Wellness Essentials Survey
I want to provide you with the most personalized plan possible to aid you in your wellness goals. Thanks for taking the time to help me get to know you a bit better.
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Name (First and Last please) *
Young Living Member Number *
Email *
What are your health goals in order of priority? (Could be anything from: better sleep, healthier digestion, more energy, immune support, supporting my kids with their health, skin and acne, meditation and relaxation, self care methods, exercise, hormones, aches and pains, hair growth, etc!)

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Are there any oils or products you have at home that you don't know how to use?

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What is your monthly budget to support your health goals? *
I prefer to discuss my health goals and plan that we create via... *
Would you like to schedule a zoom call to create a wellness plan together?
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Check off any health areas you’d like to improve! 
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What holds you back from investing in your health and wellness?
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What are you currently doing/using to support your health and wellness goals?
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Which describes you best? 
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Anything else you would like me to know before I create your health plan? *
Do you know what Loyalty Rewards is? *
Are you curious/willing to join Loyalty Rewards? If you newly enroll or re-enroll, I will reimburse your shipping for the first 3 months (account credits). (There is no charge of any kind to sign up for this plan or to cancel it at any time.)
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On a scale of 1-5, 1 being the least interested, 5 being the most, how interested are you in sharing your referral link with others and earning 50% commission?
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Are you in The Vibe Tribe, our online Facebook Education group?
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What other questions do you have about Young Living and their products?
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