Femly — Wedding Wellness Intake Form
Femly — Wedding Wellness
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Section 1 of 8 0%
🌿 Take your time with this form Your detailed assessment is very important for us to support your health effectively — every answer helps us personalise your care.
Section 1 of 7
Contact & Wedding Details
Let's start with you and your big day.
Please enter your full name
Please enter a valid email
Please enter your phone number
Please enter your address
Can't find your pincode? Enter manually
Section 2 of 7
About You
Help us personalise your program to your body.
in kg
in kg
Section 3 of 7
Wedding Goals — Skin, Hair & Body
Tell us how you want to look and feel on the day.
So your dietitian complements them, rather than conflicts.
Section 4 of 7
Health & Medical
This helps your dietitian personalise your plan safely.
Common: Metformin / Thyroid meds / BP meds / Vitamins / Contraceptives / None
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Drag & drop or browse files
PDF, JPG, PNG — max 10MB each
Section 5 of 7
Diet & Food Preferences
We'll build your plan around foods you actually enjoy.
6 glasses
Helps us plan a smart cheat-meal strategy around your events.
Section 6 of 7
Wedding Stress & Well-being
Wedding prep is intense — let's plan around it.
🔒 Confidential. These responses are handled with care and shared only with your assigned health team where relevant to your care.
Section 7 of 7
Progress Photos & Submit
Photos help us track your transformation accurately.
📸 Photo Instructions

✅ Stand against a clear background / wall
✅ Wear a fitted T-shirt and pyjama / shorts
✅ Stand straight with arms slightly away from body
✅ Take in good natural light
❌ Avoid black clothing
❌ No mirror selfies

All photos are stored securely and visible only to your assigned dietitian and coach.
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Front
Face the camera directly
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Back
Turn fully away from camera
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Left Side
Turn left side to camera
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Right Side
Turn right side to camera
How you want to look — an outfit or body reference.
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Inspiration
Outfit or body reference
Please accept the terms to continue
Your data is encrypted and handled in accordance with Femly's privacy policy.
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You're all set!

Your wedding wellness plan has been submitted to the Femly team.

Your assigned consultant will reach out within 24 hours to schedule your first call.

Thank you for trusting Femly with your wedding glow-up journey.

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