Fueled & Free 1:1 Application

Thank you for your interest in working with the Fueled & Free Nutrition Practitioner Team!

Please submit an application and you'll be prompted to book a discovery / strategy call with Margaret. For additional help or questions email us hello@margaretpowell.com
What's your first & last name?*

First NameLast Name
Email address:*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What state do you reside in? *
How old are you?*
How did you hear about Fueled & Free Nutrition?*

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In a few sentences, describe why you are seeking help from a Functional Nutritionist?*
What have you tried to solve this?*
What would ideal success look like for you? What are your health goals in 6-12 months? *
Have you worked with a functional nutritional therapist or doctor before? If so, was it within the past year and are you currently still working with them?*
Fueled & Free Nutrition works with 1:1 clients through a 6 month program that requires an investment of $687 per month, are you ready to make this investment? We do take FSA / HSA and have extended payment plans through Affirm.*

Yes, I'm ready to invest.I'm ready to invest but need more information.I can't financially invest into my health right now.
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