What is your primary goal with body contouring? *

Build muscle and tone specific areas

Reduce stubborn fat that doesn’t respond to diet/exercise

Improve overall shape and definition

I’m not sure—I’m just exploring options

Which area(s) are you most interested in treating with Emsculpt? *

Abdomen

Glutes

Arms (biceps/triceps)

Thighs

Calves

Multiple areas

How often do you currently work out or engage in physical activity? *

4–5 times a week or more

2–3 times a week

Occasionally

Rarely or never

What best describes your expectation from Emsculpt? *

A kickstart or boost to my existing fitness routine

A non-surgical alternative to build definition

A maintenance tool to keep my results long term

A quick fix with minimal effort

What is your full name? *

What is your email? *

What is your phone number *

Postal code *

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