PMTI Applicant Massage Journal

PMTI Applicant
Massage Journal

Applicant's Name: *

Date of Massage: *

As part of the PMTI Application process, we require that you receive at least one full-body massage from a PMTI graduate or a member of our professional association, the American Massgae Therapy Association (AMTA). This ensures that you will have firsthand knowledge of the massage work taught in our program.

If you would like the name of professional massage therapists in your area, please visit www.pmti.org and click on "Get a Massage", or visit www.amtamassage.org.

After you receive the massage, please answer the following questions and submit the form.

Massage Practitioner's Name: *

AMTA Member #:

PMTI Graduation Date:

Massage Practitioner's Phone Number: *

Massage Practitioner's Email Address:

1. How did you feel prior to the massage? *

2. Please describe what physical, mental, and emotional responses you experienced during the massage. *

3. What did you like best about the massage? *

4. What did you like least about the massage? *

5. What did you learn about yourself from this experience? *

Additional Comments: