For the massages, they have you fill out a form with "problem areas" and to rate your stress level. They'll sit down with you in the room and look at this form and ask you if you have any injuries or problem areas they should be aware of. Then at the end of the massage, the masseuse will address your problems by writing you a "prescription" for Elemis products. I check no problems and no stress, and they usually leave me alone.... occasionally I'll get a really pushy salesperson. They must earn commission or something. Little do they know, the harder they try to sell me a product, the less I tip.