First Name

Last Name

Email *

Phone *

Are you a practicing female physician? *

What best describes your current state with fitness, nutrition, and body confidence? *

In my mid-30s, feeling stuck, struggling with weight gain and self-confidence

In my early 40s, looking to feel rebuild strength & confidence and prepare for the menopause transition

In my mid 40-50s, in the thick of menopause, struggling with changes, not making any progress

Over 50+ looking to feel strong, healthy, & fit for the next phase of life

I'm looking to... *

Build strength and muscle for health & longevity

Lose fat, fit back into my clothes, feel confident in my skin

Learn to build a consistent, lasting health & fitness routine

Be the best possible role model I can be for family & loved ones

Finally put myself first for a change

*Please select all that apply

Sometimes I... *

Find nothing in my closet fits, and it's discouraging

Struggle to have enough energy to make it through the day

Feel self-conscious in social setting given the way I look

Struggle with weight gain no matter why I try

Worry about my health & what will happen if I don't change

Am unhappy with the example I am setting

*Please select all that apply

What are the current challenges preventing you from achieving your goals? *

Time

Putting others needs before my own

Not knowing what to do/where to start

Motivation

Other

*Please select all that apply

How ready are you to invest into a structured, physician-led program to improve your energy, body composition, and long-term health? *

I’m ready!

I’m interested but have some questions first

Not right now, I am just gathering information

Describe your dream outcome: If everything went exactly as planned, what specific results would you LOVE to see in your body, fitness, and health over the next 4–6 months??