First Name
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Last Name
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Email
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Please select the best option below that best describes your reason for leaving.
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Please select the best option below that best describes your reason for leaving.
Financial Constraints (ex/ job loss, unexpected expenses)
Lifestyle Changes (ex/ moving, new job hours, increased family commitments, pregnancy)
Alternative Fitness Pursuits (ex/ outdoor sports, home workouts, joining a sports league)
Health Issues or Injuries (ex/ surgery recovery, chronic health conditions)
Lack of Use (ex/ not coming to the gym for an extended period, using limited gym resources)
Goal Achievement or Reevaluation (ex/ reached fitness milestones, shifting focus to other life areas)
Seeking a Different Community or Environment (ex/ looking for a gym with a different culture, needing different equipment or facilities)
Customer Service or Facility Issues (ex/ maintenance issues, cleanliness, staff responsiveness)
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How would you rate the coaching staff?
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How would you rate the coaching staff?
Amazing
Good
O.K.
Meh
Clueless
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How clean were the facilities?
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How clean were the facilities?
Very Clean
Clean
Hit or Miss
Dirty
Very Dirty
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How satisfied were you with the facilities?
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How satisfied were you with the facilities?
Very Satisfied
Satisfied
Underwhelmed
Terrible
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How satisfied were you with your overall experience?
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How satisfied were you with your overall experience?
I loved it!
I liked it.
It was O.K.
Not Impressed
It was Terrible
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Would you recommend us to your friends?
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Would you recommend us to your friends?
Absolutely
Maybe
No way
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Any additional comments?
In accordance with the agreed upon 30 day cancellation policy, I agree to allow Nika Athletics to continue regular billing until the end of my membership.
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I agree.
Cancel Form Submission Date
By signing below, I acknowledge that I have reviewed and understand the terms of cancellation as outlined on this form.
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