The document provides instructions for performing hand and arm massage. It outlines 8 steps for hand massage including applying lotion, bending the wrist, bending fingers, massaging the palm, rotating fingers, massaging the wrist, tapering fingers, and repeating on the other hand. It then details 5 steps for arm massage including massaging from wrist to elbow with circular motions, massaging the underarm, massaging the top of the arm, massaging the elbow, and stroking the arm. The final steps are to repeat the process on the other arm. Safety and sanitation procedures for nail services are also outlined.