Medical Weight Loss & Peptide Assessment
Answer a few quick questions so our medical team can determine if you’re a good candidate. Takes ~60 seconds.
What is your primary goal right now? (select all that apply)
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Lose weight
Reduce cravings / appetite
Improve energy levels
Improve metabolic health
Support muscle & recovery
I’m not sure — I want guidance
How long have you been struggling with your weight or energy levels?
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Less than 6 months
6–12 months
1–3 years
3+ years
What has been your biggest challenge with weight loss?
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Constant hunger or cravings
Slow metabolism
Hormonal issues
Weight regain after dieting
Low energy or motivation
I’ve tried everything and nothing works
Have you heard of or tried medical weight loss medications before?
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Yes — I’ve tried them
Yes — I’m familiar but haven’t tried
No — I want to learn more
How soon are you looking to get started if you’re a good candidate?
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As soon as possible
Within the next 30 days
Just gathering information
What is your name?
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What is your phone number?
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What is your email?
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