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Cancellation Request Survey

CANCELLATION REQUEST SURVEY

Your information:

First Name*

Last Name*

Date*

E-mail*

Select club location*

Are you currently in agreement?*

Are you aware of the 30 day cancellation Policy?*

Club Survey

Please rate the following on a scale from 1-5 (1 being unsatisfied and 5 being highly satisfied).

1. Please rate the cleanliness of the club

2. Please rate the club atmosphere/Friendliness of employees

3. Please rate the maintenance of equipment/timely repairs

4. Please rate our Group-X program

5. Overall club experience

6. What is your current membership rate?*

What is your reason for cancelling today?

Yes, cancel my membership*

Sign by typing your full name*

Phone Number*