Silvério, Ana CristinaFerreira, JéssicaFerreira, Fernanda A.Alves, Maria JoséFernandes, Paula Odete2023-03-232023-03-232022978-9963-697-42-7http://hdl.handle.net/10400.22/22576Tourism per se is a highly relevant sector of economic activity that has been growing steadily. In turn, health and wellness tourism asserts itself as a tourism product with a strong trend in terms of consumption (Baloglu et al., 2019) that is expected to grow continuously in the coming years (Rodrigues et al., 2020). Given this reality, it was found that health and wellness tourism experienced about twice as fast growth when compared to other tourism products - by 2019, it recorded a 6.8% growth while other segments recorded a 3.6% growth (Global Wellness Institute, 2021). As such, it has been confirmed that this tourism product becomes a strategy for destinations (Hartwell et al., 2018; Pyke et al., 2016), the tourism industry, and even the country. However, the pandemic caused by COVID-19, incited a number of reflections about the competitiveness of the tourism industry.engTourismHealth and wellness tourismThermalismCustomersThermal customer satisfaction indexApplication of factor analysis to produce a multivariate indicator of customer satisfaction in a thermal spaother