Surgical Weight Loss Management Webinar
| Date Created | Name | Phone | Address | Birthdate | |
|---|---|---|---|---|---|
| April 1, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 1, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 1, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 1, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 1, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 1, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 1, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 1, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 2, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 2, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 2, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 3, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 3, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 4, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 4, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 4, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 5, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 6, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 6, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 7, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 7, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 7, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 7, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 7, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| April 7, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | |
| Date Created | Name | Phone | Address | Birthdate |
| Date Created | Name | Phone | Address | Birthdate | How did you hear about us? | Comments | |
|---|---|---|---|---|---|---|---|
| June 11, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Other | Have been on the weight loss program twice | |
| June 10, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Have been on the weight management program twice | ||
| February 10, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | Have tried losing weight in all forms other than medication with 0 success | |
| May 27, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Other | I am 29 years old. I suffer with being overweight and i want to make a change in my lifestyle as well as be the healthiest possible i can be for my children and future children. | |
| April 22, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I am exploring my options at this point. | |
| February 18, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I am interested in the gastric sleeve to help my diabetes as well my weight | |
| February 19, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Internet | I am new to looking into my options in regard to my weight loss | |
| June 11, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I did view the video previously, nervous, but its time, I need to do something. Please help. | |
| March 4, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I do not want surgical weight loss. I want to go through weight management naturally. | |
| February 18, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I had a lapband in 2016 and had it removed in 2023 | |
| April 22, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Other | I have gained an excessive amount of weight in the last 3-4 years. The drs have not been able to find the cause. I would like assistance in losing weight. | |
| April 3, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I have struggled with my weight for most of my life with no real sustainable history that suggests any promise in achieving my weight loss goals. | |
| May 19, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I have trouble with food like an addiction. I know about the high protein and low carb but miss up and do need help and would like the surgery. | |
| April 8, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Other | I heard from the VA | |
| February 9, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I hope u can help me.i don't want to be like this anymore.i tried everything and no luck,will u please help me.i | |
| May 23, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I was a patient in 2020. | |
| June 20, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I was referred by my Dr. | |
| April 8, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I watched video once but don't remember the date to fill in on packet | |
| April 4, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I'm very interested in getting this done and serious about my weight and my health and doing what I have to do to change my behaviors and habits of eating and making healthy choices | |
| February 27, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I've been obese most of my life and feel it's at a point where it's really effecting my quality of life | |
| April 1, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I've tried multiple Rx medications, dietary plans, etc. with no success. I need this weight off to have a livelihood again. | |
| June 17, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Internet | I’d like to see if I qualify for weight loss surgery | |
| July 1, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Physician Referral | I’m so excited for the surgery and to start my weight loss journey | |
| May 2, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | Internet | I’ve struggled with weight my entire life. My heaviest was 310. Went down to 185 with diet and exercise. Now I’m up to 220 and miserable. I need help my body sucks lol. I am miserable I don’t want to shop for clothes or live life. | |
| March 11, 2025 | Encrypted Field Restricted Encrypted Field Restricted | Email hidden; Javascript is required. | Encrypted Field Restricted | Encrypted Field Restricted Encrypted Field Restricted, Encrypted Field Restricted Encrypted Field Restricted Map It | TV | ihavebulmiasincriwasnineyearsold.ijustwantittostop.ian | |
| Date Created | Name | Phone | Address | Birthdate | How did you hear about us? | Comments |
