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MEMBER
CANCELATION
REQUEST
Student Name
*
Parent Name
Phone
*
What is the primary reason for cancelling your lessons?
*
Financial reasons
Scheduling conflicts
Personal reasons
Lack of progress or dissatisfaction with lessons
Moving away
Student lost interest
Other
How satisfied were you with your overall experience at Lionhart Music School?
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Did you feel that your instructor provided quality instruction and support?
*
Yes, Absolutely
Somewhat
Not really
No, not at all
Would you consider returning in the future or recommending us to others?
*
Yes
No
Maybe
What could we have done to improve your experience?
*
Submit
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