Are You a Candidate for Medical Weight Management?

Take this quick 3-minute assessment to learn whether a personalized medical weight-management consultation may be appropriate for you.

Approximately 3 minutes to complete.

Weight management is different for everyone. Your medical history, current weight, health conditions, medications, previous weight-loss attempts, and goals all matter. Answer the questions below as accurately as possible. Your answers will help our clinical team prepare for your consultation.

Basic Information

What is your height? Required

Feet/inches Centimeters

Feet

Inches

What is your current weight? Required

Pounds Kilograms

Weight

Enter your height and weight to see your estimated BMI.

BMI is one factor clinicians use when evaluating weight-related health. It does not determine treatment eligibility by itself.

Previous Weight-Loss Attempts

Have you previously tried to lose weight? Required

YesNo

Previous Weight-Loss Attempts

What happened after your previous weight-loss attempt? Required

Medical History

Do you currently take prescription medications? Required

YesNo

Are you currently taking any medication specifically for weight loss? Required

YesNo

GLP-1 Safety Screening

Have you ever experienced a serious reaction or significant side effect from a GLP-1 medication? Required

YesNoNot applicable

Have you ever been diagnosed with pancreatitis? Required

YesNoNot sure

GLP-1 Safety Screening

Do you or a close family member have a history of medullary thyroid carcinoma (MTC)? Required

YesNoNot sure

Have you or a family member been diagnosed with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)? Required

YesNoNot sure

Have you ever been diagnosed with severe gastroparesis or a severe stomach-emptying disorder? Required

YesNoNot sure

Pregnancy and Reproductive Health

Are you currently pregnant? Required

YesNoNot applicable

Are you currently breastfeeding? Required

YesNoNot applicable

Are you currently trying to become pregnant? Required

YesNoNot applicable

Lifestyle

How many days per week do you typically exercise? Required