Questionnaire

Thank you for your interest in teaming up with Muscle Lines! This is the first step to achieving your health goals.

Please complete the form below and we will contact you shortly.

Name: *
Name:
Phone (home):
Phone (home):
Phone (work):
Phone (work):
Sex:
(in hours)
(in cm)
Primary training and nutrition objective:
(check all that apply)
(i.e., flexibility, sports skills, agility)
(8 weeks minimum for fat loss, 10 weeks minimum for other)
(choose one)
Do you have regular home cooked meals?
Do you smoke?
Do you ingest alcohol?
(i.e., aspirin, decongestants, etc.)
(i.e., vitamins, protein powders, etc.)
(i.e., frying, broiling, etc.)
(in ounces)
(choose one)
Have you ever hired a personal trainer?