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Realize™ Band Eligibility Quiz
Are You a Candidate for Gastric Band Surgery

The REALIZE Personalized Banding Solution requires a lifelong commitment of doing the best you can to stay healthy and active. If you feel ready to talk to your doctor about gastric band surgery, take our Eligibility Quiz first.  These same questions are likely to be asked by your doctor and your insurance company.

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What is your age?
What is your gender?
What is your weight in pounds?
What is your height?
Have you been diagnosed as having any of the following obesity-related conditions? (Check ALL that apply)
Type 2 Diabetes
High Blood Pressure
High Cholesterol
Obstructive Sleep Apnea
Osteoarthritis
Depression
Acid Reflux / GERD
Stress Urinary Incontinence
Polycystic Ovarian Syndrome (PCOS) or Infertility
Have you made good faith attempts at weight loss such as diet, exercise, and behavioral modification programs?
Yes
No

Ethicon Endo-Surgery, Inc. a Johnson and Johnson company
© Ethicon Endo-Surgery, Inc. 2008. DSL#07-0962
This site is published by Ethicon Endo-Surgery, Inc. which is solely responsible for its contents and is intended for U.S. audiences only. This site is not intended as a substitute for professional medical care. Only your physician can diagnose and appropriately treat your symptoms.
Valid only in the United States. Realize™ and Realize mySuccess™ are trademarks of Ethicon Endo-Surgery.