I'm so excited you're ready to experience dōTERRA essential oils! Please fill out this form so I have all the information I need to take care of you.

* 1. I understand that these samples are intended for individuals who are not already doTERRA wholesale members and/or who are not working with other doTERRA Wellness Advocates. I understand and plan that I will be followed up with after receiving my sample.

* 2. Do you have specific health concerns you'd like me to address?

* 3. Please choose which best describes you so I can best support you:

* 4. When are you available to visit for a few minutes regarding your oil samples and any other questions you might have?

* 5. Address Please