First Name
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Last Name
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Email
*
Program
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Which program(s) would you like to cancel?
Gym Membership
Nutrition Coaching
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Reason For Membership Cancellation
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How well did the coaching staff attend to your needs and goals?
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Extremely Well
Very Well
Moderately Well
Slightly Well
Not At All
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How would you rate your experience with Hybrid Fitness?
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Extremely Well
Very Well
Moderately Well
Slightly Well
Not At All
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How likely are you to recommend Hybrid to a friend?
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Extremely Likely
Perhaps
Extremely Unlikely
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If you have seen great results with us, are you open to sharing them so you can inspire others to make a positive change in their life?
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Yes
No
Additional Comments / Questions
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By submitting this form, I am giving Hybrid my written notice to cancel my membership.
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Yes
I understand that my membership will be cancelled within the next business day from the date this form was submitted.
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Yes
Before my cancellation request can be processed, I understand that a Hybrid Team member will reach out and speak with me via phone call.
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Yes
What's the best time to reach you during the week?
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Mid Morning
Afternoon
Late Afternoon
Evening
Signature
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Request My Membership Cancellation