Semaglu

Questionnaire

A black and white photograph of a storefront window displaying the text 'Faith & Fat Loss' in bold letters. The window reflects the silhouette of trees and a passing vehicle on the street, and blinds hang behind the glass.

Patient Qualification Form

Determine your eligibility for weight-loss medication with our simple and discreet online questionnaire.

Check Your Eligibility

Complete our quick questionnaire to see if you’re qualified for our weight-loss medication. Simplicity is key.

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