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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Please select the option below that best describes your reason for leaving.
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Too Expensive (Financial Reasons)
Location (Not Convenient or Relocating)
Difficulty (The workouts are too hard)
Injured (I am injured)
Programming (I don't like the workouts)
Maternity (I am pregnant)
Schedule (inconvenient class times)
Lack of Personal Motivation
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How would you describe your satisfaction with the coaching you received from us?
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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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Too clean - it feels unwelcoming
So clean, I loved it
Clean enough, I didn't really notice
Not very clean, needs improvement
Dirty
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How satisfied were you with your overall experience?
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Extremely Satisfied
Very Satisfied
Moderately Satisfied
Slightly Satisfied
Not Satisfied at All
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Would you recommend us to your friends?
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Yes
No
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I understand that my membership will be cancelled 30 days from the date this form was submitted
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Yes
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