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Hi there! If you’re interested in working with us, please share a little about yourself & and the project.
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a.
Hi, what is your name?
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b.
What is your date of birth
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c.
Have you been diagnosed with obesity or overweight with at least one weight-related comorbidity?
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A
Yes, I do
B
No, I need a new one
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d.
Please list all the medications/supplements you are currently taking.
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e.
Have you ever been diagnosed with Type 2 diabetes?
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A
Yes, I do
B
No
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f.
Do you have any history of kidney disease or impaired kidney function?
A
Yes, I do
B
No
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g.
Are you pregnant, planning to become pregnant, or breastfeeding?
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A
Yes, I do
B
No
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Finally, how do we contact you?
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