POST SEMINAR QUIZ

Name:
Address:
City:
State:
Zip:
Phone:
Email:
Type of Insurance:
How did you hear about our program?

Read each question carefully and then choose the best answer:

1. Some of the health risks of obesity include:

a. headaches, nausea, palpitations
b. high blood pressure, diabetes, joint pain
c. shingles, glaucoma, psoriasis

2. Which of the following are related to morbid obesity:

a. Obesity is the 2nd leading cause of preventable death
b. The morbidly obese die 10-15 years sooner than non-obese people
c. Both a and b

3. The 3 main causes of morbid obesity are genetics, behavior, and environmental.

T or
F

4. The types of weight loss surgery include restrictive, malabsorptive and combination:

T or
F

5. Gastric Bypass surgery is an example of

a. Restrictive only
b. Malabsorptive only
c. Combination of restrictive and malabsorptive

6. Lap Band Surgery is an example of

a. Restrictive only
b. Malabsorptive only
c. Combination of restrictive and adjustable

7. Which surgeries do you need to take daily multiple vitamins?

a. Gastric Bypass
b. Lap Band
c. Both a and b

8. Hope Bariatrics is a Centers of Excellence facility.

T or
F

9. The Lap Band system:

a.   Is adjustable
b.   restricts the amount of food you can eat
c.   uses an access port beneath the skin to make adjustments
d. all of the above

10. One must be committed to make lifestyle changes for success:

T or
F

And finally... On July 6, 2001, the U.S. Government passed compliance regulations (HIPAA LAWS) that mandate all healthcare facilities protect health information and inform consumers of the healthcare information practices of the facility. At this facility, we have always, and will continue to protect the privacy of your health information.

Your privacy is important to us. Please indicate below if we are able to leave a message on your answering machine or voicemail. Thank you.

Yes, you may leave messages
No, please do not leave any messages

PATIENT TESTIMONIAL

My weight issues started when I was going into my teenage years. When I got married and had two wonderful children my weight became even more out of control. Having two children and a lifelong battle with food, I finally decided that it was time to get my life and weight under control. I decided that it was time for me to under go gastric by-pass surgery. The morning I went in for my surgery I was not even a bit scared. I knew I was doing the right thing for myself. That's right FOR MYSELF! I weighed 263 lbs. that morning. 9 1/2 months later I weighed 138 lbs. I have gone from a size 22/24 to a size 4/6. Everyday is a challenge!! Some may think it was the easy way out. Those are the people who don't know what it is like to live on the other side of the scale. I would like to think I could be an inspiration to those who have had a life long battle with their weight, because I know what it is like on the other side. I no longer live on a diet. I live on what I now call "life". I said good-bye to my 20's and hello to the thin person that I have always wanted to be. Thank you Dr. Felix and your wonderfull staff. You gave me my life back. Sincerely, Cindy

- Cindy

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