CHADDERTON WELLBEING CENTRE

Sorry to see you go

In order for you to submit your cancellation please can you complete the below form: PLEASE NOTE, if you have more than one account to cancel, i.e. multiple children on swimming lessons. Please detail the name of each child you wish to cancel in the comments box in section 12.

Section 1 of 2 - Member Contact Details

*1. First Name

*2. Last Name

3. Postcode

*4. Membership Type

Fitness Membership

Swimming Lessons

Gymnastics & Trampolining Lessons

5. Membership No (if available)

6. Phone Number

7. Email Address

*8. Why did you join?

Improve Fitness

Improve Health

Weight Management

Health Reasons

Make new friends

Improve Skills

Take up a new hobby

Train for an event

Socialising

Training for sport

Learn a new skill

Other

9. Do you have any comments about why you joined?

*10. Did you achieve your goals?

Yes

No

*11. Reasons for leaving

Unhappy with service

Joining another facility

Not value for money

Having a break/holiday

Facilities

Achieved goals

Moving out of area

Financial reasons

Consistency of tuition

Medical reasons

Unhappy with staff