First Name
*
Last Name
*
Email
*
Phone
*
PLEASE SELECT THE OPTION BELOW THAT BEST DESCRIBES YOUR REASON FOR LEAVING
*
Too Expensive (Financial Reasons)
Location (Not convenient or relocating)
Difficulty (The workouts were too difficult)
Injury (I am injured)
Lack of Attendance
Maternity (I am having a baby!)
Other
HOW WELL DID THE COACHING STAFF ATTEND TO YOUR FITNESS GOALS AND NEEDS?
*
Extremely well
Very well
Moderately well
Slightly well
Not at all well
I understand memberships are not prorated upon cancelation and that if an agreement is terminated early the balance for all active months is owed upon cancelation
*
Yes
I understand my membership will be canceled 15 days from the submission of this form
*
Yes
Submit