Reflexology assessment takes place as stress cues are evaluated. Stress cues are parts of the foot or hand that shows adaptation to stress. Adaptation is shown by visual signs such as callousing, knobby toes or bunion. Indications of stress are also seen as sensitivity to technique application or touch signs perceived by the reflexologist as technique is applied.

The assessment of such stress cues allows the reflexologist to target areas of stress and to design a session of pressure technique application appropriate to provide relaxation specific to the individual.