Questionnaire Write a description of your survey here. Select any question below to change it. Then add questions as needed. Question Title * 1. Name Question Title * 2. Birthdate Question Title * 3. Sex Female Male Other Question Title * 4. Current weight and height Question Title * 5. Target weight Question Title * 6. Currently taking any GLP-1s No Yes Question Title * 7. Do you have a personal or family history of medullary thyroid cancer? Yes No Question Title * 8. Do you have a personal or family history of multiple endocrine neoplasia type 2 (MENS) No Yes Question Title * 9. Do you an allergy to GLP-1 agonists? No Yes Done