Cancellation form

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Welcome

Hi there, please fill out and submit the cancellation request form.

7Questions

1
Why are you leaving us?
Please Select
Please Select
Relocation
Medical
Not using gym enough
Joining another gym
Student returning home
This gym isnt for me
Tempoary financial reason
Other
2
If other please tell us why?
Huge
Large
Normal
Small
Ok
Ok
3
What can we do to enhance your experience and keep you as a valued member of our community
(please give us as much information as possible to help us support you)
4
Type a question
Service Quality
Cleanliness
Staff Rating
Overall Rating
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Service Quality
Cleanliness
Staff Rating
Overall Rating
Row 0, Column 0Row 0, Column 1Row 0, Column 2Row 0, Column 3Row 0, Column 4
Row 1, Column 0Row 1, Column 1Row 1, Column 2Row 1, Column 3Row 1, Column 4
Row 2, Column 0Row 2, Column 1Row 2, Column 2Row 2, Column 3Row 2, Column 4
Row 3, Column 0Row 3, Column 1Row 3, Column 2Row 3, Column 3Row 3, Column 4
5
Name
First Name
Last Name
6
Email
example@example.com
7
Contact Number
This is the number we will text or call to process your cancellation
Should be Empty:

Question Label

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