Loud above the treatment room. I asked for specific focus on my shoulders and medium pressure. Very little focus and time on back and shoulders, light pressure and too much time dedicated to my scalp for the treatment (two extended periods on my scalp). Warm towels left on my back while focus on feet, these towels get cold quickly so was cold and felt wet for this time. Not asked to turn around, on my tummy the entire 45 mins. Disappointed.