Take this 30-second quiz to see if you qualify for a
New Patient Special
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How much weight are you looking to lose?
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5-15 lbs
15-30 lbs
30+ lbs
Pounds don't matter, I'm looking for better overall health
On a scale of 1-5, how important to you is it to lose weight?
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1
2
3
4
5
How old are you?
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18-24
25-34
35-44
45-54
55-64
65 & older
What's your full name?
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What's your email?
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What's your phone number?
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