Membership Cancellation Form
We would love to hear your thoughts, suggestions, concerns or problems with anything so we can improve!
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
What was the reason you started coming to the gym in the first place:
Do you feel like you accomplished you goals while at chaos? If not is there anything we could have done to help you accomplish those goals?
Are you still looking to accomplish your goal if so whaat is your new strategy is there any assistance we could offer?
Are you canceling your membership because you are moving? If so where are you moving we need to start planning our next location to get you back.
Are you leaving because of an injury or medical condition? If "yes" please provide more information we may be able to help.
Do you understand that if you cancel now and plan on returning down the line the price may not be the same as we continue to add value to our customers and prices may rise.
Yes
Would you like to set up a meeting to go over this form?
Yes, In person
Yes, On a phone call
Yes, On a Zoom call
No
Are there any additional notes you would like to add prior to the cancellation of your membership.
Cancel Membership
Should be Empty: