How It Works :

1) Simply answer the questions below to the best of your ability

2) Ask us any other questions you have about CoolSculpting

3) Click the Submit button

4) We will then analyze your responses and give you a call with the results. We will also provide you with answers to any hair removal questions you might have asked based on our 30 years experience.

Note: All Information you submit is Strictly Confidential and will never be shared with anyone!


What area(s) are you interested in treating?

Do you have "trouble spots" of fat that don't seem to go away no matter how hard you workout or how well you diet?

Do you have a sensitivity to localized heating or cooling on your body?

If yes, please explain

Are you within 20 to 30 pounds of your ideal weight?

Are you able to "pinch an inch" in the area you would like treated?

Are you willing to eat a proper diet and exercise to maintain your coosculpt treament result for many years?

Any questions you would like answered about CoolSculpting?

*Name

*Email

*Phone Number

If you also want us to mail you a brochure fill in your address below:

Address

City

State

Zip Code / Postal Code