wegovy savings & support program

Weight Exploration Report

   

 

    

Ask the right questions—get on the right path!

 

Start the weight-loss conversation with your health care provider by completing the Weight Exploration Report below. It should take just 5 minutes and will help determine your readiness for a weight-loss treatment like Wegovy.

 

Ask the right questions—get on the right path!

 

Start the weight-loss conversation with your health care provider by completing the Weight Exploration Report below. It should take just 5 minutes and will help determine your readiness for a weight-loss treatment like Wegovy.

 

Ask the right questions—get on the right path!

 

Start the weight-loss conversation with your health care provider by completing the Weight Exploration Report below. It should take just 5 minutes and will help determine your readiness for a weight-loss treatment like Wegovy. Be sure to download or print the report and share it with your health care provider. You can also email it to him or her.

Ask the right questions—get on the right path!

 

Start the weight-loss conversation with your health care provider by completing the Weight Exploration Report below. It should take just 5 minutes and will help determine your readiness for a weight-loss treatment like Wegovy.

 

Wegovy is an injectable prescription medicine used for adults with obesity (BMI ≥30) or overweight (excess weight) (BMI ≥27) who also have weight-related medical problems to help them lose weight and keep the weight off.

Be sure to download or print the report and share it with your health care provider. You can also email it to him or her.

    

Section 1 of 4: Let’s explore your past weight-management efforts

1. In your past efforts to lose weight, what have you tried?

2. In your past efforts to lose weight, what were you motivated by?

3. In your past efforts to lose weight, what sources of support did you rely on?


Section 2 of 4: Considering your motivation

4. What is motivating you to consider a change now?

5. Everyone measures success differently. How do you think you’ll measure weight-management success?


Section 3 of 4: Discovering your strengths

6. Check off the items you most agree with (choose 4) on the following checklist. Remember, if you don’t check off an item, it doesn’t mean you can’t reach your goals. It just means there may be some things your health care provider can discuss with you.


Section 4 of 4: Body Mass Index (BMI) Calculator

7. BMI is a measure of body fat based on height and weight.


Your weight


Your height


How would you like to get your Weight Exploration Report?

All the fields marked with an asterisk are required in order to complete your registration.


   

Call 1-833-4-WEGOVY (1-833-493-4689) between 9:00 AM and 9:00 PM ET, Monday–Friday.

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