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Membership Cancellation Request Form
We'd be sorry to see you leave us and we'd love to see you again, however we understand that circumstances change.
Please complete the form below if you wish to cancel your membership and our membership team will be in touch. For full membership T&Cs please visit:
https://www.achievelifestyle.co.uk/cancellation-policy
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* Indicates required question
Email
*
Your email
Full name on the account
*
Your answer
Membership ID number (if known)
Your answer
Please provide your contact number
*
Your answer
Please provide your postcode
*
Your answer
What is your gender?
Male
Female
Prefer not to say
Clear selection
What age group are you in?
Prefer not to say
Junior membership (8-15)
16-20
21-30
31-40
41-50
51-60
61-70
71+
Clear selection
Which site do you use the most as part of your membership?
*
Egham
Addlestone
Both equally
What membership type are on you?
*
Addlestone Just Gym
Addlestone Gym & Classes
Addlestone Gym, Classes & Swim
Orbit Total Well-Being
Orbit Energiser
Orbit Just Gym
Orbit Swim Only
Orbit Splash & Relax
Orbit Workout & Refresh
Orbit Train & Restore
Which facilities do you use the most as part of your membership?
*
Gym
Group Exercise Classes
Lane Swimming
Otium Spa
Personal Training
Other:
Required
What is your reason for cancelling your membership?
*
Change of home / work location
Financial
Health reasons / injury
Lack of use
Alternative exercise type now preferred
Joined a new gym
Quality of facilities (e.g cleanliness, access, equipment)
Customer service / staff
Group exercise timetable
Other:
Required
Are there any improvements we could make that would have prevented you from cancelling your membership with us?
*
Your answer
How would you rate the staff assistance & attitude?
*
Very Dissatisfied
1
2
3
4
5
Very Satisfied
How would you rate the gym equipment (if applicable)?
Very Dissatisfied
1
2
3
4
5
Very Satisfied
Clear selection
How would you rate the pool (if applicable)?
Very Dissatisfied
1
2
3
4
5
Very Satisfied
Clear selection
How would you rate the spa facilities (if applicable)?
Very Dissatisfied
1
2
3
4
5
Very Satisfied
Clear selection
How would you rate the class timetable (if applicable)?
Very Dissatisfied
1
2
3
4
5
Very Satisfied
Clear selection
How would you rate the cleanliness of our centres?
*
Very Dissatisfied
1
2
3
4
5
Very Satisfied
How would you rate the gym instructor sessions you received e.g. induction / programme session (if applicable)?
Very Dissatisfied
1
2
3
4
5
Very Satisfied
Clear selection
Would you recommend Achieve Lifestyle to others?
*
Yes
No
Will you be joining another gym/leisure centre and if so which one?
Your answer
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https://www.achievelifestyle.co.uk/privacy-policy
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