How are you feeling about your current wellness routine? *

I'm doing okay, but nothing's really sticking

I've tried everything—I'm exhausted

I'm just getting started and want to do it right

I feel off track and ready for a reset

I don't really have a routine right now (and that's okay!)

What's your top goal right now? *

I want to feel confident in my body again

I want more energy to enjoy life

I want to see progress that actually lasts

I want to lose weight in a healthy, steady way

I want to break free from the yo-yo cycle

How much time do you have to focus on YOU each week? *

10–15 minutes here and there

An hour or two—I can make time if it's worth it

I stay busy, but I'll prioritize myself for once

I'm ready to commit to something that fits my life

What best describes your weight loss journey so far? *

I've lost and gained the same weight more times than I can count

Nothing ever seems to work for me

I've had some success but I want more support

I haven't found anything that fits into my life yet

I'm just beginning and curious about what's out there

When it comes to support, what would make the biggest difference for you? *

Clear guidance that isn't overwhelming

A plan that adjusts to my lifestyle

Encouragement and real accountability

Something backed by people who get it

A fresh start that actually feels doable

Let's make sure we're starting off safely. Some conditions may mean a GLP-1 program isn't the right fit—or may need extra care. Check any that apply to you: *

Personal or family history of Medullary Thyroid Carcinoma (MTC)

History of Multiple Endocrine Neoplasia type 2 (MEN2)

History of pancreatitis

Severe gastrointestinal disease (e.g., gastroparesis)

Diabetic retinopathy

Severe kidney disease (e.g., eGFR <30, dialysis)

Currently pregnant or breastfeeding

Type 1 diabetes

Currently taking insulin or a sulfonylurea

Bariatric surgery within the last 12 months

Currently diagnosed with Anorexia or Bulimia

None of the above

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