Question Survey

QUESTION 1

What is your gender?

QUESTION 2

Where do you want to reshape your body?

Check all areas where you want to remove stubborn fat.
human-body
QUESTION 3

Have you ever had a cosmetic procedure to improve your appearance?

For example, have you ever had laser treatments, facial injections or body enhancements?
QUESTION 4

Would you consider having a non-surgical fat reduction treatment?

For example, would you consider a non-invasive body-shaping procedure?
QUESTION 5

Are you generally within 30 lbs. or 13.6 kg. of your ideal weight but have areas of excess fat?

If you don't know your ideal weight, it's OK to answer "Not Sure."
FILL UP THE FORM
cool fact

Although men and women tend to show fat in different areas, the CoolSculpting procedure works for both men and women.

A&E and SNY Surgery Center

Located in Chimney’s Plaza
Directly Across from Pier 1 Imports
5781 Bridge St Suite #38, East Syracuse,NY 13057 (Ph) 315-445-1177 (FAX) 315-445-9217
Email : info@aesyracuse.com
HOURS
MONDAY : 9 AM - 7 PM • TUESDAY : 9 AM - 7 PM WEDNESDAY : 9 AM - 7 PM • THURSDAY : 9 AM - 7 PM FRIDAY : 9 AM - 5 PM • SATURDAY : 9 AM - 1 PM SUNDAY : CLOSED

A&E Offers You Our EXCLUSIVE PRICE PLUS

We will Beat ALL Competitor’s OFFERS
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No Money Down Interest Free Financing
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