Freeway Music Exit/Suspension Survey
844-LESSON-1
www.freewaymusic.net

If this survey is completed after the 7th of the last month you wish to attend lessons, your final payment will be the following month. You can continue to enjoy your lessons through the end of that month.

What location do you attend? *
Required
Student Name *
Your answer
What is your instructor's name? (First, Last) *
Please type the name of the instructor with whom you would like to suspend lessons.
Your answer
What is your reason for suspending/reducing your lessons? *
Your answer
Suspension Type *
Email Address *
We will send a confirmation email showing receipt of the exit survey.
Your answer
If this is a temporary suspension, when do you plan to return?
(mm/yyyy)
Your answer
Would a change in lesson time or instructor resolve your issue? *
What did you like the most about your lessons? *
Your answer
Is there anything that we could change/improve? *
If "Yes" to the above question, please explain:
Your answer
Were you pleased with your instructor? *
If "No" to the above question, please explain:
Your answer
Would you recommend Freeway Music to others? *
If "No" to the above question, please explain:
Your answer
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