We’re sorry to see you go, but your feedback would be appreciated. Please fill out the survey to help us assess how we’re serving our team.

Student Name (If a family account, list the primary contact) *

First

Last

Is this form being filled out for more than one member? *

• Yes
• No

Please list your family members who also cancelled their memberships below.

Email *

Phone

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How did you enjoy your time at RG Clarksville? *

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Choose 1 - 5 stars, 5 being the best.

How would you rate the class variety? *

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Choose 1 - 5 stars, 5 being the best.

How likely are you to recommend us? *

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Choose 1 - 5 stars, 5 being the best.

How would you rate the class schedule/times? *

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Choose 1 - 5 stars, 5 being the best.

If you rated any of the above questions with less than 5 stars, please share how we could have earned a better rating.

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What programs did were you (or your children) enrolled in? *

• Brazilian Jiu-Jitsu
• Judo
• Striking
• Wrestling
• Fitness

What other classes would you like to see us offer?

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How would you rate the coaching staff?

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Choose 1 - 5 stars, 5 being the best.

If you rated our coaching staff less than 5 stars, would you please share why and how you feel we can do better?

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How would you rate the front desk staff?

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Choose 1 - 5 stars, 5 being the best.

If you rated our front desk staff less than 5 stars, would you please share why and how you feel we can do better?

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How would you rate the membership pricing in regards to the value and quality of our classes?

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Choose 1 - 5 stars, 5 being the best.

If you rated our membership pricing in terms of value less than 5 stars, please share your comments.

Any comments, concerns, or criticisms you would like to share?

May we reach out to you about your responses if needed?

• Yes
• No

Submit