L8R Lifestyle Check-in

Autoimmune Advantage Check-In Form

Please answer the questions below to the best of your ability. Do this weekly. Thoroughness and honesty greatly impact our ability to help you...so please share openly!

First Name

Last Name

Email *

Current Weight (taken first thing in morning): *

Nutrition Compliance (%): *

Weight Training Compliance (%): *

Cardio Compliance (%): *

If any of the 3 above questions were less than 100% please let us know what that means. Extra food? Missed food? (note: timing differences are not a big deal) *

How's your water intake? *

How would you rate your stress level? *

On a scale of 1-10, 10 being VERY productive/focused, rate your productivity/focus this week. *

What new foods have you been able to incorporate into your meal plan? (matching macros, etc.) *

What wins did you have this last week? *

What can you focus on this week? Where can you improve? What SMART goals would you like to set this week? *

Have you added or removed any new supplements or medications? (please list) *

How would you rate your current motivation level? *

BIOFEEDBACK...How are you feeling? Describe digestion, energy, strength, hunger, sleep quality, stress level, & any other observations. Do NOT just put "good" or something similar, we need more info. *

Please list any questions you have here... *

Autoimmune Symptom Checker

Progress Pictures (please upload to mobile app)

Please take photos in the same place with the same lighting every week.

Women, please take photos in a 2-piece swimsuit. Men, please take photos in shorts or similar. NO PANTS for either gender.

No selfies, please have someone else take them or use a self-timer.

We need the same angles each week: front, side, and back.

If you can't upload your pics to the app, please email to: