Membership Cancellation Survey
We are sorry you are leaving. Let us know how we can be better moving forward. Thank you.
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
When would you like us to cancel your membership? (Per membership agreement, we do require 15 days notice for existing autopay, 10 days notice for intro month.)
-
Month
-
Day
Year
Date
How long have you been attending Kiva Hot Yoga?
0 - 1 month
1 - 3 months
3 - 6 months
1-2 years
2 years +
What is the main reason you are stopping a yoga/ fitness program?
*
Injury/ Illness/ Pregnancy
Finances
My time now has other priorities other than health and fitness
Moving out of the area
Not motivated
No longer care for the classes at Kiva
Found a place I like better
Other
If "other", please explain.
Help us know how we served you
*
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Class Quality
Cleanliness
Responsiveness
Friendliness
What have you enjoyed most about the classes?
*
Who was your favorite teacher and why?
*
Would you recommend Kiva Hot Yoga to a friend?
*
Yes
No
What are you looking for in a class that you're not getting here?
By cancellation, promotional rates will cease.
Submit Survey
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