LTB Body Contouring Consultation

Free LTB Body Contouring Consultation
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
How did you hear about us?

InstagramFacebookGoogleFriend/ReferralWalk-inOther
Body Concerns
What are your main body concerns? (You can choose more than one)

Stubborn fat areasCelluliteLoose or sagging skinWater retention / SwellingStretch marksLack of muscle tonePostpartum body changesSlow metabolismUneven body shape / body proportionsOther
Which areas of your body would you like to improve or reshape?

AbdomenWaist / Love handlesHipsThighsButtocksArmsBackDouble chinOther
Have you had any body treatment before?

YesNo
If yes, which ones and when?
Are you currently following a specific diet or exercise routine?

YesNo
If yes, please describe briefly
Do you have any medical conditions or surgeries we should know about?

YesNo
If yes, please explain
Are you currently pregnant or breastfeeding?

YesNo
Goals and expectations:
What are your body goals? (e.g. reduce inches, tone, lift, smooth skin, improve shape)
Are you preparing for a special event or trip?

YesNo
If yes, when?

MonthDayYear
Date
Are you currently taking any medication or supplements?

YesNo
If yes, please specify
How committed are you to supporting your results with lifestyle changes (hydration, diet, exercise)?

Very committedSomewhat committedNot committed
Our services at LTB:
Which services are you interested in learning more about?

Lipo Fat ReductionTummy Tuck (Non-Surgical)Fat CavitationRadio Frequency Skin TighteningLymphatic Drainage MassageBody SculptingVacuum Therapy (Butt Lift)Muscle Stimulation (EMS)Post-Surgery Recovery TreatmentsStretch Mark ReductionOther
Would you like a customized treatment plan based on your body concerns and goals?

YesNo
Consent and signature

I confirm that the information provided is accurate and complete. I understand that body contouring treatments are non-invasive and results may vary based on individual factors and compliance with aftercare instructions
Please note: after submitting your details, you must select an available time and your preferred beauty therapist through our booking system.
Or, feel free to message us at +61 405 659 417 to help you find the best time that suits you. Thank you!
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Free LTB Body Contouring Consultation