1 Start 2 Complete We are Sorry to See You Go! Completing this survey gives notice that you are terminating your lessons through the UNI Community Music School (but you are always welcome back!). If this survey is completed after the 15th of the month, your final payment will be the following month. You can continue your lessons through the end of that month. Example: If you complete the survey on September 22nd, your final payment will be made on October 1st. If you complete the survey on September 11th, the September 1st payment is your final payment. Students who made one-time payments will be contact by CMS office staff to confirm the refund amount. Please allow up to 8 weeks for refunds to be issued. Thank you for choosing the UNI Community Music School! Student Name (First and Last) * Parent/Guardian Name (First and Last Name) Email Address * Instructor Name (First and Last) * Instrument * What is your reason for ending lessons? * Would a change in lesson time or instructor help you to continue lessons? * - Select -YesNoMaybe What did you like most about your lessons? * Is there anything we can change or improve? * - Select -YesNo If you answered "Yes" to the question above, what can do we better? Did you enjoy working with your teacher? * - Select -YesNo If you answered "No" to the question above, please let us know what could have gone better., Would you reccomend the UNI Community Music School to others? * - Select -YesNo If you have a moment, please let us know why you picked one option over the other for the question above. Thanks for completing the exit survey! You will receive an email confirmation that this form has been received. If you have any further questions, please email unicommunitymusic@uni.edu or call 319-273-2142. Leave this field blank