Breadcrumb Bariatric Surgery Online Patient Orientation: Take The Quiz Copy URL to Clipboard URL COPIED! Print Bariatric Surgery Online Patient Orientation: Take the Quiz Disclaimer: I affirm that I have watched and understand the Bariatric Surgery Online Orientation. No Yes Disclaimer Response Name First Last Date of Birth Your Information Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code What Is Your Email What Is Your Phone Number? Name of Your Health Plan Health Plan ID/Group Number Who referred you to our program? How did you hear about our program? What is your height? What is your weight? Have you ever had weight loss surgery before? - Select -YesNo If you have had weight loss surgery before what and when did you have done? What is your gender? Take the Quiz Obesity is a disease of excess fat storage with a number of associated diseases, known as co-morbidities. True False Obesity is a chronic disease. True False Some co-morbid conditions are: Gastroesophageal reflux disease, Degenerative joint disease (DJD), Heart disease, Gallstones, Fatty liver disease, Coronary artery disease, Stroke, Cancer, Osteoarthritis, Infertility Type-2 Diabetes, Hypertension, Hyperlipidemia, Respiratory disease, Sleep apnea, Asthma/pulmonary disorder, Depression, Menstrual irregularity, Amenorrhea, Dysmenorrhea, Urinary stress incontinence All of the Above "Morbid Obesity" is defined as: more than 200% of ideal weight or more than 100 pounds overweight Body Mass Index of 40 or higher Body Mass Index of 35 to 39.9 with one or more severe co-morbid conditions All the Above The type(s) of Bariatric Surgery performed at the Center for Bariatric Surgery is/are: Roux-en-Y Gastric Bypass Gastric Sleeve Duodenal Switch All the above Which procedure is a restriction only procedure? Gastric Bypass Duodenal Switch Gastric Sleeve The Gastric Sleeve is not reversible. True False The Roux-en-Y Gastric Bypass is making a smaller stomach pouch and rerouting the intestines. True False Which procedure is a combination procedure? Adjustable Gastric Band Gastric Sleeve Roux-en-Y Gastric Bypass What are some factors to help you make a decision for which procedure is right for you? Age, health risk (depending co-morbidities), amount of weight to lose, lifestyle, and eating behaviors Decision between you and your surgeon Both A and B Ask Your Questions Here (Optional) CAPTCHA I would like to receive health and wellness information. - Select -YesNo Disclaimer is No need-orientation Please watch the bariatric surgery orientation before taking the quiz Leave this field blank
