check

Weekly Check In

Take a moment and Check In with us. 

Your feedback helps us create the BEST Weight loss and Wellness plan for you. 

Aly Johnston Board Certified Nurse Practitioner
Well by AM Nursing, Inc
Elevated Primary Care
Weight + Hormone and Management

Our weekly check ins have a new look!

Click the button below to start.

Start

Question 1 of 6

What day did you take your last dose?

Question 2 of 6

What dose are you currently taking?

A

Semaglutide .25mg

B

Semaglutide .5mg

C

Semaglutide 1mg

D

Semaglutide 1.5mg

E

Semaglutide 2mg

F

Semaglutide 2.4mg

G

Semaglutide 3mg

H

Tirzepatide 5mg

I

Tirzepatide 7.5mg

J

Tirzepatide 10mg

K

Tirzepatide 15mg

L

Rybelus

M

Phentermine

Question 3 of 6

Are you experiencing any side effects?

If so, please describe. 

Question 4 of 6

What is your current weight measurement? 

Question 5 of 6

How happy are you with you weight loss?

A

🥺

B

😐

C

😁

Question 6 of 6

What can we help with on your weight loss and wellness journey? 

Confirm and Submit