Share Your Story

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2. TELL US ABOUT HOW YOUR PHYSICAL HEALTH AND / OR MENTAL HEALTH HAS IMPROVED.

3. WHAT ARE YOU ABLE TO DO SINCE YOU’VE LOST WEIGHT THAT YOU COULDN’T DO BEFORE SURGERY?

4. TOTAL WEIGHT LOST – HOW MUCH WEIGHT DID YOU LOSE IN THE FIRST 3 MONTHS POST-SURGERY? 6 MONTHS? A YEAR?

5. WHAT WAS YOUR OVERALL IMPRESSION OF DR. CARLTON AND HIS STAFF?

6. ADDITIONAL COMMENTS YOU WOULD LIKE TO SHARE.

7. BEFORE AND AFTER PHOTOS
Before/After Photos you would like to share – please send in original format no pic collage or cut pics:

Max. file size: 5 MB.

8. VIDEOS
Videos you would like to share – if you want to video yourself answering the questions above – our marketing team will work their magic and compile (optional):

Max. file size: 5 MB.

By completing this form, you are giving us permission to follow-up by phone, email or text.