Kettering HealthMedical Weight Loss Seminar The online seminar will take about 20 minutes. Before you fill out the form below, make sure you have set aside enough time to complete. "*" indicates required fields Δ First Name* First Last Name* Last Gender* Female Male Date of Birth* MM slash DD slash YYYY Phone*Email* Address* Street Address City State / Province / Region ZIP / Postal Code How did you hear about this?* -Not Selected- TV Radio Newspaper Web Mail Phone Book Family / Friends KH Community Event Facebook Physician Other Have you registered for a seminar before?* -Not Selected- Yes No All information gathered from this form will not be sold to or used by any third party. Play the virtual seminar video below. After viewing, select “Next” to take the virtual seminar quiz. Your results will be processed and someone from our office will reach out to you within two business days. What is the daily net carb goal?* Eighty to ninety Seventy to eighty Forty to sixty Twenty to thirty What is your daily dietary focus?* Protein and vegetables Vegetables and fruits Protein and fruits Fruits and vegetables How often should you exercise in a week?* One to two times a week Two to three times a week Three to five times a week Every day of the week What should be your daily sleep goal?* Five to six hours Seven to eight hours Eight to ten hours Sleep does not play a factor in weight loss How can you track your daily intake of net carbs, proteins, calories, or fluids?* Journal on paper Baritastic (bear-e-uh-tas-tick) app Any free weight loss apps Any app that allows you to calculate protein, net carbs, calories, fluids, etc.
