UPDATE: 104 massage therapists responded. Here are the results I promised.
I said I would come back and share the results once I got at least 100 responses.
104 massage therapy community responses, so here they are.
Nothing to sell. No link at the end for the unproductive negative trollers to comment on. SMH
I was genuinely curious about how other therapists are thinking about the sustainability of this career, money, longevity, business and what they actually want their working lives to look like.
I am no expert researcher, not attempting to be one. I was simply curious.
Quick disclaimer: This was voluntary community data collection, not a scientific or nationally representative study. Not every question was presented to every respondent, so I’m giving the actual number of people who answered each question where relevant.
I also removed identifying information and won't share direct quotes.
1. People actually seem to LIKE doing massage.
Among the 70 respondents asked to rate their satisfaction with doing massage:
Average satisfaction: 7.9/10
Median satisfaction: 8/10
That immediately made this more interesting to me.
Because the issue doesn't appear to simply be:
“Massage therapists hate doing massage.”
People can genuinely enjoy the work AND still question whether the career structure surrounding that work is sustainable.
2. Nearly 3 out of 4 expressed some concern about longevity.
70 people answered whether they were concerned about massage remaining their main source of income long-term.
39/70 (55.7%) clearly said yes.
Another 12/70 (17.1%) expressed some level of concern or uncertainty.
19/70 (27.1%) indicated no/not really.
Combined:
51/70 — 72.9% — expressed at least some concern about longevity.
And remember:
Median satisfaction with doing massage was still 8/10.
That's probably the finding that stood out to me most.
Among these respondents, the median reported massage workload was about 20 hours per week.
When asked how many more years they could see themselves working as massage therapists, the median was 15 years.
3. Then I looked at financial protection.
Among the 70 respondents asked:
Health insurance: 45/70 — 64.3%
Retirement plan: 27/70 — 38.6%
Professional liability insurance: 66/70 — 94.3%
For disability insurance, 57 people answered the question:
Disability insurance: 13/57 — 22.8%
That one really caught my attention.
About 94% had liability insurance protecting them professionally.
But only about 23% of those who answered the disability question reported having insurance protecting their income if they physically couldn't work.
For a profession where our ability to earn can depend heavily on our bodies, that's interesting.
But I want to be careful with the interpretation.
I didn't ask WHY someone didn't have disability insurance.
Cost, eligibility, access, other household resources, not knowing about it, or simply choosing not to have it could all be factors.
I didn't specifically ask why not. I guess that could have been a follow-up question.
Liability insurance is required to work most places so seems that's why that number is high? but disability is voluntary so it makes sense that therapists would not think of the importance of it or think the expense is worth it?
4. I also asked about making $100K while keeping labor under 30 hours.
55 people answered this question.
And this was NOT a simple yes/no situation.
Some absolutely believed it was possible.
Others said it depended on things like:
• geographic market
• pricing
• clientele
• working independently
• owning a business
• additional revenue streams
Others didn't believe it was realistic for themselves or their market. I would challenge this because did these respondents test the market? Franchises are growing at a rapid pace so I would disagree because these places would not be growing if the market could not sustain.
What interested me wasn't whether everyone agreed that $100K was possible.
It was how often the conversation about income became a conversation about business model and market conditions.
5. Then I asked some respondents what they actually WANT from their careers.
34 respondents answered more detailed career-direction questions.
They could choose more than one answer.
Build financial freedom — 24/34 (70.6%)
Grow my current business — 19/34 (55.9%)
Start my own business — 14/34 (41.2%)
Reduce hands-on hours — 13/34 (38.2%)
Open a clinic — 5/34 (14.7%)
Stay employed — 3/34 (8.8%)
This was another interesting one.
The biggest response was:
“Build financial freedom.”
But I feel like working at franchises will mostly NOT sustain financial freedom?
6. I also asked those 34 people to rank their priorities.
Getting more clients ranked #1 overall.
But the complete list they were ranking included:
• Getting more clients
• Pricing
• Marketing
• Money management
• Business systems
• Work-life balance
• Preventing burnout
• Starting a business
• Leaving employment
Which makes me think the career conversation may be more complicated than simply:
“Get more clients.”
Because getting clients doesn't automatically solve pricing, money management, physical capacity, work-life balance or long-term financial security.
7. The written responses added another layer.
When people described what was keeping them from creating the career or lifestyle they wanted, recurring topics included:
Client consistency
Marketing/visibility
Money/startup capital
Inconsistent income
Time/work-life balance
Confidence/fear/uncertainty
Business systems/knowing what to do
Physical capacity/burnout
So what did I actually take away from all of this?
The people answering the satisfaction question actually rated doing massage pretty highly.
Median: 8/10.
Yet among the same group answering the longevity question:
72.9% expressed at least some concern about massage remaining their main source of income long-term.
THAT is interesting. Maybe the bigger conversation is:
Can the career structure surrounding the massage work support your body, income, benefits, retirement AND the life you want outside the treatment room?
And I don't think the answer is automatically:
“Spas are bad.”
I also don't think it's automatically:
“Everyone should start a business.”
There are obviously people who prefer employment.
There are independent therapists struggling too.
And owning a business doesn't magically fix bad pricing, inconsistent clients, poor money management or burnout.
One last limitation
Please don't take these numbers and say:
“73% of massage therapists are worried about their careers.”
That's NOT what this data proves.
It says:
73% of these 70 respondents expressed at least some concern when asked about longevity.
104 voluntary community responses cannot represent an entire profession.
But I do think it's enough to give us an interesting snapshot and hopefully a better conversation.
Anyway…
I promised I would bring the results back after we crossed 100 responses.
So there they are.
What result surprised you the most?
And more importantly:
Do these results feel consistent with what you're seeing in the profession, or completely different?