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Cryo Info Form
Please answer the following questions and Felisha, our Cryo expert, will send you an email to schedule your FREE consultation. The questions below help us assess whether or not you may be a good candidate for the treatment.
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Email
*
Your email
Phone Number (we use this to confirm scheduled appointments)
*
Your answer
First & Last Name
*
Your answer
How tall are you?
*
Your answer
How much do you weigh?
*
Your answer
Male or female?
*
Female
Male
What are you hoping to achieve? Select all that apply.
*
Fat loss
Smooth out cellulite
Tighten loose skin
Other:
Required
What area of the body are you wanting to have treatments done on? Select all that apply.
*
Arms
Stomach
Thighs
Love handles
Double Chin
other
Required
We recommend a minimum of 3-5 treatments in most cases. Each treatment must be two weeks apart; can you commit to at least 3-5 cryos over 6-10 weeks?
*
Yes
No
Maybe
Two treatments available: Slimmings get rid of fat in a specified area.
While Tonings tighten loose skin and stimulate collagen production.
Send me a copy of my responses.
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