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Cancellation Request Form

First Name *
Last Name *

Email (Used in System) *

Comments

Survey Feedback

Our goal is to continue to grow, improve, and provide the best service in the industry - your honest feedback is greatly appreciated!

Which best describes the reason you are no longer utilizing M2PN? *

How long have you been working with your coach? *

For the following questions, please use the scale below:

	1 = Dissatisfied
	2 = Somewhat Dissatisfied
	3 = Indifferent
	4 = Satisfied
	5 = Highly Satisfied

Rate your satisfaction with the level of care from coach *

Rate your satisfaction with the knowledge level of your coach *

Rate your satisfaction with the communication & responsiveness *

Do you have suggestions to improve the level of service? *

Cancellation Policy

Cancellation Requests must be submitted 3 business days (Monday - Friday) before the next scheduled payment in your billing cycle to avoid being charged for the following month.

Check-in services remain active for the remainder of your current billing cycle, if your request is submitted within 3 business of the next schedule payment.

All cancellation requests made in the first 3 months of service, will be processed to terminate at the end of the 3 month commitment.

Cancellation Requests cannot be post-dated.

I've read & agree to the above terms *

You will receive an email from an M2 representative within 48 business hours confirming your final day of check-in services.