First Name *

Last Name *

Email *

Phone *

Location *

Please select the option below that best describes your reason for cancelling your membership *

How would you rate your overall experience of training with us? *

How would you rate our staff collectively and the service we deliver? *

How well did the Coaching Staff attend to your fitness goals and needs? *

Please tell us of any staff members you feel worth mentioning (positive or negative): *

How would you rate the cleanliness at our gym? *

How likely are you to recommend our gym to family and friends? *

Any additional comments you would like to leave? *

I agree to the Cancellation Terms above