Weight Loss Surgery Information Survey Survey logo
 
Page 1 of 1
 
Please only complete this survey after you have watched all 7 videos in the Information Video Series.

 
1.
Weight loss surgery is the only option for weight loss.*
 
 
 
 
2.
I need to get a referral from my doctor to start the weight management program.*
 
 
 
 
3.
Only your heart is affected by obesity.*
 
 
 
 
4.
Obesity is the 2nd leading cause of preventable death and may shorten a person's lifespan by 10-15 years.*
 
 
 
 
5.
It is impossible to gain weight back, after having weight loss surgery.*
 
 
 
 
6.
How long does the preparation stage usually take before having surgery?*
 
 
 
 
 
 
 
7.
Who should you call if your insurance changes?*
 
 
 
 
 
 
8.
What types of weight loss surgery are offered? (check all that apply)*
 
 
 
 
 
 
 
9.
How much do vitamin supplements cost per month, after weight loss surgery?*
 
 
 
 
 
 
10.
For how long after having weight loss surgery do you need to take vitamins?*
 
 
 
 
 
 
11.
For how long and how often do you have to follow up with the OSF Bariatric Long Term Clinic, after surgery?*
 
 
 
 
 
 
12.
*
 
 
 
 
13.

 
 
 
  Done   Cancel