This wellness consult survey will allow us to address your primary health concerns.  We look forward to connecting with you and guiding you on this journey.

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* 1. What is your name so I know how to contact you?  First and Last, please.

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* 2. What are your top health concerns?

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* 3. What are some additional lifestyle changes that you would consider to support your health goals?

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* 4. Have you considered using less toxic household cleaning and/or personal care products?

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* 5. Have you used essential oils before?  If so, what brand?

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* 6. If so, how did you use them?
(skip this question if your answer to question 5 is no)

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* 7. How much are you willing to invest in your (and your family's) health each month?

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* 8. Are you interested in sharing essential oils with friends and family to get our products for free?

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* 9. What day/time works best for us to review your responses?  For example, daytime vs evening, or weekday vs weekend.

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* 10. Please enter your email or phone number so I can send you a digital version of your wellness consult.

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