What was your gender at birth?

Male

Female

Other

What's your height?

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Feet
Inches

How much do you weigh?

*

What's your weight loss goal?

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Lose 1 - 20 lbs for good

Lose 1 - 50 lbs for good

Lose over 50 lbs for good

Maintain my weight and get-fit

Haven't decided

What's your date of birth? (MM/DD/YYYY)

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What's your email address?

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Please enter your best phone number to reach you just in case the Doctor has any questions regarding your medical record

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Yes, I want to receive updates

No thanks

What goals are you looking to accomplish?

Lose weight

Improve general health

Look better

Improve confidence

What strategies have you tried in the past?

Exercise

Dieting

Weight loss Supplements

Intermittent Fasting

Medical Weight loss program

Your Best Customized Prescription Plan

Reach your goals this year with HUGSY™️ weight loss program. Guided by trusted Doctors that will provide you personalized plan, medication and support

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