Zoom Medical Weight Loss & Wellness Medical Weight Loss Questionnaire

Real change is around the corner.

We're Zoom Medical Weight Loss & Wellness. We believe in weight care over weight loss.

With weight care, success is often not about will power - it's about your biology.

And with cutting-edge weight loss medications, you'll be working with your body, not against it.

A good place to start is with your name. 🙂

Glad to meet you.

Let's check your eligibility for weight loss medications like Ozempic, Wegovy, Mounjaro and Zepbound.

What was your sex assigned at birth?

Female

Male

Are you pregnant, nursing or trying to get pregnant?

Yes

Not Applicable

How long have you been trying to lose weight?

Since childhood

Since adulthood

Since having kids

I haven't tried

What is the reason you want to lose weight?

More energy

More confidence

For my family or kids

Quality of life

Fit better in my clothes

Health concerns

Select all that apply.

What is your height?

What is your current weight?

What is your goal weight?

Have you or a family member ever been diagnosed with any of these conditions.

Thyroid Cancer

Type 1 Diabetes

None

Select all that apply.

Congratulations!

Are you ready for your first step?

It looks like you are eligible with Zoom. Our clinical team will access your profile to determine the best course of action to get you to your goals!

What is a good email for you?

What is a good phone number to reach you at?

By submitting this form, you agree to receive text messages at the number provided about our services. Reply "stop" to cancel. Message and data rates may apply.

We work with your body, for your body.

Cincinnati, OH

Columbus, OH

Cleveland, OH

Zoom Medical Weight Loss & Wellness 2025