Your Name First Name Last Name Your Email Address Your Phone Number 1. Obesity is a disease Yes No 2. Causes of obesity (Choose all that apply.) Genetics Behavior Environment Bad Luck 3. Reasons to consider surgery (Choose all that apply.) Diets fail every time. Unsuccessfully tried to lose weight for years. Difficult to do everyday activities due to size. At loss what to do next to lose weight. 4. Those who qualify for bariatric surgery have a BMI over 40 or 35-40 with weight-related medical conditions True False 5. Choosing bariatric surgery is considered a lifestyle change True False 6. Patients need to commit to stop smoking before surgery True False 7. Two types of bariatric surgery performed at Blessing are (Choose the correct answers.) Restrictive-sleeve Diversion-bypass Gastric Balloon Lap Band 8. What should you expect after surgery? (Choose all that apply.) Recovery time, takes 2-3 weeks. Strict Diet Experience some discomfort and pain. Healthcare team will advise when patient can resume normal activity. 9. Vitamins and supplements are required after surgery True False 10. There will be a team of professionals to meet with prior to surgery. Team members include: (Choose all that apply.) Nurse Practitioner Mental Health Professional Dietician Surgeon Submit Leave this field blank