Certification Examinations

Pour de l’assistance ou des renseignements en français, veuillez contacter cmto@cmto.com.


Before one can become registered to practise Massage Therapy in Ontario, they must successfully complete the certification examinations administered by the College of Massage Therapists of Ontario. A candidate’s education must be no more than three years old on the date they are scheduled to take an examination. If their education is more than three years old, they must successfully complete a CMTO-approved refresher course no more than 15 months before the date they are scheduled to take an examination. The Certification Examination evaluates whether a candidate for registration with the College has the entry to practice competence expected for safe Massage Therapy practice.

There are two components of the certification examination – the written Multiple-Choice Questionnaire (MCQ) and the Objectively Structured Clinical Evaluation (OSCE). A minimum scaled score of 70 is required on each component of the examination.


The MCQ is the multiple choice component of the certification examinations. The exam is designed to evaluate the candidate’s knowledge in the four competency areas of Professional Practice, Assessment, Treatment and Clinical Science.

The MCQ consists of 150 questions administered over 180 minutes via computer. It can be taken either before or after the OSCE.


The Objectively Structured Clinical Evaluation (OSCE) is the clinical component of the College’s certification exams.

It is designed to evaluate both the candidate’s knowledge and application of skill, and to test the ability to safely and effectively apply the principles and processes of Massage Therapy practice given a number of different clinical scenarios in one of seven test stations. Scores are given by Massage Therapist examiners based on the candidate’s performance at each station. The OSCE lasts roughly 90 minutes.

Preparing for the Certification Exams

More information about the content and format of the certification exams is provided in the Candidate Handbook. It is extremely important that candidates read the Candidate Handbook before taking Certification Exams with the College.

It is also important for candidates to have a thorough knowledge and understanding of the Massage Therapy competency standards. The College has developed a Massage Therapy Competency Standards which describes the competencies required of a Massage Therapist in three key areas – health science, professional development and clinical science.

Certification Examination Statistics

2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008 | 2007 | 2006 | 2005 |