Intake Questionnaire
Welcome, beautiful. Your next four weeks start here.
This form helps us personalize your nutrition guidance and establish your baseline so we can measure your progress together.
Welcome to the Challenge
Please complete this form by __________. Take your time and answer as honestly as you can — the more accurate your responses, the more precisely we can tailor your protocol.
There is no judgment here. Only support, curiosity, and celebration of exactly where you are today.
11 Quick Sections
A gentle walk-through of everything we’ll cover in your intake. Grab a cup of tea and get comfy.
Basic Info
Name, email, phone, age, city/state.
Progress Photos
Front, both sides, and back in fitted clothing.
Baseline Measurements
Height, weight, and waist measurement.
Goals & Baseline Ratings
Your why, your wins, and how you feel on a 1–10 scale.
Lifestyle, Digestion & Stress
Steps, sleep, symptoms, and nervous system check-in.
Nutrition, Health & Agreement
Food approach, medical info, and your sign-off.
Complete Your Intake Form
Fill out the questionnaire below. It takes about 15–20 minutes. Have your measuring tape and progress photos ready before you begin.
Your responses are private and only shared with your Beyond the Weights coaches.
Your 3-Day Food Log
After submitting your intake, your final step is completing your 3-Day Food Log — two weekdays and one weekend day of meals, snacks, drinks, bites, licks and tastes.
The goal is accuracy, not perfection. We are not judging your food choices — the more accurate the log, the more precisely we can personalize your nutrition.
OPEN THE FOOD LOG FORMQuestions Before You Begin?
We’re here to support you every step of the way. Reach out anytime — we can’t wait to walk with you through the next four weeks.
— Joelle & Alysa