Withdrawal Survey : The Music Studio Atlanta

Student Name *

Email *

Suspension Type *

Which lesson time you'd like to reduce? *

If this is a temporary suspension, when do you plan to return? *

Would a change in lesson time or instructor resolve your issue? *

Date of last lesson: *

What is your reason for suspending/reducing your lessons? *

What did you enjoy the most about your lessons? *

Is there anything that we could change/improve? *

If "Yes", please explain: *

What is your teacher's name? (First, Last) *

Were you pleased with your instructor? *

If "No", please explain: *

Would you recommend our schools to others? *

If "No", please explain: *

I understand that by submitting this form on or before the 15th day of my last month, I am giving notification to The Music Studio Atlanta to cease lessons and further charges to my account. If submitted past the 15th day of the month, I understand I am still responsible for the next month’s tuition whether or not the student(s) attend lessons. As a friendly reminder, the student may take up to 4 make up classes, or substitute a sibling, parent or friend to satisfy any missed lessons.

Withdrawal Survey