First Name
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Last Name
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Phone
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Email
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Reason For Leaving
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Too Expensive (Financial)
Location (Not convenient, or I am moving)
Difficulty (The workouts are too difficult)
Injury (I am injured)
Lack of Attendance
Maternity (I am having a baby)
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How Well Did the Coaching Staff Attend to Your Fitness Needs?
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Extremely Well
Very Well
Moderately Well
Slightly Well
Not at all well
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How would you describe your satisfaction with the facilities including equipment, parking and accessibility?
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Extremely Well
Very Well
Moderately Well
Slightly Well
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Overall, how would you rate your experience? (10 being Awesome!)
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10
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How likely are you to recommend us to a friend?
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Not at all likely
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Acknowledgement
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I understand memberships are not prorated upon cancellation and that if an agreement is terminated early, you must give 30 days notice and are responsible for any bills within that time. In addition, a fee of the difference of what you paid per billing cycle and what you should have paid based on your length of stay is owed upon cancellation.
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