Enter your name.
*
Email or Phone Number to send your results
*
My sleep is satisfying and I wake feeling rested.
*
Never
Seldom
Sometimes
Often
Always
I live my life free of chronic aches and pains..
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Never
Seldom
Sometimes
Often
Always
I have a strong immune system and I resist getting sick.
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Never (I'm always sick)
Seldom
Sometimes
Often
Always (I'm never sick)
I'm emotionally balanced and not stressed or anxious.
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Never (I'm always anxious and stressed)
Seldom
Sometimes
Often
Always (I'm never anxious or stressed)
I have energy and vitality through the day.
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Never
Seldom
Sometimes
Often
Always
My mental focus and memory are quick and sharp.
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Never
Seldom
Sometimes
Often
Always
My hair, skin and nails are healthy and beautiful.
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Never
Seldom
Sometimes
Often
Always
Are there other lifestyle changes from below that you feel like would support you in reaching your health goals?
*
Diet Changes
More Exercise
Increased Water Intake
Reduced Stress
Increase Sleep
Boost Immune System
Other
Have you used essential oils before?
Yes
No
If yes, what kind, and how did you use them?
Do you have a DōTERRA membership?
*
yes
no
not sure
Are there any topics below that you are interested in learning more about?
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Children's Health
Women's Hormones
Metabolism and Weight Loss
Detoxing and Cleansing
Green Cleaning
Sex, Intimacy, and Romance
Emotional Balance, Depression, Behavioral Health
Oral Health
Fertility, Pregnancy, and Babies
Is there anything else you want me to know about your health priorities or goals?
*
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