Let’s evaluate your treatment options.

Discover personalized weight loss solutions based on your goals, 

habits, and health history.

By clicking  “Continue”, you agree that EONMeds may use your responses to personalize your experience and for other purposes in accordance with our Privacy Policy. The information you provide will be used as part of your medical evaluation.

How would your life change by losing weight?

Select all that apply.

This questionnaire helps us understand your medical history, lifestyle, and goals.

Similar to the form you fill out when you visit the doctor.

Remember:

Select the state you live in:

This is the state where your medication will be shipped, if prescribed.

What is your name?

This way, we can personalize your experience from the very beginning.

Basic Information

To check if you qualify, tell us your date of birth.

This helps us confirm that you meet the age requirements for treatment.

To begin treatment, you must be at least 18 years old. We verify your date of birth to ensure you meet this requirement and to provide safe and appropriate medical care.

Where should we send your treatment?*

Your address also helps us confirm if treatments are available in your state and if you meet local medical requirements. 

*If your prescription is approved.

*Only if applicable. Leave blank if you live in a house.

What is your ideal weight?

*Numbers only. Example: if your ideal weight is 140 lbs, enter 140 in the box.

What is your current weight?

*Numbers only. Example: if your current weight is 140 lbs, enter 140 in the box.

What is your height?

Your weight and height information allows us to calculate your BMI (Body Mass Index), a key metric doctors use to determine if you qualify for treatment. This information is confidential and will only be used by authorized professionals to assess your medical eligibility.

Based on the information you shared, the use of medication may be appropriate for you.

Join the thousands of transformations we’ve helped achieve.

Each of these cases features real patients who transformed their lives.

How can we contact you?

We use this information to keep you informed about your treatment, send you important updates, and help you stay connected with your provider.

To help ensure patient safety, we need to verify your phone number. By providing it and continuing, you consent to receive text messages from EONPro for verification and other legally permitted uses related to your account and our services. This may include order confirmations, shipping updates, and messages from your provider. Message and data rates may apply. Message frequency may vary. Reply HELP for assistance or STOP to unsubscribe. Standard message and data rates may apply. These messages may include medical reminders, treatment updates, promotions, and other information related to your care.

Sex assigned at birth

This medical information helps us properly assess your eligibility and determine the most appropriate treatment.

EONPro provides medical care without discrimination.

We do not discriminate based on sex, gender, gender identity, sexual orientation, age, race, color, religion, national origin, marital status, disability, or any other characteristic protected by law. Your privacy and dignity are a priority at all times.

What is your usual level of daily physical activity?

Have you been diagnosed with any mental health condition?

We ask this so your provider has a complete view of your medical history and can determine the most appropriate treatment for you. Please make sure to report any condition for which you are taking medication.

Have you been diagnosed with any of the following?

We ask this because some of these conditions may influence the type of treatment that is most appropriate for you.

All our programs include:

Do you have any medical condition or chronic illness?

This helps your provider get a complete view of your medical history. Include any condition that affects your blood pressure, heart, kidneys (including kidney stones), or liver, as well as conditions such as diabetes, high cholesterol, stroke, cancer, or gout.

What type of condition or chronic illness do you have?

Do you have a

history of any 

of the following?

Have you been diagnosed with 

any of the following conditions?

We ask because certain conditions

can determine which type of treatment 

is right for you.

Have you or any of your family members been diagnosed with any of the following conditions?

We ask because certain conditions can help determine which type of treatment is most appropriate for you.

Do you have a personal history of medullary thyroid cancer?

Do you have a personal history of Multiple Endocrine Neoplasia type 2 

(MEN 2)?

Explanation: Multiple Endocrine Neoplasia type 2 (MEN 2) is a rare genetic syndrome that causes certain glands in the body to produce excess hormones or develop tumors (neoplasms). It is hereditary, meaning it is passed from parents to children through genes.

Do you have a personal history 

of pancreatitis?

Do you have a personal history of gastroparesis (delayed gastric emptying)?

Do you have a personal history of type 2 diabetes?

Are you pregnant 

or breast feeding?

This chart is for illustrative purposes only and is intended to show general trends in appetite suppression; individual results may vary. Based on two separate clinical studies of Wegovy®, one 68-week study found that approximately 1 in 3 adults with overweight or obesity and related conditions achieved 20% weight loss, with an average reduction of 15%. In a 104-week study, the average weight loss at two years was 15.2% compared to 2.6% in the placebo group. Results vary from person to person, and stopping treatment may lead to weight regain.

Have you had any surgery or medical procedures?

This information helps your provider fully understand your medical history and offer the most appropriate treatment for you.

Have you had any surgery or medical procedures?

What was your most recent blood pressure reading?

(If known, select the closest option.)

© 2025 EONPro, LLC. Todos los derechos reservados. Proceso exclusivo y protegido. Prohibida su copia o reproducción sin autorización.

This is how our treatments can help you achieve your weight goals

Are you currently taking, or have you ever taken, a GLP-1 medication?

GLP-1'S include medications like compounded semaglutide/tirzepatide, Ozempic, Wegovy, Mounjaro or Zepbound.

Which GLP-1 medication are you currently taking?

What dose of Semaglutide (Ozempic, Wegovy, compounded) 

are you currently taking?

Tell us your currently weekly dose in miligrams (mg)

Have you experienced any of the following side effects from semaglutide (Ozempic, Wegovy)?

How successful has your experience been with semaglutide (Ozempic®, Wegovy®)

What dose of injectable Tirzepatide (Mounjaro, Zepbound, compounded) are you currently taking?

Indique su dosis actual en miligramos (mg) por semana.

How successful has your experience been with tirzepatida (Mounjaro® , Zepbound®)

Have you experienced any of the following side effects from Tirzepatide (Mounjaro, Zepbound)?

Are you happy with your current GLP-1 dose?

Do you currently take any medications or supplements?

What medications or supplements are you currently taking?

How often do you have 5 or more alcoholic drinks at once?

Alcohol can sometimes interfere with the effect of certain medications. It is important that your provider knows so they can give you the best possible guidance.

Do you have any allergies?

What are you allergic to?

While weight loss medications are highly effective, it’s common to experience side effects such as nausea.

At EONMeds, a licensed physician can personalize your treatment plan to help you reach your goals without having to deal with those effects.

The following questions will allow your provider to determine the best clinical approach for you.

Do you usually experience any of these side effects when starting a new medication or supplement?

Our doctors can help you manage side effects with a personalized treatment plan. 

Would you be interested in having your provider consider a personalized treatment plan at no extra cost to help you manage any side effects?