What is Wegovy Questionnaire?
What kind of treatment is the Wegovy Questionnaire consent form for?
The Wegovy Questionnaire consent form is designed for patients considering non-surgical injectable weight management treatment.
- Wegovy is a prescription medication for chronic weight management.
- It helps reduce body weight and maintain weight loss alongside diet and exercise.
- Typical outcomes may include significant weight loss and improved metabolic health.
- Patients may expect ongoing support and monitoring from healthcare professionals.
As with all medications, there are potential rare side effects; consult your healthcare provider for more details.

- It is a legal and ethical requirement in the UK
- Confirms you understand the treatment and possible side effects
- Helps set realistic expectations and ensures safe practice
- Builds trust between you and your practitioner
- Your signed confirmation of informed consent
Potential side effects of Wegovy Questionnaire treatments
Wegovy treatments may lead to several common side effects.
- Nausea
- Vomiting
- Diarrhoea
- Constipation
- Abdominal pain
Rare side effects may include pancreatitis and kidney problems.
Who is the ideal candidate for this treatment?
The ideal candidate for Wegovy treatment typically meets specific health criteria.
- Adults with a BMI of 30 or more, or 27 with related conditions
- No history of pancreatitis or severe gastrointestinal issues
- Not pregnant, breastfeeding, or planning to conceive
- Free from allergies to semaglutide or its components
Consult a healthcare provider for personalised advice and potential exclusions.
Aftercare advice for best results
Proper aftercare is essential for maximising the benefits of Wegovy.
- Stay hydrated and maintain a balanced diet.
- Monitor your weight and any side effects regularly.
- Attend follow-up appointments as advised.
- Prioritise regular physical activity.
Consult your healthcare provider for any concerns.
How to fill the consent form?
To complete the consent form, carefully read each section outlining the treatment, potential risks, and expected outcomes. Ensure you understand all information before proceeding. Fill in personal details accurately and confirm agreement by ticking the required boxes. The form must be signed digitally to confirm your informed consent.
