How tall are you?
User 1:
User 2:
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What is your Age(s):
User 1:
User 2:
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Do you or the other user(s) have any medical issues or injuries which the massage chair would be used to help, if so please describe.
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How often, if ever, do you see a massage therapist or chiropractor?
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| How would you rate your physical condition, 1 = poor, 10 = excellent |
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| What areas of your body would you say needs the most massage attention on a regular basis? |
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| Have you tried a massage chair(s) before, if so, which one(s) and where? |
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Exactly what did it do or did not do that you are looking for in a massage chair? |
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If you have not tried a massage chair (or even if you have) what is your main focus for purchasing one. |
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Do you have a price range you would like to stay within? |
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| What one aspect is most important to you in a massage chair? |
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What is your time frame for purchase, how soon would you like your chair? |
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Describe what you think would be the perfect massage chair and what it would do for you? |
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Full Name:*
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Email:*
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Address1:*
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Address2:
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City, State, Zip*
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Telephone:*
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