Melissa - please create this once done Isaac  can add it to the demo site. 

Then we can make a copy of it and add it to the CT Skin Doc

Melissa here is  a reference

https://www.coolsculpting.com/am-i-a-candidate/

https://chriszelig.typeform.com/to/aAMpfh

Chris  Let me know if this is kind of what you are thinking? 

looks great, remove this question about would you ever consider having a nonsurgical fat reduction treatemnt.