Rewrite Bariatric Program Application | Start Your Weight Loss Journey

Find out how we can help you!

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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Which best describes you? *

I've had bariatric surgery (gastric sleeve, bypass, etc.)

I'm currently using GLP-1 medication (Ozempic, Mounjaro, etc.)

I'm preparing for bariatric surgery

I've struggled with weight but haven't had surgery or meds

Someone else is researching for me (family member, friend)

Have you tried any of these before? *

Diets (keto, low-carb, etc.)

Calorie counting / MyFitnessPal

Therapy or counseling

Support groups (online or in-person)

Personal training / fitness coaching

Nothing — this is my first step

Describes your current relationship with food, what's going on? *

Do you have a support system (family, friends, partner) who understands your journey? *

YES — I have good support

SOMEWHAT — but they don't fully get it

NO — I feel alone in this

On a scale of 1-10, how committed are you to making lasting change right now? *

1-3 (Not ready yet)

4-6 (I want to but I'm scared/unsure)

7-8 (I'm ready — I just need guidance)

9-10 (I'm ALL IN — tell me what to do)

What's the one thing holding you back from committing to a program right now? *

I don't know if it's right for me

I need to talk to someone first

I need to check if my insurance/FSA/HSA covers it

I need to think about the investment

Something else

Would you be open to a FREE 1-hour call with a member of our team to see if The Rewrite is right for you?

YES let's talk

Not right now

Learning Preference *

I prefer watching (videos)

I prefer listening (podcasts)

I prefer reading (articles, books)

I prefer a mix of everything

We'd love to help when you're ready. Would you like to join our free community and get weekly tips? *

Yes add me to the community

Our program is intense and not for everyone. We offer full-time 24/7 support with 5 coaches and an entire back office team of 17, a dedicated iPhone and Android app for tracking your progress, 7 group and community calls a week, 1:1 coaching, and a private, safe, community of thousands of people who are on the same journey as you.

This is not a diet program, PDF download, or the promise of a quick fix.

This is real change for a lifetime of success.

We become your support team so you will never be left feeling alone ever again.

We do real work together until you’ve reached your life’s goals.

With this comes financial commitment that not everyone can meet. Beyond that financial commitment though is being prepared to put aside the excuses, stop the bullshit, and do real work together.

If you aren’t ready for either of these then we encourage you not to book a call.

If you’re sick and tired of waking up sick and tired and want the life you’ve always dreamt of, then we look forward to meeting you and seeing if you’re a candidate for The Bariatric Rewrite.

Program Commitment *

Yes I’m ready to change

No, I'm not ready to do the work

Anything else you want us to know? *

Would you like us to send you our free resources while you decide? *

YES — send me free resources

No, thanks

Tell us more about you

First Name *

Last Name *

Email *

Phone *

How did you find us? *

ASMBS Membership

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