Membership Cancellation Request
First Name
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Last Name
*
Email
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What is your reason for cancelling your membership?
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How well did the Coaching Staff attend to your fitness goals and needs?
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Extremely Well
Very Well
Somewhat Well
Not so Well
Not at all Well
How would you describe your satisfaction with the facilities including the equipment, parking, and accessbility?
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Extremely Satisfied
Very Satisfied
Somewhat Satisfied
Not so Satisfied
Not at all Satisfied
Overall, how would you rate your experience training with us?
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Very Poor (1 star)
Poor (2 star)
Average (3 star)
Good (4 star)
Incredible (5 star)
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How likely are you to recommend our gym to your family and friends?
Extremely Likely
Very Likely
Somewhat Likely
Not so Likely
Not at all Likely
Any additional comments or questions?
Please Verify
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I understand that my membership will be canceled 30 days from the date this form was submitted.
I understand that I may be subject to new membership rates if I join the gym at a later stage.
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