Thanks for reaching out!

Often the hardest step for people like us is reaching out for help. I just want you to know that everyone at the Rewrite has been there. We see you. We have lived your lives and I can tell you now, there is a path forward and a way to the version of you that you might feel is nothing but a dream. You’ve got this far and now to see if we can help you, please take the time to answer the following questions. What we do isn’t for everyone and we don’t take people as clients unless we think we can help them rewrite their lives. Change is a commitment.

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What country are you located in?

What country are you located in? *

US / Canada

UK

Australia / New Zealand

Other

Other (location) *

Core Questions

Surgery / GLP-1 Status *

Pre-op (planning surgery)

Post-op (already had surgery)

On a GLP-1 med (Ozempic, Wegovy, Mounjaro, etc.)

Considering both surgery + GLP-1

None of the above

Surgery Type & Date *

(If you don’t know your surgery date, or aren’t having surgery, type “NA”)

Height : *

Weight: *

Biggest Struggles *

Readiness for Change

On a scale of 1–5, how fed up are you with your own excuses? *

Just stalking, not ready to get off my ass yet

I know I need help, but I keep punking out

I’ve started and quit so many times I should get a medal

I’m done screwing around — I need real structure

Yesterday. I needed this yesterday.

If you’re filling this out, you’re already more serious than you think. At Rewrite we don’t fuck around. Ready to stop putting this off? *

Yep, I’m fucking ready to get some help

Nope, I’ll keep circling the drain

Decision-Making

When it comes to investing in yourself: *

I make my own decisions

I’ll need my spouse/partner’s support before moving forward

Which best fits you? *

I’ll definitely talk to them before the call

I’ll bring them on the phone with me

I’ll do my best to be fully prepared and make the call with their approval

Tell us more about you

First Name *

Last Name *

Email *

Phone *

📞 Heads up: Your call will be on WhatsApp

Rewrite calls are made over WhatsApp.
Please make sure you have WhatsApp downloaded on your phone.
We’ll call you directly at the time you select on the calendar.
Keep your ringer on so you don’t miss us!
👉 Click NEXT below to pick your call time.

We are a daily program

Investment UK *

Investment Australia/NZ *

Investment US/Canada *

Options : *

Pay in full, upfront

HSA/FSA card

Affirm / Afterpay financing

Credit/debit card (monthly plan available)

Not sure yet — need to talk it out on the call

Unfortunately, $250/month is not doable for me right now

Reminder:

Do you understand that if you no-show your scheduled call, you forfeit the opportunity to work with The Rewrite in the future?

We’re big on accountability — it starts with this very first call. If you need to reschedule, no problem, just reply to the confirmation text and we’ll help you. But if you don’t show up at all, there’s not much we can do. *

Yes, I understand

No

Once you hit submit you will be taken to a booking screen to select a call time to chat. It can take 10-20 seconds to load. Be patient, this is your life after all :)

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