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 receive an email with details about pricing and how to book. We can also CHAT as needed to ensure you get exactly what 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

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Last name

Email*

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