Fitness and Fat Loss Client Questionnaire

Congratulations on making the life-changing decision to allow our team at Greenfield Fitness Systems to guide you to optimum health, wellness, nutrition, fat-burning and lean muscle toning. We will be completely customizing your entire program, but we must first have critical metabolism, health and lifestyle information. Please contact us if you have any questions.Please remember to push the "Submit" button at the bottom of this page. A coach will contact you within 48 hours after completion of this form.
  • Your Contact Details

  • Your Lifestyle

  • 21 Important Questions About Your Health History

    If you answer "yes" to any of these questions, please provide details such as date of occurrence, frequency, intensity, amount, etc.
  • Your Exercise Status

  • Your Nutrition & Metabolism

  • Your Final Thoughts

  • Describe what you truly desire from completing this program. What do you truly desire? Out of your fitness? Out of life? What do you want your body to look like in 1 year? 5 years? In other words, why are you sitting here, taking valuable minutes out of your life to complete this form? What are your specific goals or objectives? Be as honest and specific as possible, describing your dream body, lifestyle, or health. Pour yourself onto the page. Include anything that you feel would be helpful that you haven’t yet had a chance to express. All your responses remain completely confidential!
  • Thanks for taking the time. We can now use this information to help you reach your dreams. Yours in health, Greenfield Fitness Systems.