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What is your age group?
18-30
31-45
46-55
56+
Are you male or female?
Male
Female
Have you ever used essential oils to improve your physical or emotional well-being?
Yes
No
How do you feel most of the time? ( pick the top 2 )
Tired
Angry
Happy
Overwhelmed
Anxious
Sad
Other
Do you experience occasional joint or back discomfort?
Which body systems do you struggle with most?( choose up to 2 )
Digestive
Respiratory
Reproductive
Nervous
None of the Above
Are any of the following recurring symptoms for you? ( choose all that apply )
Head Tension
Seasonal Discomfort
Fatigue / Low Energy
Sleep Disturbance
Skin Eruptions
Low Libido
Toenail Challenges
All of the Above
Do you use home cleaning supplies with chemicals in them?
I don't know
Which of the following interests you at this time? ( choose all that apply )
Finding yourLife Purpose
Increasing Energy
Reducing Toxic Load
Managing Weight
Are your skin care products plant/mineral based and chemical free?
I don't use Skincare Products
If you have children, do they struggle with any of the following? ( choose all that apply )
Attention
Depression
Hyper
Anger
I don't have children
Which areas are you most concerned with? ( choose up to 2 )
Immunity
Fertility
Anxious Feelings
Attention / Focus
Do you have any of the following struggles or worries? ( choose all that apply )
Financial
Despair
Anger Outbursts
Overwhelmed /Too Busy
No, I don't
Among the following, which are most important to you? ( pick the top 2 )
Physical Well-Being
Emotional Health
Healthy Home
Stressful Feelings
How long has it been since you felt your best?
Days
Weeks
Months
Years
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