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Provider Form
Q A
2025-04-05T23:06:02+00:00
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you Name Services
Business Name
*
Location Size
*
Home-Based
Small (1-5 employees)
Medium (6-20 employees)
Large (21+ employees)
Service Area
*
Local
Regional
Nationwide
Services Offered
*
Doctor
Nutrition Coaching
Therapist
Massage Therapist
Other
Deal Structure Preference
*
Per Service Fee
Subscription Model
Revenue Share
Other
Would you like to be listed on the Get Fit Eat Well platform?
*
Yes
No
Would you like to pay a subscription for premium placement and access to more clients?
*
Yes
No
Do you offer on-demand services where clients can book and pay through the app (Uber Model)?
*
Yes
No
Additional Comments
Submit
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Business Name
*
Location Size
*
Home-Based
Small (1-5 employees)
Medium (6-20 employees)
Large (21+ employees)
Service Area
*
Local
Regional
Nationwide
Services Offered
*
Doctor
Nutrition Coaching
Therapist
Massage Therapist
Other
Preference to on-demand
Deal Structure Preference
*
Per Service Fee
Subscription Model
Revenue Share
Other
Would you like to be listed on the Get Fit Eat Well platform?
*
Yes
No
Would you like to pay a subscription for premium placement and access to more clients?
*
Yes
No
Do you offer on-demand services where clients can book and pay through the app (Uber Model)?
*
Yes
No
Additional Comments
Submit
