YAY! We'd love for you to attend!

Because this is an intimate, highly personalized, women-only retreat, we personally connect with every guest before confirming a reservation.

Fill out the form below so we can get an idea of where you're at in your health journey. After you fill out this form, you'll be able to schedule a call with a member of my team to get your questions answered and get any other information you need.

Tell Us About Your Needs

First name

Last name

Email*

Phone*

Format number like +13335551212.

What is the #1 goal for your health right now?

Are you planning to attend the retreat with others?

Just me

me + 1 guest

me + more than 1 guest

Which room(s) are you interested in?

Sunrise Suite

Vitality Suite

Reset Reef

Clarity Cove

Sisterhood Suite

Serenity Suite

Renewal Reef

Harbor Haven

Horizon Suite

On a scale of 1-5, how supportive is your significant other when it comes to your health goals?

1- zero support

2- Almost no support

3- indifferent

4- pretty supportive

5- extremely supportive

N/A

How much have you invested over your lifetime in your personal health and wellness? (i.e. books, courses, diet plans, gym memberships,coaches, doctors appointments, specialists, weight loss sugery, medications, etc.)

$1--$100

$101-$500

$501-$2,000

$2,001- $10,000

$10,000+

Do you have the financial resources available to invest in yourself and your health goals?

Yes - Totally ready to invest in my health

Maybe - I may need to look into financing opportunities

I have very limited financial resources and do not want to finance

Questions?
Email us:
support@emergencyhealthfix.com

As an Amazon Associate I earn from qualifying purchases.

Join our mailing list

First name

Last name

Email*

I want to subscribe to your mailing list.

bottom of page