EXIT FORM & REVIEW
Please complete this form if you are no longer using the Jones&Us services. Your reviews help us grow and expand our impact. The personal details are confidential and are only used to improve the programmes. Comments and positive reviews may be used anonymously.
CLIENT DETAILS
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First Name
Last Name
Are you a parent/guardian?
If you are completing this on behalf of a client
Parent/Guardian name
How long have you been engaging with Jones&Us sessions?
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How has Jones&Us helped your physical well-being?
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How has Jones&Us helped your mental well-being?
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How have the sessions with Jones & Us impacted you?
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Rows
No change
Somewhat Satisfied
Satisfied
Great impact
Physical health
Mental health
Mobility
Confidence
Socialising
Coordination
Building a healthy lifestyle
Is there any improvement you would like to see us make?
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Any other comments or thoughts?
Would you recommend Jones&Us?
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Yes
No
Please explain why
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Would you like to receive updates and invites to our public events?
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yes
no
Would you like to stay in the members WhatsApp group?
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yes
no
Would you like to be invited to our monthly free sessions?
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yes
no
THANK YOU!
Thank you for being a Jones&Us member. If you ever want to return to your sessions or change your mind in how you want to participate to future Jones&Us public or free events and activities, please get in touch with info@jonesandus.net
Personal details submitted on this form are confidential.
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