Contact Us

We are private cardiology consultants with locations across London and Essex. Our team of world leading cardiologists specialise in personalised care using the latest technology.

Where We Are

Woodford Green, IG8 9B2

Call Us

0333 772 1175

Email Us

enquiries@thelondonheart.com

Our team of world leading cardiologists specialise in personalised care using the latest technology.

Our Locations Designed by dash

Health Questionnaire for Program Eligibility

Weight loss form

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Full Name

Email Address

Mobile Phone Number

How old are you?

What is your current weight and height?

Do you have a history of any heart conditions, diabetes, or high blood pressure?

Are you currently taking any medications, especially for diabetes, hypertension, or cholesterol?

before, specific side

Have you tried to lose weight before, and if so, what methods did you use?

How would you describe your daily activity level? Do you smoke or consume alcohol?

What does your typical diet look like? Do you follow any specific dietary patterns or restrictions?

Are you aware of and prepared for the potential side effects of Semaglutide, such as nausea or gastrointestinal discomfort?

Is there a family history of thyroid cancer or other significant health issues?

What are your main motivations for losing weight, and what are your specific goals?

Do you have any known allergies, particularly to medications, or any conditions that might contraindicate the use of Semaglutide?