Forms | MOMMYLIFTS

MOMMYLIFTS GYM

Welcome to MOMMYLIFTS Gym! I'm so excited to help you crush your fitness goals. Please take a moment to fill out this form so I can learn more about your journey and create a plan that work for YOU without the cookie cutter. Let's get started!!

First name

Last name

Phone

Email

Preferred Contact Method

Email

Text

Phone

How would you describe your current fitness level?

Preferred Time for Sessions: (Check all that apply)

Morning (6am - 10am)

Midday (10am - 2pm)

Afternoon (2pm - 5pm)

Evening (5pm - 8pm)

Do you have any current injuries or health conditions I should be aware of?

On a scale of 1–10, how ready are you to commit right now?

Why is now the right time for you to focus on your fitness?

Have you worked with a personal trainer before?

Yes

No

If yes: What did you like or dislike about that experince?

How do you prefer to be coached?

Encouraging & supportive

Direct & accountability-focused

A mix of both

Optional Add-On: Nutrition Guidance (Macros Only) • Personalized macro targets • Adjustments as needed • Guidance only (not a full meal plan)

Yes, I’d like to add macro guidance for $9.99/month

No – Not at this time