Build your treatment plan

What's your main goal right now?* This field is required.

Lose weight

Improve my health

Reduce cravings

Feel more confident

Expore treatment options

I'm not sure yet

What best describes your weight-loss journey?* This field is required.

I’ve tried lots of things but struggle to keep weight off

I’ve recently started gaining weight

I want medical support

I want accountability and guidance

I’m just exploring my options

What have you tried before?* This field is required.

Dieting

Calorie counting

Exercise plans

Slimming groups

Meal replacement plans

Prescription weight-loss treatment

Over-the-counter products

Nothing yet

What feels like the biggest challenge for you?* This field is required.

Cravings

Hunger

Emotional eating

Lack of time

Low motivation

Weight regain

A medical condition

I'm not sure

What kind of support are you looking for?* This field is required.

A personalised weight-management plan

Medical review and treatment options

Help with appetite and cravings

Coaching and accountability

I want to understand what I'm eligible for

Are you currently taking any medication?* This field is required.

Yes

Not sure

Please briefly list any medication you currently takeMedication name, dose if known, and how often you take it.

Have you ever used weight-loss treatment before?* This field is required.

YESNO

What treatment have you used before?Enter treatment name if you know it

How soon would you like to start?* This field is required.

As soon as possible

Within 2 weeks

Within 1 month

In 1-3 months

Not sure yet

What was your sex assigned at birth?* This field is required.

Female

Male

Intersex

Prefer not to say

Are you pregnant or trying to conceive?* This field is required.

Yes

Not sure

What age range are you?* This field is required.

Below 18

18-75

Over 75

What metric would you like to give your height in?* This field is required.

feet and inches

Your height

feet

inches

What metric would you like to give your weight in?* This field is required.

stones and pounds (lbs)

Your weight

stones

pounds (lbs)

Do you currently have, or have you ever had, any of the following?* This field is required.

Type 2 diabetes

High blood pressure

High cholesterol

Sleep apnoea

PCOS

Thyroid condition

Gallbladder problems

Pancreatitis

Kidney disease

Liver disease

Eating disorder

None of the above

I'm not sure

Where are you based?* This field is required.

What is your name?* This field is required.

First Name

Last Name

Which treatment option(s) were you interested in* This field is required.

Mounjaro injections

Wegovy injections

Wegovy tablets

Not made my mind up yet

What's the best mobile number to contact you on?* This field is required.

Please enter a valid phone number.

Where should we send your eligibility results and next steps to?* This field is required.

example@example.com

Unfortunately, you are not eligible for treatment.