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Member Cancellation
Membership Cancellation
Cancellation Request
Name
*
Name
First
First
Last
Last
Email
*
Phone
*
Cancellation Date
*
Date will be at least 7 Days after form submission.
Why Are you cancelling your membership?
*
How Often Do You Use the Gym?
*
Never
Once a Month
Once a Week
2-3 week
4-6 week
Daily
Other
Other
On a scale of 1-5 (5 being the highest), how do you rank your overall experience at Temple Fitness?
*
1
2
3
4
5
What were your desired health goals when you joined the club?
*
Did You Achieve Your Goals?
*
Yes
No
How would meeting those goals have impacted your life as it is today?
*
If you could choose your price, what would you pay for a weekly membership at this Gym?
*
Which of the following services did you use at the club?
*
Group Training
Cardio Only
Weights Only
Personal Training
Nutrition
Small Group Training
Other
Other
If you took advantage of your Fitness Consultation, did it meet your expectations?
*
Did our staff provide a great customer experience?
*
star
star_full
1 Star
star
star_full
2 Stars
star
star_full
3 Stars
star
star_full
4 Stars
star
star_full
5 Stars
Did you find your staff knowledgeable?
*
star
star_full
1 Star
star
star_full
2 Stars
star
star_full
3 Stars
star
star_full
4 Stars
star
star_full
5 Stars
Did you find our gym clean?
*
star
star_full
1 Star
star
star_full
2 Stars
star
star_full
3 Stars
star
star_full
4 Stars
star
star_full
5 Stars
We would like your input!
*
Definitely
Probably
Not Sure
Probably Not
Definitely Not
Would you use our gym again?
*
Definitely
Probably
Not Sure
Probably Not
Definitely Not
Would you recommend our gym to others?
*
Definitely
Probably
Not Sure
Probably Not
Definitely Not
How can we improve our gym?
We failed getting you excited about your health and fitness goals. Give us another chance, with no obligation to stay. Please rest assured, that your membership will still be cancelled as per your request.
Free PT Session
Two weeks free membership
Two weeks free for a family member
None
Other
Other
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