Please select the option below that best describes your reason for leaving.

Financial Reasons

Not convenient or relocating

Workout Difficulty

Injury

Lack Of Attendance

I'm Having A Baby!

How well has the Coaching Staff attended to your fitness goals and needs?

Excellent

Pretty Good

Just Okay

Needs Some Work

Overall, how would you rate experience at our gym?

Excellent

Pretty Good

Just Okay

Needs Some Work

How likely are you to recommend our gym to others?

Very Likely

Maybe

Not Sure

Definitly Not

What is one positive thing you learned or accomplished at Bluprint Fitness?

I understand that my membership will be cancelled 30 days from the date this form was submitted.

I agree to the terms of the membership cancellation policy

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