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Webinar Registration Form

Welcome! Your journey to a healthier, more confident you starts here.

Register below to join our inspiring webinar on overcoming obesity and achieving sustainable weight loss.

What is your title

What is your first name?

What is your last name?

What is your phone number

What is your email address

Name of organization/ company (if applicable)

What country are you located in?

What motivated you to attend this webinar? (Select all that apply)

BMI (Body Mass Index) Value (if known)

How well do you feel you manage your blood glucose? (choose one of the following)

Do you have any other medical conditions you would like to share

Do you have any specific questions you would like to ask the speaker

Are there any other topics you would like us to cover in future webinars? Please list them below:-

How did you hear about this webinar

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