Double chin and neck tightening

Tell us more about your concern for best results and prices

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* 1. What is your concern?

Double Chin

The Neck Area

Both

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* 2. Did you notice the issue after a significant weight change?

Yes

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* 3. How do you describe yourself

Under weight

Average weight

Over weight

Other (please specify)

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* 4. Are you on thyroid medication?

Yes

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* 5. Which age group do you belong to?

20-30

30-40

40-50

50-60

over 60

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* 6. Have you tried any treatment before?

Yes

If yes, please specify

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* 7. Overall, how satisfied or dissatisfied are you with with the results?

Very satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Very dissatisfied

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* 8. Do you have information about any of the following treatments?

Belkyra/Kybella

Coolsculpting

Laser

Microneedling

Threads

Other (please specify)

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* 9. How did you hear about us?

Google search

Facebook ad

Instagram ad

Printed media

Word of mouth

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* 10. Please fill in your contact information

First name *

Last name

Email Address *

Phone Number *

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* 11. How do you like us to contact you?

Phone call

Text message