Step 1 of 2
Transform your health. Take our quick assessment - no sign-up required.
Already have an account? Log in
Almost there! Please complete all the questions to find out if you are eligible.
Unfortunately, due to safety considerations we are unable to prescribe weight loss medications to you.
What is your height?
The height doesn't seem quite right, please make sure you are providing the right height.
What is your weight?
The weight doesn't seem quite right, please make sure you are providing the right weight.
Tell us about you
What's your date of birth?
Please fill your date of birth correctly.
Sorry, but we are unable to supply this product to anyone below the age of 18 or over 85.
What is your ethnicity?
Please choose an answer.
People whose ethnicity is anything other than white will qualify for medication at a lower BMI.
White
All other ethnicities
What has been your highest ever weight?
Your highest weight must be equal or higher than your current weight, if you have made a mistake with your current weight, please go back to your previous answer to change it.
Our clinicians need to know your highest ever weight as you may qualify for weight loss medication at a lower BMI.
What is your target weight? (Optional)
Your target weight must be lower than your current weight, if you have made a mistake with your current weight, please go back to your previous answer to change it.
Knowing your goal helps us shape the right support for you. Reaching it won’t mean your treatment ends, it simply helps us stay aligned with what matters most to you.
What sex were you assigned at birth?
Male
Female
Are you pregnant or breastfeeding?
Weight loss medication is not recommended for anyone who is pregnant, trying to conceive, or breastfeeding. Once you are no longer pregnant, trying to conceive, or breastfeeding, you could explore weight loss treatment options again.
Yes
No
Are you currently taking weight loss medication?
We need to know this so we can recommend the right medication and dose.
To continue at your current BMI, we need proof of your current dose. Please gather this evidence and return to complete your assessment.
Which medication are you taking?
Mounjaro
Wegovy
Ozempic
Rybelsus
Saxenda
Orlistat
Mysimba
Other
What dose of Mounjaro are you taking?
2.5mg
5mg
7.5mg
10mg
12.5mg
15mg
What dose of Wegovy are you taking?
0.25mg
0.5mg
1mg
1.7mg
2.4mg
7.2mg
What dose of Ozempic are you taking?
2mg
What dose of Rybelsus are you taking?
3mg
7mg
14mg
What dose of Saxenda are you taking?
0.6mg
1.2mg
1.8mg
If we prescribe injections for weight loss you'll need to stop taking your oral weight loss treatments. Please confirm that you agree
I agree
Why are you considering switching medical providers?
Access to a tracker app
Better price for my medication
Better reliability
More support (coaching and clinical)
None of the above
Can you provide proof of your current dose?
We require evidence of your current prescription, issued within the last 2 months. Suitable examples include: a screenshot of the email order confirmation from your previous provider, or a picture of your current medication box clearly showing your full name, medication name, and dose.
When was your last dose?
Please give an answer minimum 5 letters long.
Are you maintaining your current weight or actively losing weight still?
We couldn't reach CheqUp just then. Your answers are still here — please check your connection and tap Continue again.
