The client will be asked to remove shoes, socks and to lay back on a la fuma recliner chair (this chair is very relaxing and it elevates the feet slightly above heart level).  I also have an additional chair in my therapy room along with a foot stool, this is a more upright chair which is better for pregnant women, the elderly or anyone who prefers not to be reclined back.  Both chairs are very comfortable and many clients fall asleep.  The feet will be cleansed and then relaxed with a short massage using an aqueous cream and then a sequence of thumb movements will be made to all areas on the feet. I work the whole feet, so I'm covering the whole body, then more attention will be made to the areas which I feel are out of balance.  Markings will be made on a blank foot chart of where reflexes are found and will be kept on file for any future treatments.  When a reflex is found, it usually feels gritty or tender to the client.   My therapy room in my home is a designated room just off my hall way.