We hate to see you go. Please fill out this form and we will be in touch with you shortly to finalize cancelling your membership.
First Name
*
Last Name
*
Phone
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Email
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Please select the option below that best describes your reason for leaving.
Location (Not Convenient or Relocating)
Too Expensive (Financial Reasons)
Location (Not Convenient or Relocating)
Difficulty (The workouts are too hard)
Injured (I am injured)
Lack of Attendance
Maternity (I am pregnant)
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How satisfied were you with your overall experience?
Level of satisfaction with services
Extremely Satisfied
Very Satisfied
Moderately Satisfied
Slightly Satisfied
Not Satisfied at All
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How clean were the facilities?
Cleanliness was satisfactory.
Very Clean
Clean
Neutral
Not Clean
The reason I left
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Would you recommend us to your friends?
Yes
Yes
No
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Additional Comments/Questions
I understand that this is a request to cancel and that the gym's policy on cancellation will be considered to determine final date of my membership which is 30 days after the date of submission.
*
Yes
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