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1 Whatever your weight-loss goals may be, Slim Clinic can help.

2 What’s your weight loss goal?

Losing 51+ Ibs

3 Your weight-loss goal is closer than you think.

Arizona

4 To ensure that you are eligible for treatment, please provide your date of birth

 

05-01-1972

5 Thank you! Everything is set on our end. Let’s continue with some questions about you and your lifestyle.

6 How many different weight loss programs have you tried before?

4-8

7 Do any of your family members struggle with their weight?

Yes

8 How would you describe your daily stress level?

I feel stressed sometimes

9 How many hours of sleep do you get (on average) each night?

Over 8 hours

10 Where do you carry most of your weight?

Hips and thighs

11 Where do you carry most of your weight?

Both

12 What are the main results you are hoping to achieve with losing weight?

Better body composition

13 Once you complete this section and submit your answers, a member of our team will reach out.

Better body composition

14 You’re eligible for treatment

Phone – (555) 555-55-55

Email – adegdrg@dghdtsha.re

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