COMPLETE THE FORMSomeone from our team will contact you within 24-hours. Name First Name Last Name Phone (###) ### #### Email * What are your primary body goals? (Select all that apply) * Fat reduction Skin tightening Fat reduction Body sculpting Other (please specify) How would you describe your current skin condition in the areas you’d like to treat? * Firm and smooth Mildly loose or sagging Noticeable sagging or loss of elasticity Presence of cellulite or dimpling Other (specify) On average, how much water do you drink daily? * Less than 32 oz (4 cups) 32-64 oz (4-8 cups) 64-100 oz (8-12 cups) 100+ oz (12+ cups) Do you have any existing medical conditions or concerns we should be aware of? Yes (specify) No How did you hear about Figure of Beauty? * Thank you! Figure of Beauty will contact you soon
