BodySculpt by Tess - See if I'm a candidate

1

What areas of fat are you looking to permanently reduce?* This field is required.

Bra Fat

Double Chin

Belly

Breasts

Arms

Love Handles

Saddle Bag

Knees

Butt

Inner Thighs

Other

3

Please tell us about yourself* This field is required.

Male

Female

4

What is your age?* This field is required.

18 - 24

25 - 49

50 - 64

65 & Older

5

What is your weight and height?* This field is required.

6

Do you have any of the following special events coming up?* This field is required.

Milestone Birthday

Wedding

Special Occasion

No event, I just want to look better

Other

7

7. In 2017, the average cost nationwide for non-surgical Body Shaping was $2,780. Which of the following best fits your budget and most accurately describes your body type?* This field is required.

1. $1,500-3,000 (One area of localized fat)

2. 3,001-5,000 (In good shape but have an area or two I'd like to reduce)

3. $5,001-10,000 (I'm 15-20 lbs over my ideal weight and have multiple areas to reduce)

4. $10,001 + (I can pinch 3-4 inches and/or I want to reduce multiple areas)

8

8. If you choose to receive treatment, how do you anticipate paying?* This field is required.

Cash

Credit Card

Use our 6 or 12 month 0% financing offer

I want to discuss my options

9

9. If you're interested, when would you like to have your consult or treatment?* This field is required.

ASAP

Within a couple of weeks

Within a month

I'd like to discuss my options

10

10. If you're a good fit & you're offered a free consultation as part of this special offer, do you agree to show up to your appointment on time?* This field is required.

Yes, of course I agree!

Not at this time...

11

Full Name* This field is required.Enter Your Information Below

First Name

Last Name

12

Email Address* This field is required.

example@example.com

13

Phone Number* This field is required.

Area Code

Phone Number