You can always press Enter⏎ to continue
BACtrack View Cancellation Form
Please fill out and submit this form to cancel your BACtrack View subscription.
START
1
Name
*
This field is required.
Must match the name used on BACtrack View account
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Email
*
This field is required.
Must match the email used on BACtrack View account
example@example.com
Previous
Next
Submit
Press
Enter
3
Which court system was associated with your monitoring, if any?
Leave blank if you were not associated with any court system
Previous
Next
Submit
Press
Enter
4
Why are you canceling?
*
This field is required.
Please be specific and give as many details as possible.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
5
Which BACtrack View Plan were you on?
*
This field is required.
If you don't see your plan listed, please select "Other"
Basic ($79/mo)
Plus ($99/mo)
Pro ($129/mo)
Other (various)
Previous
Next
Submit
Press
Enter
6
Which of these best describes you?
*
This field is required.
I am a paying customer
I signed up for a free trial and used the service
I signed up for a free trial, but never actually used the service
Previous
Next
Submit
Press
Enter
7
Which of these best describes why you were using BACtrack View?
*
This field is required.
Child Custody / Family Law / Divorce
Criminal Justice / Pre-Trial / Probation / Parole
Alcohol Treatment / Addiction / Recovery
Other
Previous
Next
Submit
Press
Enter
8
Why did you not end up using the BACtrack View service during your 14 day free trial?
*
This field is required.
Too expensive
No longer need it
Just ran out of time
Signed up accidentally
Other
Previous
Next
Submit
Press
Enter
9
Are you interested in extending your free trial so you can try the service?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
10
How long were you a BACtrack View subscriber?
*
This field is required.
Less than 3 months
3 - 6 months
7 - 12 months
More than 12 months
Previous
Next
Submit
Press
Enter
11
What was your role with the BACtrack View App?
*
This field is required.
Tester (with a Monitor)
Monitor
Self Tester (without a Monitor)
Accountability Partner
Previous
Next
Submit
Press
Enter
12
On average, how often did you use the BACtrack View App?
*
This field is required.
Less than once a week
Once a week
Several times per week
Every day
Multiple times per day
Previous
Next
Submit
Press
Enter
13
What is the primary reason for cancelling your subscription?
*
This field is required.
Too expensive
Testing requirements have been met
Found another monitoring service
App is too hard to use
Dissatisfied with BACtrack View customer service
Don't use it enough
Don't need it anymore
Other
Previous
Next
Submit
Press
Enter
14
How important were each of these features to you?
*
This field is required.
Not Important
Somewhat Important
Important
Very Important
PDF Reports
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Testing Notifications
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Monitors / Connections
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Test Scheduling
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
On Demand Testing
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
PDF Reports
Testing Notifications
Monitors / Connections
Test Scheduling
On Demand Testing
Not Important
Row 0, Column 0
Somewhat Important
Row 0, Column 1
Important
Row 0, Column 2
Very Important
Row 0, Column 3
Not Important
Row 1, Column 0
Somewhat Important
Row 1, Column 1
Important
Row 1, Column 2
Very Important
Row 1, Column 3
Not Important
Row 2, Column 0
Somewhat Important
Row 2, Column 1
Important
Row 2, Column 2
Very Important
Row 2, Column 3
Not Important
Row 3, Column 0
Somewhat Important
Row 3, Column 1
Important
Row 3, Column 2
Very Important
Row 3, Column 3
Not Important
Row 4, Column 0
Somewhat Important
Row 4, Column 1
Important
Row 4, Column 2
Very Important
Row 4, Column 3
1
of 5
Previous
Next
Submit
Press
Enter
15
Any other feedback that you'd like to give?
(optional)
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
16
On a Scale of 1 to 10, how likely would you be to recommend BACtrack View to your friends or family?
*
This field is required.
1
2
3
4
5
6
7
8
9
10
Very Unlikely
Very Likely
Previous
Next
Submit
Press
Enter
17
Would you like to purchase your breathalyzer for $99.99?
*
This field is required.
The BACtrack Mobile breathalyzer also works with the free BACtrack App, which does not require a monthly fee.
Yes, I'd like to purchase my breathalyzer for $99.99
No, please send me a pre-paid shipping label to return my breathalyzer.
I already owned my BACtrack before starting BACtrack View.
Previous
Next
Submit
Press
Enter
18
Would you like BACtrack to securely store all of your account data for future use?
*
This field is required.
If you choose to not store your data, we will permanently delete your account and entire testing history 15 days after cancellation.
Yes, please securely store my data for $9 per month
No, please permanently delete my account and all test results
Previous
Next
Submit
Press
Enter
19
$15 Amazon Gift Card for 15 Minutes of Your Time
Our CEO would love to hear more about your time on our service. Are you interested in sharing your experience over the phone? We'll send you a $15 Amazon gift card for your time.
Yes, please contact me to schedule a phone call
No thanks
Previous
Next
Submit
Press
Enter
20
What could we do to improve BACtrack View?
*
This field is required.
Please be specific and give as many details as possible.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
20
See All
Go Back
Submit