Home / Account Home / VLCD – Health Check QuestionnaireVLCD – Health Check Questionnaire You are only required to answer this questionnaire once every 12 months. Should your health status change please revisit the questionnaire via your account page. Answer questions to proceed Proceed to Checkout Proceed to Checkout Are you under 18 or over 75?Yes No Are you pregnant, given birth in the last 12 weeks or breastfeeding?Yes No Do you have an allergy to lactose, milk or soya?Yes No Will you be drinking any alcohol whilst on plan?Yes No Do you have Type 1 diabetes, liver or kidney disease or any other serious illness?Yes No Do you suffer from any form of epilepsy, acute or chronic renal failure?Yes No Do you suffer from porphyria?Yes No Do you suffer from any psychotic illness, severe depression or bipolar disorder?Yes No Do you have a serious heart condition or had a heart attack in the last 12 weeks?Yes No Have you undergone major surgery in the last 12 weeks?Yes No Have you ever suffered with an eating disorder?Yes No Do you believe you have any health condition which you have not yet spoken to your doctor about?Yes No Have you checked with your doctor that a VLCD is suitable for you, and you agree to be regularly monitored by your doctor?Yes No Have you read and agree to the Slim & Save Terms & Conditions, Privacy Policy and Allergen Policy?Yes No You have either not completed the questionnaire or your answers indicate that you are not suitable to follow a VLCD programme. You will not be able to continue through to the checkout based on your answers Answer questions to proceed Proceed to Checkout Proceed to Checkout
