Customer Cancellation & Service Survey
Please take a moment to fill out this survey
Please enter a valid phone number.
Program enrolled in
Little Dragon (3-6 yrs)
Children (6-9 yrs)
Juniors (9-17 yrs)
Adult (18 and up)
Tai Chi (Adult)
How old is the Member
Older then 25
What Belt is the Member
How long have you been a part of Go No Sen?
Less then a Month
3 - 6 Months
7 - 12 Months
1 Year - 2 Years
More then 2 Years
More then 3 Years
More then 4 Years
More then 5 Years
Cancellation Reason: Please Choose
Want To Try Another Activity
Other (please explain further below)
Overall satisfaction of service
Your input is greatly appreciated
I was happy with the level of professionalism of the instructors.
I has happy with the curriculum that was taught.
I felt the tuition price was fair and reasonable.
The schedule was flexible.
Student received plenty of attention from the instructors.
How would you rate our school overall?
Would you recommend Go No Sen Karate to others?
How can we improve our school?
This form serves as my 30 day notice to Go No Sen Karate of my cancellation of membership. I understand that my account will be cancelled 30 days from this notice and any charges incurred prior to the cancellation date are valid and fair. If charges are incurred for tuition during this time, I understand that it is my responsibility to use those classes within 30 days of the charge even if its past the cancellation date. Furthermore, I understand that I cannot seek a refund for any unused classes. However, any unused portion can be applied as an "In-house" credit towards camps and/or future events or when/if I restart membership.
I agree and I'm giving my 30 day's notice. Please stop all billing 30 days from today.
If you feel we deserve a 5 star Google review, can we count on you to do that for us?
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