What Are Your Concerns and Challenges Regarding Your Weight and Its Management? Question Title * 1. Please indicate your sex Female Male Question Title * 2. Please indicate your age Under 18 years 18-24 years 25-40 years 41-64 years 65-74 years Over 74 years Question Title * 3. What is your current body mass index (BMI)? To calculate your BMI, please use this BMI calculator <18.5 18.5–24.9 25–29.9 30 or greater I don’t know Question Title * 4. If your BMI is 25 to 29.9, have you been told by your health care provider that you are overweight? Yes No Does Not Apply Question Title * 5. If your BMI is 30 or greater, have you been told by your health care provider that you are obese? Yes No Does Not Apply Question Title * 6. Has your health care provider talked to you about managing your weight through any of the following (Check all that apply): Diet/Nutrition Exercise Medications Surgery My health care provider has not talked to me about ways to manage my weight Question Title * 7. What do you wish your health care provider would talk more about, in terms of you being overweight or obese? (Check all that apply) Diet/Nutrition Exercise Medications Surgery Testing that may uncover medical reasons as to why I am overweight/obese The emotional/psychosocial aspect of being overweight/obese How to handle emotional eating How to handle extreme urges to eat How to handle not feeling full, even after a full meal I am not overweight or obese Other (please specify) Question Title * 8. Do you believe there is a negative attitude by the health care profession in general, about diagnosing and treating people that are overweight or obese? Yes No Question Title * 9. Do you feel that your health care provider has a negative attitude toward people that are overweight or obese? Yes No Question Title * 10. Which of the following do you use for weight management? (Select all that apply) Bariatric surgery Commercial weight-loss program (e.g., Weight Watchers, Jenny Craig, Nutrisystem, Atkins, etc.) Counseling Diet Exercise Goal setting Adiplex-P® Alli® Belviq® or Belviq XR® Contrave® Phentermine Qsymia® Saxenda® Suprenza™ Xenical® None of the above Not applicable Other (please specify) Question Title * 11. Which of the following statements best reflects your level of satisfaction with how your health care provider is treating your overweight or obesity? Extremely satisfied Satisfied Somewhat satisfied Not satisfied Does not apply Question Title * 12. If you are currently being treated with a medication for your weight, what would you change about your current treatment? Nothing, I am satisfied with my medication treatment plan Better weight control Fewer side effects Reduced dosing frequency I would prefer injectable therapy over oral therapy I would prefer oral therapy over injectable therapy Other (please specify) I am not being treated with medication for my weight Other (please specify) Question Title * 13. Please indicate which of the following would improve your satisfaction with your weight management Yes No Already Utilize N/A Patient-focused educational materials Patient-focused educational materials Yes Patient-focused educational materials No Patient-focused educational materials Already Utilize Patient-focused educational materials N/A More time with my physician More time with my physician Yes More time with my physician No More time with my physician Already Utilize More time with my physician N/A Access to a dietician or lifestyle coach Access to a dietician or lifestyle coach Yes Access to a dietician or lifestyle coach No Access to a dietician or lifestyle coach Already Utilize Access to a dietician or lifestyle coach N/A More treatment options More treatment options Yes More treatment options No More treatment options Already Utilize More treatment options N/A Patient advocacy network Patient advocacy network Yes Patient advocacy network No Patient advocacy network Already Utilize Patient advocacy network N/A Patient web portal to access my healthcare team Patient web portal to access my healthcare team Yes Patient web portal to access my healthcare team No Patient web portal to access my healthcare team Already Utilize Patient web portal to access my healthcare team N/A Tools to improve medication adherence Tools to improve medication adherence Yes Tools to improve medication adherence No Tools to improve medication adherence Already Utilize Tools to improve medication adherence N/A Other (please specify) Question Title * 14. Please provide any additional comments regarding concerns about your weight management below: Done