All questionnaires

Weight loss surgery questionnaire

Tell us about your weight and health. A bariatric surgeon at a partner hospital reads your answers and tells you whether surgery may suit you.

About you
cm
kg
years
Sex

Your BMI: –

BMI is a rough guide. Surgeons usually consider weight loss surgery from a BMI of about 35, or lower for some people with type 2 diabetes. The surgeon decides for your case.

Your health
Do you have any of these?
What have you tried to lose weight?
Do you smoke?
What you are looking for
Is there an operation you have in mind?
Where should we send the answer?

A case manager replies on WhatsApp or by call, with what the surgeon thinks.

We reply on WhatsApp or by call. No cost, no obligation.

Your medical details stay private. We use them only to plan your care.

Your answers are used only to plan your care. They are not a diagnosis: the surgeon decides what is right for you after reading your reports and examining you.