The Elite Woman Project Application

Apply to work with Dr. Sam PT, DPT

If you're a driven woman juggling leadership, legacy, and life transitions, this program is designed to help you drop those last 10–15 pounds, rebuild your energy, and feel grounded again—without burnout, rigid diets, or sacrificing your success.

To start working with me, simply fill out the form below so that I can get to know you!

When you click submit, you’ll be taken to my calendar where you can book your complimentary 20-minute consultation call. On the call, you’ll speak directly with me, Dr. Sam, and we’ll dive into your unique wellness goals, challenges, and lifestyle to see if the Elite Woman Project is the perfect fit for you. We’ll talk about where you’re currently at in your health & lifestyle journey, what you’re hoping to achieve, and what obstacles you feel are holding you back. I’ll also share some actionable tips you can start implementing right away to support your energy and wellness.

The intended outcome is to see if this program aligns with your goals and to give you a clear understanding of what you can expect from joining. After the call, if it feels like a great fit, I’ll send you details on the next steps for enrollment so you can start your transformation journey with confidence.

Name

Phone Number

Have you worked with a coach before?

Yes

If yes, was it successful in reaching your goals for you?

If no, what made you decide it's time to reach out for help?

Now share your dreams & goals! Where do you want to be in 3 months? What would you like this program to help you with?

What have you struggled with most in attempting to achieve these goals in the past?

How committed are you to this 3 month transformation?

Fully committed 10/10!

Kinda - I'm not sure if I want to do this. 5/10

I don't want to do this. 0/10

Are you someone that is eager to make changes RIGHT NOW?

Why did you seek out this program over others?

When starting a new health and wellness program, what is most important to you?

A) A step-by-step plan with clear guidelines to follow.

B) Fast results and an exciting, high-energy approach.

C) A supportive community and personal connection with a coach.

D) Understanding the science and logic behind why it works.

What motivates you the most to stay committed to your wellness journey?

A) Having a structured routine and knowing exactly what to do.

B) Seeing progress quickly and feeling empowered by my results.

C) Feeling supported and encouraged by those around me.

D) Learning new information and understanding the deeper aspects of health.

This 12 week 1 on 1 coaching program is a financial & time investment. Please choose where you are financially & mentally in your ability to invest in a mentor to transform your body & mindset.

I have $500-$5,000 & 3-5 hours a week readily available and am ready to invest in myself so I can be guided hands-on in this process.

I don't have $500-$5,000 & 3-5 hours a week, but will get creative so I can get it & create time in my day (personal loan, supported by family/friends, delegating chores, etc.)

I don't have $500-$5,000 or 3-5 hours a week to invest in myself.

Apply to work with Dr. Sam PT, DPT

If you're a driven woman juggling leadership, legacy, and life transitions, this program is designed to help you drop those last 10–15 pounds, rebuild your energy, and feel grounded again—without burnout, rigid diets, or sacrificing your success.

Join Our Free Trial