The HEARTh Member Exit Form

Dear Community Member,

Thank you for being part of The HEARTh.

We hope your time with us has been meaningful and supportive. While we are always grateful when members continue their journey with us, we also understand that life circumstances, priorities, and seasons of growth change.

As part of completing your membership, we invite you to share your reflections. Your feedback helps us learn, grow, and better serve future members of The HEARTh.

First name

Last name

Membership Plan

Today's date

Looking Back

During your participation with The HEARTh - how have you grown, changed, or been affected?

Reflection & Feedback

What aspects of The HEARTh were most meaningful or beneficial to you?

Was there anything that felt challenging, disappointing, or less supportive than you had hoped?

If you were designing The HEARTh, what might you add, change, or improve?

Is there anything more you would like us to know about your decision to leave at this time?

Saying Goodbye to the Community

At The HEARTh, we recognize that endings are an important part of community life.

When members quietly disappear, it can sometimes leave confusion, unanswered questions, or a sense of absence within the community. Taking a moment to acknowledge your departure helps bring clarity, completion, and care to the relationships you have formed here.

While not required, we warmly encourage you to post a brief farewell message in the community forum. Your message may be as simple as sharing your gratitude, reflecting on your experience, or offering a blessing for those who remain.

We believe that thoughtful beginnings and thoughtful endings are both expressions of respect and belonging.

Single choice

I plan to post a farewell message in the community forum.

I prefer to leave quietly at this time.

Alternatively, you can share this farewell message with the community on my behalf:

Long answer

Optional Testimonial

If it feels comfortable to you, we would be grateful for a brief testimonial describing your experience of The HEARTh. With your permission, excerpts may be used anonymously or attributed to you in future communications.

Testimonial:

Testimonial Permission

You may use my testimonial anonymously.

You may use my testimonial and first name.

You may use my testimonial and full name.

Please do not use my testimonial publicly.

Thank you for sharing part of your journey with us.

May you continue to grow in wisdom, compassion, resilience, and love.

With gratitude,

The HEARTh