as I said I will do as I am told and the fact that people return says a lot. However it wont change the fact I find it more embarrassing than lying flat, but forewarning and consultation will help ease that I should imagine. I have had it done and am not bold enough to say no! Just hated it; as I said in my original post; my observation was as a client but I trust there are reasons for it. I'll soon find out once trained!
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I don't warn people because I think your expecting them to say no if you do that. I say to them we will be removing from the front and the back and then when they're on the bed I ask them to get into position. I never say "get on all fours please".
I think if you are embarrassed then your client will be aswell so you really have to get over it.