Basic Information

First Name *

Last Name *

Phone *

Email *

Date of birth *

Schedule Preferences

Each woman who joins Lift Like a Lady commits to training either 2 or 3 days per week to ensure consistency and long-term results. Which training frequency feels right for you?

2 days per week

3 days per week

Goals, Fitness Background, & Injuries

What are your top 3 current fitness and health goals? *

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2
3

What are your top 3 roadblocks to achieving your goals? *

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2
3

How would you describe your current fitness level? There is no right or wrong answer here! *

Beginner. You haven’t been working out consistently for the past year OR you’re new to strength training. You might feel a bit lost when it comes to weights.

Intermediate. You’ve been working out regularly (2–4x per week) for 1-4 years, have dabbled in strength training or group fitness with weights—but still have room to learn and refine your lifting skills.

Advanced. You’ve been lifting weights consistently (3–4x per week) for 5+ years, feel confident with proper form, and have followed structured strength programs on your own.

Have you had experience with weightlifting/strength training specifically? Again, there is no right or wrong answer here! *

Yes. You’ve consistently lifted weights or followed a structured strength program for a year or more. You've done exercises like barbell squats, deadlifts, hip thrusts, &/or bench press.

No. You’re brand new to strength training or haven’t touched weights in a long time.

A little. You’ve dabbled in strength training or taken group fitness classes that include some weights—but not consistently or with much confidence.

Have you ever worked with a personal trainer before in either a 1:1 or small group setting? *

Yes, 1:1 personal training (just you and your trainer)

Yes, small group (6 clients or less per session)

What has your exercise routine looked like over the past six months? *

Do you currently have any injuries or health concerns that may affect your ability to workout? *

Final Thoughts

Why do you think the Lift Like a Lady program is the right fit for you? *

Is there anything else you’d us to know?

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