Application for a free 60-min AromaTouch Treatment with Melanie Surplice

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Thank you for your interest in this free AromaTouch Treatment. Please note, this offer is only open to anyone who is not currently signed up as a doTERRA Wholesale Customer or Wellness Advocate and who is genuinely committed to working with essential oils to support their health and wellbeing.

Please also note that I will only consider your application for a free Aromatouch Treatment if all of the questions are answered below. This is to ensure I can best serve you and your health and wellbeing.

Email *

1) Let's start with your name! *

2) Do you currently use any essential oils at home? *

Yes

3) If you answered yes to Question 2, which brands do you currently use (please list them all)? *

4) If you do currently use essential oils, tell me some of the ways you currently use them. *

5) In terms of your current health and wellness priorities, please choose 3 areas you would most like to focus on improving at the moment. *

Proactive medical care

Informed self-care

Reducing toxic load (in your home and body)

Rest and stress management

Exercise

Eating right

Required

6) If you have a partner or children, think of one of them. In terms of their current health and wellness priorities, please choose 3 areas you would like most support for right now. *

Proactive medical care

Informed self-care

Reducing toxic load (in your home and body)

Rest and stress management

Exercise

Eating right

Required

7) On a scale of 1-10, how committed right now are to improving your health and wellbeing? *

Meh, I'm doing OK

I'm all in! Something needs to change NOW!

8) Are you able to commit to coming to a free 1-hour introductory essential oils class at my home at Mt Gravatt, Brisbane, on one of these dates? Please tick the date you can attend: *

Thursday, 10 October 2019 - from 7.30-8.30pm

Saturday, 12 October - from 3.00-4.00pm

I'm not available for any of these dates, but I can commit to doing a 1:1 appointment with Mel at a mutually convenient time in October, to be confirmed

* Please note - if you would like to bring a friend or family member along to the same class, please have them register via this form too!

* Please also note - attending a class is an essential part of this application. I will arrange a mutually convenient time for your AromaTouch Treatment (in October/November) during the class. A no-show to the class automatically invalidates your application.

9) Do you have any questions about essential oils? I'll make sure I address them in the class. *

10) Please let me know your mobile number, so I can contact you to confirm I've received your application + confirm your place in the class. *

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