#beMarthaFit
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Free Consult Request
Complete below Information for Consult Request
Note:
Consult call only available for those interested in our 12-week all inclusive program.
1
Contact Info
2
Initial Questions
3
Schedule Consult
4
Confirm & Send
Contact Details
* Name:
Please enter your first and last names
* Email:
We'll never share your email with anyone else
* Phone
Enter your valid phone in US phone format. E.g: 1-541-754-3010
Initial Consult Questions
* How did you hear about #beMarthaFit?:
Select Best Answer
#beMarthaFit FaceBook Page
Facebook Friend
Friend/Family
#FixYourFood Recipe Page
Internet Search
* Have you ever worked one on one with a nutrition coach?:
Yes
No
This will help us know where to start the consult based on previous experience
What is the name of the coach or company that you worked with previously?:
Please enter your coach's name or company so we can best understand your experience
Do you have any specific medical conditions you want to talk about with a coach?:
* Do you understand that you will be following a customized food plan and you will be expected to implement this on a daily basis?:
Yes
Got It!
I understand the commitment required for success
No
Questions?
I have questions or concerns with maintaining a customized plan
* Are you open to wellness coaching and engaging in a community support page?:
Yes
No
#bMF clients gain encouragement, accountability and learn so much from other members of the #bMF community
* Are you ready to commit to your wellness and weight loss journey and are you aware that the all-inclusive 12 week program costs a total of $549 for complete 12 weeks (Payment plans available)?:
Yes
Got It!
Willing to invest in my wellness and healthy future
No
I have questions or concerns about what is include and involved with the 12 week program
Schedule a Consult
* When is a good day and time for you?:
Please enter the dates or days of the week as well as the time of day you are available for a consult. Coach will email you directly to schedule specific day and time
Review Your Consult Request
Contact Details:
Name:
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Email:
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Phone
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Answers to Initial Consult Questions:
How did you hear about #beMarthaFit?
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Have you ever worked one on one with a nutrition coach?:
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What is the name of the coach or company that you worked with previously?:
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Do you have any specific medical conditions you want to talk about with a coach?:
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Do you understand that you will be following a customized food plan and you will be expected to implement this on a daily basis?:
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Are you open to wellness coaching and engaging in a community support page?:
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Are you ready to commit to your wellness and weight loss journey and are you aware that the all-inclusive 12 week program costs a total of $549 for complete 12 weeks (Payment plans available)?:
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Consult Availability:
When is a good day and time of you?:
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