| 1. Duration of the massaage | too short |
| approprite | |
| 2. Technic of the Message | Simple |
| Difficult | |
| 3. Usage of oil | favourable |
| unfavourable | |
| 4. Reaction of the Subject | Seems contented |
| Seems Uncomfortable | |
| No particular reaction | |
| 5. Do you want to adopt this technic | Yes |
| No | |
| If required |