was there a rhythmic flow with the massage: most of the
47. Did the therapist ever get on their knees: a lot___ time___ not much___ never___?
little___ or never___? 55. Could you recognize any strokes they were using: a lot___
48. Did the therapist ever sit on the table: a lot___ little___ some___ hardly any___?
or never___? 56. Did you think the therapist used: too much oil___ or too
49. Did the therapist ever sit in a chair: a lot___ little___ or little oil___?
never___? 57. Did the therapist ever name any muscles during the
massage: yes___ no___?

AFTER THE TREATMENT

1. Did the therapist give you a glass of water after the 11. Would you ever get a massage from that therapist again:
massage: yes___ no___? yes___ no___?
2. Did the therapist tell you to drink a lot of water after 12. Would you recommend other people to go to that
the massage: yes___ no___? therapist: yes___ no___?
3. Did the therapist recommend anything for you to do 13. Did the therapist give you a business card before you
after the massage: yes___ no___ if yes then left: yes___ no___?
what___________________? 14. Did the therapist wipe off the excess oil when your
4. Did the therapist ask you to schedule another massage was done: yes___ no___?
appointment: yes___ no___? 15. Was there a mirror to fix your hair in the massage room:
5. Did the therapist explain to come back on a regular basis yes__ no__?
(ex. 1X week/ 4 weeks = evaluation): yes__ no__? 16. Did the therapist meet you right after the massage:
6. Did the therapist diagnosis anything: yes___ no___ if yes yes___ no__?
then what_________________? 17. Did the therapist offer any: cold packs__ or hot packs__
7. Did you tip the therapist: nothing__ $1-$5__$6-$10__, nothing__?
more than $10__? 18. Did the therapist tell you to get up slow after the
8. Did the therapist try to sell you anything: yes___ no___? massage: yes___ no___?
9. Did the therapist answer any questions you had: yes___ 19. Did the therapist explain that you might have side
no____? effects after the massage: yes__ no__?
10. How long were you there, from the time you walked in the
door to the time you left: 1 hour__ 1:15__ 1:30__?

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 CHAIR MASSAGE
History
David Palmer popularized chair massage in the 1980’s and he invented the first massage chair to be sold on the market.
Chair massage has been around a lot longer than that, and it will begin to grow more in the busy world of ours. Chair massage is not
the greatest term used for giving a massage in a special chair (People have told me “How do you massage a chair?”), but there are
many other names used for the same thing: Corporate massage, Off-site massage or Outcall massage.

Places and Prices

Here are many places to give a chair massage: Places of their business, sporting events, at the beach, workshops, or
seminars and at you place of business. Chair massage is usually used for advertising, it is cheap, and people can see and feel what you
have to offer. Some massage therapists will give a free 5-minute massage in front of their clinic (If you have walk by traffic) to
bring in business, others will charge $1 a minute and others will have a minimum of 10-15 minutes and charge $10-$15 for that time
the client bought. It all depends on how you want to promote yourself, if anything the prospective client will tip you for your time.

Supplies
There are many overlooked supplies that you would need. Here is a list of the obvious: Stable and light massage chair,
Cleaning supplies (Spray bottle with soap and water, disposable face rest covers, Paper towels, Massage lotion and Hand sanitizer).
The less obvious are: Business cards, Tip jar, Stool, Garbage can or garbage bag, Music and CD’s, Place to store your supplies,
Sternum pad or pillow, Name tag or shirt with your logo on it, Your appointment book, Pencil or pen, Water bottle for yourself and
the list could go on. You do not necessarily need to bring all of the above, just be aware of the things that you could bring and what
type of situation you could deal with.

Cleaning
Never underestimate the power of a good clean chair, this day and age more people are worried about germs. You would
need to spend at least 30-60 seconds cleaning the chair (Have you ever been to a restaurant where the server cleaned off the table
just before you sit down and they just wipe it once with a dirty rag). Spray the all the padded part of the chair (Some therapists
only spray the face rest “Yuck”) and wipe it all off and do not let the client get on the chair until all areas are dry. Some people use
a diluted solution of 10% Bleach and 90% Water, the only problem with that is the bleach smell and if there is any wet spots on the
chair is could discolor the clients clothes. Hand sanitizer is good in a pinch to clean your hands in between giving massages, but you
still need to wash your hands every 3-4 clients. Another favorite cleaning supply for massage therapists is wet wipes (Stronger than
the baby wipes), but most use the old fashion spray bottle.

Consultation
Some Massage Therapists do not realize how important the consultation is, it is the time where you find out what
precautions you should take with them. In general, the health form is not as in depth as your typical form at your place of business,
but you still need to know as much about the client as you can. Even an “Informed Consent” is better than not having anything.

On the chair
Some clients will tell you they know how to get on the chair, but still stand right beside them incase they have problems.
Geriatric and people with disabilities usually need extra assistance (But never assume they cannot get on and proceed to help them
without asking their permission). In some cases, using a chair is not feasible and it would be better if you had regular chair around
so they can still receive a massage. If you have a desk or a table around you can have them sit in a regular chair, then lean against
the table, and hug a pillow. There is a desk alteration you can buy, it consists of a headrest and a sternum pad, and it can be placed
on the desk.

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Where to massage
It’s important to ask the client where they would like to be massaged, the time is usually limiting and you need to satisfy
the client in a short amount of time. Always ask if they would like their scalp massaged, because some people need to go back to
work and they would prefer you not to mess up their hair. The clients back is the main area to concentrate on, but make sure you
give them options on other areas. The whole body can be massaged while sitting on the chair, for the anterior part of the body you
need to have them sit the other way. It would be a good idea to ask how much time on each part of the body they want massaged
(10-minutes back, 5 minutes for the arms…). Other clients will just say massage where ever and then you can massage the client with
your routine.

How to massage
One of the best ways of not being scared of chair massage is to imagine the client without their clothes and perform the
techniques that you perform on the table, on the chair. There is not a lot of difference with the chair; you can even perform
effleurage (Make sure the clients shirt does not go up their back, so go inferior with the glide or hold the shirt down and massage
superior). Petrissage can be preformed but at a slower pace and Friction can be used (Move with the shirt, when performing deeper
pressure). Vibration and Tapotement are the easiest of the main five techniques. If the client would prefer his or her feet
massaged in the chair, turn him or her around and place their calf on your quad for a better angle (Ask permission first). The face
can be massaged when the client is sitting the opposite way, just adjust the head rest for them to rest their head on and if possible
unvelcro the head rest and turn it upside down so the thicker part is under their occipital region. Lotion or massage cream can be
used for the arms (Oil is not recommended because they usually have to go somewhere afterwards and they do not have time to
wash off their arm). Word of advice is to not massage the clients glutes with open fingers in public, it just does not look right.
Another thing to watch out for is standing in front of the client when their face is in the headrest (They can see you pelvic region).

After the treatment

Have the client rest for a few seconds and ask them to get up slow and ask the client if he or she needs help getting off
the chair. Now is the time to explain the possible side effects of massage (Drink a lot of water, you could bruise or be sore…). After
you are done explaining the side effects, give the client your business card and ask them if they would like to set up an appointment.
After the client has left, clean the chair and center/ ground yourself for the next client.

On-Site Chair Massage is great for the following events

• Employee Appreciation • Trade Shows • Staff Appreciation • Office Parties
• Off-site Events • Non-Cash Bonuses • Company Picnics • Health Fairs
• Mandatory Overtime • Job Promotions • Major Projects • Graduation Night
• Secretary's Week • Meetings & Seminars • Quarter End

SEATED MASSAGE CLIENT INTAKE FORM

Client Name:__________________________________________________________________________________________________
Address: ____________________________________________________________________________________________________
City:_____________________________________________ State: ____________ Zip/Postal Code: _____________________
Telephone: ______________________ Email: ____________________
*Are you currently experiencing any of the following? If yes, please explain.
Stress o No: o Yes: ____________ Pain o No: o Yes: ____________
Numbness o No: o Yes: ____________ Swelling o No: o Yes: ____________
Allergies o No: o Yes: ____________
Other__________________________________________________________________________________
*List all illnesses, injuries, and health concerns that you are currently experiencing. (e.g., arthritis, diabetes, high blood pressure, pregnancy,
recent car accident): __________________________________________________
_______________________________________________________________________________________
*List all illnesses, injuries, and health concerns you have now or have had in the past 3 years: ______________________________________
___________________________________________________________________________________________________________
*List medications and pain relievers you take: _________________________________________________________________________
___________________________________________________________________________________________________________
I have provided all my known medical information. The general benefits of massage, possible massage contraindications, and the treatment
procedure have been explained to me. I acknowledge that massage is not a substitute for medical diagnosis and treatment. I give my consent to
receive treatment.
Signature _________________________________________ Date:___________________________________________________

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 IN HOME MASSAGE
What is it?
In Home Massage is just that, you give massages in your home. More therapists tend to eventually own their own business
and to cut costs they have their business out of their home. It makes total sense; you have the luxury of working and relaxing in
your own controlled environment.

Benefit
There are many benefits to working out of your own home; first, one is a three-letter work…TAX, with having your business
out of your home you can deduct many things from a certain percentage of: electricity, gas, phone and many other things (Covered
more in the business section). The freedom is worth its weight in gold, you can accomplish a lot when you are at home in between
clients (Laundry, paying bills, cleaning…). If you have kids, it could be a benefit to stay at home and still make money (It all depends
the age and how well behaved your kid is).

Draw back
With everything, good there must be a down side. One of the major problems is that your space becomes your work and you
have to see and deal with it on a regular basis (Bringing your work home with you). In addition, it can harm you for selling your house
because you are earning money there (Talk to your accountant before making this decision). You could have clients calling you all
different hours if you do not have a separate telephone line.

Massage room
The place where you massage should have a separate entrance from your main living area and it should have its own
bathroom (Please check with your local city hall for exact city rules). Make sure your massage room is free from clutter and does
not look like someone’s home.

Taking appointments
If you only have one phone line, always answer the phone in a professional manner; it would be better if you had two phone
lines. Make sure you can give precise directions from all directions and have a map of your city and all the surrounding cities.
Instruct the client where they should come into your home (You do not want them coming into your main living space).

Arrival of the client

All the rules apply at your home as they do at any other place and a little more. Make sure you are in your office space when
the client arrives and follow all professional rules. Let the client know where the bathroom is and make them feel as comfortable as
possible (They are coming into your space and they might feel uncomfortable). Turn off the ringer if your phone is in your massage
room.

During the treatment

All the rules apply at your home as they do at any other place.

After the treatment

All the rules apply at your home as they do at any other place. You might have to give them directions out, so be prepared.

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 OUTCALL MASSAGE
What is it?
Outcall massage, Home visits, or Off Site massages are names used for going to someone’s house or hotel to give them a
massage. This type of massage is usually for the busy client or financially more stable.

Money
Usually massage therapists charge more for going to someone’s house to give a massage. The price can vary: $10-$20 extra,
mileage (from your place of business to their house) or $10-$20 extra plus mileage.

Supplies
Stable and light massage table, carrying case for your table, flat/ fitted sheet, pillowcase (To cover headrest), spray bottle
with soap and water and paper towels. Massage lotion and oil, hand sanitizer, business cards, portable stool and CD’s. Other things
are: Place to store your supplies, pillow, name tag or shirt with your logo on it, your appointment book, pencil or pen, water bottle for
yourself and the list goes on.

Going to the appointment

While you are on the phone with the client, ask them what room and how much space you can have to set up your table and
supplies. Music is another question you want to ask, let them know they can use their own music and ask if they have a stereo system
or boom box. When a client calls you for an appointment, always get directions (Have a map available when you take the call). It is
also important to ask the client how much time it will take to get to their house (Then add 5-10 minutes to that). Remember it
include traffic time into your departure time, if anything try to be at their house 5-10 minutes early. Ask what door to use and ask
where you can park (Some clients will say “Just park in the driveway”). Explain to the client about the extra charge with going to
their house while you are on the phone.

Set-up
When you get to their house, ask if it is o.k. to leave or take off your shoes. Ask permission to use their bathroom to wash
your hands. It would be a good idea to have a holster for your oil so you do not sit it on their floor. Make sure you clean off your
table before you start and after you are done. Make sure you have enough room to move around the table while you are giving a
massage (You might have to ask permission to move furniture). When the client is getting undressed, make sure you ask where you
can wait so they have more privacy.

Rules
The reason I ask you to bring your own water bottle, so nothing can be put in your drink (This actually happened to someone
I know and she was taken advantage of for 4 fours). Some therapist’s belief is not to go to people’s houses that they do not know
and others only go to places where it is a referral from another client. It will be a little uncomfortable not being in a controlled
environment. If you decide to go to someone’s house that you do not know, always write the directions down in your appointment
book and leave it at your place of business. Some therapists will call a friend and let them know when they should be done with the
massage (If you do not call them at the agreed upon time, they will know where you are). If you decide to give a massage at a hotel,
let the front desk person know where you are going and what time you will be back (You can give them a tip so they can remember).

More than one massage

The nice thing about outcall massages is that some couples what one after another. The benefit with this is that you could
give them a discount for giving two or more massages in a row. It would be a good idea to pack an extra set of sheets incase the
other person wants one (Only if time allows).

PARTY MASSAGE
What is it?
A party massage is just like a Tupperware party in a way. The client will schedule a party and let you know how many
people will be there and then you can average out how much time they want to pay for. It usually involves using a massage chair.

Events
Times you would use this is for birthdays, a family get together, baby shower and the list can go on. Ask the
person setting up the party if there is going to be drinking (Not a good idea if alcohol is involved).

31