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Intake questionnaire

A Study of Orforglipron in Female Participants With Stress Urinary Incontinence Who Have Obesity or Overweight

Applying to Next Level Urgent Care · Houston, Texas

Answer a few short questions to share with the research team.

0 of 5 answered

1. Are you 18 years old or older?
2. Do you identify as female?
3. Have you been diagnosed with Urinary Incontinence,Stress?
4. Are you currently pregnant or breastfeeding?
5. Are you able to travel to Houston for study visits?