Check Eligibility - Weightox Rx

Do You Qualify for the Semaglutide/Tirzepatide Weight Loss Program?

This form is your roadmap. You can change the information, choose to pause or resume at any time. Count on us to be there, ready to assist whenever you give the signal.

This form takes only 45 seconds to complete.

Which state do you live in?

What is your current weight

Must be in “lbs”

What is your target weight goal?

Must be in “lbs”

Do you have any of the following conditions?

High Blood Pressure
Type 2 Diabetes
High Cholestrol
None of the Above

Based on our calculations, You will be a great fit for Semaglutide/Tirzepatide Weight Loss Program.

Let’s begin!

No Contract Required!

First Name

Last Name

Phone

Email

Calls & Texts

I agree to receive messaging from Weightox by Aqua Finch. Rates may apply.

Which Weight Loss Program Are You Interested in?

Both of the programs include the following:

– Medication & Supply Kit
– Free Follow-up Appointments
– Free Personalized Weekly Diet Plan
– All-time Availability of Nutritionist
– Free Nationwide Shipping
– Priority Patient Support
– No Contract – Cancel Anytime
– $40 cash bonus for each friend you refer

Which Weight Loss Program Are You Interested In?