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Application Form

First name

Last name

Phone

What’s your main goal right now?

What’s been the biggest thing holding you back from reaching your goals?

How soon are you looking to get started?

ASAP, I’m ready now

Within the next few weeks

Just exploring options

Do you currently have gym access (or are you willing to join one)?

Yes, I have a gym membership

Not yet, but I’m open to joining

I prefer to train at home

Which coaching option are you most interested in?

Nutrition only

Training + Nutrition

Not sure yet, I’ll know after we talk

Do you have any medical conditions or injuries I need to be aware of?

On a scale of 1-10, how ready are you to commit to a structured plan and follow through?

Why is now the right time for you to make a change?

Schedule Your Free Consultation

February 2026

Week starting Sunday, February 22

Time zone: Coordinated Universal Time (UTC)Online meeting

Tuesday, Feb 24

10:00 AM - 11:00 AM

11:00 AM - 12:00 PM

12:00 PM - 1:00 PM

1:00 PM - 2:00 PM

At Sculpted with Sam, we prioritize your unique fitness journey. We start with a personalized application review and an introductory meeting to discuss your goals, ensuring we're the right fit for you. Together, we'll sculpt a training plan tailored to your needs, empowering you to achieve your desired results.

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