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(727) 357-MIIS(6447)
Free Online Seminar
ABOUT MIIS
Your Surgeons
Your Team
Why Is MIIS Different
GET STARTED
Schedule My Consult
Online Bariatric Seminar
Self-Pay Program
SUCCESS STORIES
Testimonials
Share Your Story
Leave a Review
Non-Surgical Weight Loss
Weight Loss Injections
Medical Weight Loss
Bariatric Surgery
Sleeve Gastrectomy
Gastric Bypass
Revisional Surgery
Support Group
WEIGHT LOSS EDUCATION
Our Blog
Videos
Weight Loss Surgery FAQ
About Obesity
How We Treat Obesity
Is Treatment Covered?
Preparing For Bariatric Surgery
Life After Bariatric Surgery
Appointments
Appointments
Online Seminar
One Minute Assessment
Step
1
of
9
11%
I identify as
(Required)
Male
Female
Non-binary
Do you struggle to maintain a healthy weight using only diet and exercise?
(Required)
Yes
No
Do you suffer from any of these common health issues?
heartburn
sleep apnea
joint pain
high blood pressure
diabetes
depression
none of the above
What is your height and weight?
Height (ft)
(Required)
Please enter a number from
3
to
7
.
Height (in)
(Required)
Please enter a number from
0
to
11
.
Weight (lbs)
What is your biggest challenge or question right now?
(Required)
Can I afford it?
Is surgery right for me?
What are my options?
Will I keep the weight off long-term?
Which payment option describes you best?
(Required)
Self-Pay/Financing
Insurance
Have you decided which treatment is right for you?
(Required)
Select one from below. If you are not sure yet, that is perfectly fine, just select "Not Sure Yet"
Gastric Sleeve
Gastric Bypass
Revisional Bariatric Surgery
Not Sure Yet
Where are you in your weight loss surgery decision process?
(Required)
Researching
Evaluating treatments
Choosing my doctor
Ready to book a consultation
Thank you! Where can we send your results? Enter your information below to receive your personalized results. You will also receive an email regarding your weight loss options from our team at MIIS Weight Loss Institute.
We keep your information safe and private. This assessment is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. By providing your contact information you agree to receive calls and tests to that number from MIIS Weight Loss Institute. If you have questions, please let us know
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