BACtrack View Cancellation Request
Please fill out this form in order to cancel your BACtrack View Subscription.
(All responses to this form are confidential.)
Name on BACtrack View Account
Email address associated with your BACtrack View account (needed for account cancellation)
Would you like to purchase your breathalyzer ($99.99) or return it?
Yes, I would like to purchase my breathalyzer
No, I would like to return my breathalyzer
I already owned my breathalyzer before starting BACtrack View
Why are you ending your BACtrack View service? (Check any that apply)
Found another monitoring service
Price too high
Not enough features
Too difficult to use
Monitored user was non-compliant
Monitoring requirements have been satisfied
I'm using the free BACtrack Mobile App
If you're switching to another alcohol monitoring solution, please indicate which one:
Please pick the option that best describes your Alcohol Monitoring needs:
Family Law / Child Custody
Probation / Offender Monitoring
On a Scale of 1 to 10, how likely is it that you would recommend BACtrack View to your friends or family?
Any suggestions on how we can improve the BACtrack View App?
$30 Amazon Gift Card for 15 Minutes of Your Time
Our CEO would love to hear your personal opinions (good and bad) of our service. Are you interested in speaking on the phone with him about your experience with BACtrack View? We'll send you a $30 Amazon gift card for your time.
Yes, please contact me to schedule a phone call
No thank you
Never submit passwords through Google Forms.
This form was created inside of KHN Solutions Inc.
Terms of Service