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Am I a Candidate?
Answer these questions to find out if weight loss surgery is for you
| What is your age?* |
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| What is your gender?* |
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| What is your weight?* |
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| What is your height* |
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Have you been diagnosed as having any of the following obesity-related conditions?*
Type 2 Diabetes, High Blood Pressure, High Cholesterol, Obstructive Sleep Apnoea, Osteoarthritis, Depression, Acid Reflux/GERD, Stress Urinary Incontinence, Polycystic Ovarian Syndrome (PCOS) or infertility |
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| Have you made good faith attempts at weight loss such as diet, exercise, and behavioural modification programs?* |
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| *All fields required |
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