The distinction that matters
Labels such as medium mean different things to different people. The distinction is between a shared feedback process and a fixed intensity label.
How to interpret the details
Instead of saying only harder or softer, describe what you notice: a sensation feels too intense, a position is uncomfortable, or a movement is something you do not want repeated. Ask the provider to explain how they use feedback. Do not assume that discomfort is the necessary price of progress because a menu says deep. If you have difficulty speaking during the appointment, agree on another signal. The aim is an understandable conversation about the current experience, not meeting a challenge set by a treatment label.
An additional consideration
A number scale can help some people communicate, but the meaning should be agreed rather than assumed. Two people may use the same number differently. Descriptions and ongoing feedback are more useful than assuming that a form completed earlier settles the whole session.
A practical question
Can we start conservatively and adjust using my feedback? The limit: stronger sensation does not prove a better result.
Decision example
Hypothetical example: a person chooses deep on a form but finds the initial pressure unpleasant. A useful next step is to describe the sensation clearly and request a change promptly.
Sources & further reading
Sources support the factual background. Practical planning examples are editorial guidance; they do not establish a provider’s availability.