PANEL PARTICIPATION
INTEREST FORM

Your Name

Age

Where are you from?

Please provide a brief overview of your health journey so far (e.g., what challenges you've faced, how long you've been on GLP-1 medication, etc.).

What specific topics or aspects of your journey are you most passionate about sharing with others?

Have you participated in other panels, podcasts, or discussions about your journey? If yes, please share your experience.

What do you hope to achieve by sharing your story on Beyond the Scale?

Do you have any areas of expertise or specific knowledge (e.g., fitness, nutrition, mental health) that you feel would be valuable to the community?

How comfortable are you speaking about your journey in a public setting or on a live stream?

How do you think your unique experiences can inspire or help others in the community?

What other aspects of health beyond weight loss are important to you, and how do you incorporate them into your life?

Is there anything else you'd like us to know about you that might make you a good fit for this panel?

Consent & Agreement

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Recording & Use: I understand my participation will be recorded and may be used in any format for promotional or media purposes without compensation.

By submitting, I confirm I’ve read and agree to these terms.