First I have to say I have been here before and thought it was one of the better massages I have received. However that was not the case this time. The spa is small and is nothing more than a converted hotel room so the area is not super fancy. I filled out the form and had a casual conversation with my masseuse and the receptionist about my previous massage there and how I have a bad sciatica. Once in the room my masseuse never asked where I wanted to focus on or what to avoid. The massage itself was ok but she hit the bad spot on my back twice without even acknowledging it. Most of the time they will question my tenderness there and offer some suggestions but not this time. But the massage could have been worse because while I was having my mediocre massage my husband was next to me having the worst massage of his life. By the time his masseuse had coughed the third time over him I expected him to insist the massage ended. Needless to say this will be our last Hands on massage.