Wholiness Consultation

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Hello - I'm so glad you're here to find out more about a Wholiness Careplan for your Wellness. Please complete this quiz and I will email you a careplan with ways to reach your goals with natural wellness products from doterra ... and if you'd like information on essentrics workouts that can help your body age well.

Email *

Your name *

Your email

Your phone number

Best method for me to contact you *

Phone

Are you looking for a quick chat or a consultation?

Quick 15 -30 minute chat - fill out whatever you'd like to share below and click submit

I'd like to see what a care plan for me would look like - go on to next steps

Clear selection

Rate your health at this time (1 = poor health 10= optimal health)

Help! I feel terrible!

I feel 100% great all the time

Clear selection

What is your #1 health goal?

Check any that you feel you'd like natural wellness support with

Sleep

Skincare

Healthy Immune System

Digestive system support

Metabolic system support (energy)

Cellular wellness

Hair Care

Respiratory support

Home Wellness (products for a natural home)

Replace over the counter medications with doterra essential oil products

Pain Relief for joints, muscles, aging body

Nutritional supplements (ie. vitamins, omegas, protein powders, fiber, greens)

Help for stress and mental health

Weight loss and weight control

Hormonal support for menopause

Natural solutions for my children and family

I'd like to have a "medicine cabinet" of essential oils

Other:

How is your sleep ( rate 1-10

I sleep terribly, it is having an impact on my daily activities

I sleep deeply and feel rested every morning

Clear selection

How active are you?

I rarely, if ever, exercise

I am extremely active, moving my body everyday for at least 1 hour/day

Clear selection

I'd like to learn more about Essentrics. Essentrics dynamically combines strengthening and stretching to develop a strong, toned body with the complete ability of moving each joint and muscle freely and with full range of motion.

Yes Please

No Thank You

Clear selection

Your biggest challenge with health

What level of support would you like from me? (check all that apply)

I'd like a care plan and weekly support by phone and email

I'd like a care plan and weekly support by email only

I'd like a care plan and to just reach out to you if I have any questions

I'd like a care plan for wellness + essentrics

I'd like all the help I can get.... careplan, essentrics and weekly support

Other:

Essentrics TV is a phenomenal resource of essentrics online workouts. There are two weeks free, then $14.95/month subscription. Would this be something you'd like to try? I provide guides and personal support with these videos for your goals if you decide to try it! Plus.. remember, 2 weeks are free to see if you like Essentrics.

Yes

Maybe - I'd like more information on this

Clear selection

Is there anything else you'd like to share with me about your goals, health or needs?

Thank you for taking time to complete the Wholiness Consultation!

I can't wait to connect with you. Onward to Wholiness...

xo-

Erika

Send me a copy of my responses.

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