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* 1. Have you ever had CoolSculpting, LipoSuction or another fat reduction treatment?

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* 2. Does the treated area look much better?

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* 3. Would you be interested in an all new version of CoolSculpting called the CoolSculpting Elite that permanently decreases fat by an average of 25% with 30% better & faster results, the ability to have two areas treated at the same time including upper and lower abs and greater comfort than ever before?

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* 4. What's your weight range?

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* 5. Do you have any of the following special events coming up?

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* 6. When would you like to have your treatment?

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* 7. How do you anticipate paying for this procedure?

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* 8. Age

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* 9. Would you like to come in for a consultation to learn more about the all new CoolSculpting Elite? No other system destroys more fat per treatment and only the CoolSculpting Elite is FDA approved to treat submental (under the chin), submandibular (under the jawline), thighs, abdomen, flanks, back fat and underneath the buttocks. 

Please answer one of the following:

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* 10. Contact Information

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