Fitness Membership Cancellation

Handle member departures in an orderly way: reason for leaving, a short satisfaction survey, the 30-day notice and any supporting documentation. You also gather feedback that helps you keep future members longer.

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Staff name*

Member name*

Nombre

Apellido

Phone number*

Email*

Reason for cancellation

Relocating Financial reasons Medical reasons Not using the membership Switching gyms Other

Rate your overall experience at the club (1 is poor, 5 is great)

1 - Poor 2 - Fair 3 - Good 4 - Very good 5 - Great

Please explain.

Has the staff been friendly and knowledgeable?

Yes No Sometimes

Please explain.

Did you achieve your health, fitness and nutrition goals?

Yes Partially No

Please explain.

Did you receive your fitness consultation with a coach?

Yes No I don't remember

Was your fitness consultation helpful?

Yes Somewhat No

What comments or suggestions do you have regarding your fitness consultation?

What general feedback or suggestions do you have to help us improve?

I am providing my 30-day written notice to cancel my membership, as required by my agreement. I understand I am responsible for any billing over the next 30 days, including club enhancement, plus the applicable cancellation fee.

I agree I need more information I do not agree

I understand that I will still have access to the facility until the date listed below.*

Proof of move, medical or other documentation attached

Max 10 MB per file

Date

Member signature

Sign here

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