Personal Wellness Survey
Please fill out this form so I can understand how to help you begin or continue your wellness journey using Young Living products. From this information I will be able to help guide you and provide you with resources and tools to empower you to take your health and wellness into your own hands.
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Email *
Name *
Tell me a little about your health and wellness journey. What are your priorities? What are you currently doing to keep yourself well?
What do you prioritize to keep yourself healthy? (check all that apply)
How have you supported your body with essential oils? (check all that apply)
Do you currently read your product labels or know what ingredients to avoid?
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What is your primary focus right now?
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What is your secondary focus?
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Would you be willing to FaceTime with me to chat more about how I can help you on your wellness journey?
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Email Address *
Phone Number *
A copy of your responses will be emailed to the address you provided.
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