Dow: Weigh Beyond Registration and Pre-Survey (2026)

Weigh Beyond

Want to experience the mental and physical benefits of being in control of your health? Learn how to approach weight management in a way that works for you.
Weigh Beyond is a free program available to employees and their spouses on the Dow Health Plan that helps you discover your personal "why" and teaches you the skills that you can use to achieve and maintain a healthy weight - not just now, but for the rest of your life. The Weigh Beyond program is group support classes led by QuadMed Registered Dietitians. NEW THIS YEAR: In addition to the group classes you are encouraged to meet with a dietitian 1:1 as part of the program. The 30-minute virtual weekly classes will run on Tuesdays at 12pm CT/1pm ET beginning November 10 and ending December 15, 2026.
Are you on the Dow Health Plan (*Note: only employees, spouses and dependents on the Dow Health Plan are eligible to participate in the Weigh Beyond program)
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
What location do you work in?
How did you hear about this program?

Other
How tall are you?
How much do you weigh?

How would you rate your energy level?

	1	2	3	4	5

1 is Extremely low energy, 5 is Extremely high energy

Which statement best describes your physical activity level during the past two months?
Which statement best describes your diet of whole grains, fruits, veggies and lean protein in the past two months?
How often do you pause to consider whether you are eating because of physical hunger versus another reason (e.g. stress, boredom, emotions, habit, or social situations)?
On average how many hours of sleep do you get each night?

Please rate your average stress level.

	1	2	3	4	5

1 is Never Stressed, 5 is Always Stressed

How often do you do each the following?

Rows	Never	Sometimes	Frequently	Always
Meal Planning
Exercise Planning
Healthy Goal setting
Track your Activity
Track your Food
Drink soft drinks or other sweetened beverages
Consider if what you are eating is healthy
Consider if you're eating because you're hungry or for another reason

Please rate each statement based on how much you agree or disagree, using this scale:

Rows	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I consider the number on the scale to be my primary measure of success.
Improving my overall health and creating a healthier lifestyle are important to me, regardless of changes in my weight
I am confident in my ability to increase my level of physical activity
I am confident in my ability to make healthy habit changes that improve my overall health
I am confident in my ability to plan and prepare healthy meals

Eligibility: QuadMed wellness services at your worksite, at QuadMed Health Centers, and virtually are available to all Quad employees, spouses and dependents on the Health Plan.
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