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 *
Your answer
Email address associated with your BACtrack View account (needed for account cancellation) *
Your answer
Would you like to purchase your breathalyzer ($99.99) or return it? *
Why are you ending your BACtrack View service? (Check any that apply) *
Required
If you're switching to another alcohol monitoring solution, please indicate which one:
Please pick the option that best describes your Alcohol Monitoring needs: *
On a Scale of 1 to 10, how likely is it that you would recommend BACtrack View to your friends or family? *
Very Unlikely
Very Likely
Any suggestions on how we can improve the BACtrack View App?
Your answer
$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.
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This form was created inside of KHN Solutions Inc.