STEP ONE ā€” YOUR PERSONALIZED BASELINE

Regulate & Glow Challenge Intake & 3-Day Food Log

Welcome in, love. This is where your journey begins. Take about 15ā€“20 minutes to complete your intake so we can personalize your nutrition guidance and establish your baseline before the challenge starts.
Complete before your first check-in.
WELCOME

We're So Excited You're Here!

This intake helps us personalize your nutrition guidance and establish your baseline before we begin.

Please answer every question honestly. There are no "right" or "wrong" answers. The more accurate your responses are, the more personalized your experience will be.

At the end of this form, you'll complete a 3-Day Food Log, which we'll use to better understand your current eating habits.
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15ā€“20 Minutes
Take your time ā€” this is your baseline.
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No Judgment
Honesty over perfection, always.
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Fully Personalized
Your answers shape your protocol.
WHAT'S INSIDE THE INTAKE

A Complete Snapshot of Where You Are Today

Below is a look at the sections you'll move through. Progress doesn't require perfection ā€” just honesty and consistency.
SECTIONS 1ā€“4
Welcome + Baseline
Basic info, progress photos, height, weight, and waist measurement.
SECTIONS 5ā€“7
Goals + Lifestyle
Your "why," baseline ratings on energy, sleep, stress, and daily habits.
SECTIONS 8ā€“11
Body + Health
Digestion, nervous system, nutrition preferences, allergies, and health history.
SECTIONS 12ā€“14
3-Day Food Log + Commitment
Log two weekdays and one weekend day, then confirm your commitment.
YOUR INTAKE FORM

Let's Personalize Your Experience

Complete every section as honestly as you can. Your answers directly shape your custom nutrition protocol, coaching support, and the tools we'll offer you throughout the challenge.
Required fields are marked. Take breaks if you need to ā€” your progress will save as you go.

Regulate & Glow Intake Form

Welcome to the Regulate & Glow Challenge! Completing this form is mandatory in order to receive your nutrition protocols. If this form is not completed before August 2, you will be given generalized guidelines with no customization.

We're so excited you're here!
This intake helps us personalize your nutrition guidance and establish your baseline before we begin.
Please answer every question honestly. There are no "right" or "wrong" answers.
The more accurate your responses are, the more personalized your experience will be.

At the end of this form, you'll complete a 3-Day Food Log, which we'll use to better understand your current eating habits.

ADD DIRECTIONS TO PROGRESS PHOTOS AND MEASUREMENTS
Whatā€™s your biggest goal for this challenge?*
What are you struggling with most right now?*
How committed are you to showing up for yourself during this challenge?*
FRONT PROGRESS PHOTO*
RIGHT SIDE PROGRESS PHOTO*
LEFT SIDE PROGRESS PHOTO*
Questions before you begin? Reach out to us at coach@beyondtheweights.net ā€” we're here for you.
3-DAY FOOD LOG

How to Complete Your Food Log

Please record 3 complete days of eating ā€” two weekdays and one weekend day.

The purpose of this food log is NOT to judge your eating. It is simply to help us understand your current habits so we can provide better nutrition guidance.

Please be as honest and accurate as possible.
Include Absolutely Everything
  • āœ“Meals & snacks
  • āœ“Drinks & alcohol
  • āœ“Condiments & creamers
  • āœ“Bites, licks, and tastes
  • āœ“Gum & mints
  • āœ“Supplements
YOUR COMMITMENT

Progress Doesn't Require Perfection. It Requires Consistency.

By joining this challenge, you are committing to showing up for yourself over the next four weeks. The more honestly you participate, the more you'll get out of this experience.

We can't wait to walk this journey with you.
COMPLETE MY INTAKE & FOOD LOG
With love,
Joƫlle & Alysa