What is your height & weight? *

Height
Weight
Goal Weight

WE SHIP BODY SCULPTING MACHINES AND WEIGHT LOSS SHOTS NATIONWIDE!

Are you local to Sugar Land or should we ship to you? *

No. Please ship.

Yes. I'll come in.

(BY APPOINTMENTS ONLY) 📍7616 Branford Pl, Unit 220 Sugar Land, TX 77479

Do you have diabetes? *

Yes

No

WE SHIP BODY SCULPTING MACHINES AND WEIGHT LOSS SHOTS NATIONWIDE!

Do you have pancreatitis, thyroid disease, endocrine neoplasia, or gallbladder problems? *

Yes

No

WE SHIP BODY SCULPTING MACHINES AND WEIGHT LOSS SHOTS NATIONWIDE!

Have you taken a GLP in the past? This includes Semaglutide, Tirzepatide, Ozempic, Wagovy, Monjaro, or Zepbound. *

Yes

No

WE SHIP BODY SCULPTING MACHINES AND WEIGHT LOSS SHOTS NATIONWIDE!

We cannot prescribe you GLP Medication but would you like to signup for body sculpting & non-medical weight loss drop? *

Yes

No

WE SHIP BODY SCULPTING MACHINES AND WEIGHT LOSS SHOTS NATIONWIDE!

Lastly, Please confirm your contact details.

Full Name

Email *

Date of birth

Phone *

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