We're sorry to see you go

Name

First Name

Last Name

Email Address

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

2. How well did the Coaching Staff attend to your fitness goals and needs?

3. How would you describe your satisfaction with the facilties including equipment, parking, and accessibility?

4. Overall, how would you rate your CrossFit Derive experience?

5. How likely are you to recommend CrossFit Derive to other athletes?

Additional Comments/Feedback/Questions:

1. If you decide to reactivate your membership in the future (and we hope you do) membership rates in effect at the time of reactivation will be applicable as membership rates are subject to change.

2. We do not offer membership holds. If you decide to reactivate your membership in the future (and we hope you do) membership rates in effect at the time of reactivation will be applicable as membership rates are subject to change. However, if you purchase a punchcard during your cancellation, this will hold your older rates.