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
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Last Name
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Phone
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Email
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Name of membership wishing to cancel:
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Select the option that best describes your reason for leaving.
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Location (Not Convenient or Relocating)
Gym related injury
Injury or pre-existing issue
Illness
Surgery
Extended Vacation
Workouts too hard
Workouts too easy
Class schedule doe not work for me.
Moved and location is no longer convenient
Price is too expensive
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How would you describe your satisfaction with the coaching you received from us?
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Extremely Satisfied
Extremely Satisfied
Very Satisfied
Moderately Satisfied
Slightly Satisfied
Not Satisfied at All
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How clean were the facilities?
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Cleanliness was satisfactory.
Cleanliness was satisfactory.
Cleanliness was unsatisfactory.
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How satisfied were you with your overall experience?
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Extremely Satisfied
Extremely Satisfied
Very Satisfied
Moderately Satisfied
Slightly Satisfied
Not Satisfied at All
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List is empty.
Would you recommend us to your friends?
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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
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Yes
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