Questionnaire
This questionnaire can help you better understand your condition and empower you to have a more informed discussion with your doctor about weight management. The questionnaire is for personal use only and shouldn’t be considered a diagnostic tool.
Make the commitment today to have a weight management conversation with your doctor and set your individual goals.

Your Results
This questionnaire can help you better understand your condition and empower you to have a more informed discussion with your doctor about weight management. The questionnaire is for personal use only and shouldn’t be considered a diagnostic tool.

Thank you for completing the questionnaire. What's next?
Use this short questionnaire to prepare for a conversation with your doctor about weight management.
©2026 Eli Lilly Australia Pty Limited. All Rights Reserved. ABN 39 000 233 992. Level 9, 60 Margaret St, Sydney NSW 2000. Telephone: 1800 454 559. Date of preparation: April 2026. CMAT-15542.

