Profectus Performance
Membership Cancellation
Name
First
Last
Email
Please select the option below that best describes your reason for leaving:
Select One
Lack of Attendance
Cost
Injury
Moving
Services Offered
How well did the Coaching Staff attend to your fitness goals and needs?
Select One
Very Well
Moderately Well
Well
Could have been better
Poorly
How would you describe your satisfaction with the facilties including equipment, parking, and accessibility?
Select One
Very Satisfied
Satisfied
Could have been better
Very Unsatisfied
How likely are you to recommend Profectus Performance to others?
Select One
Very Likely
Moderately Likely
Likely
Not very Likely
Additional Comments/Questions:
I understand that my membership will be canceled 30 days from the date this form was submitted:
Yes
No
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