Custom Product Match Questionnaire

Custom Product Match Questionnaire

Hi, I'm Alli, a registered nurse, mom of 5 and wellness advocate. I'm passionate about helping people find simple, natural ways to support their wellness. This form is a quick way for me to learn more about you - your goals and where you'd love to feel more supported. I'm so excited to walk alongside you on your journey and I can't wait to connect with you soon!
Name

First NameLast Name
Email
example@example.com
Phone Number ( this is how I'll send your match)
Please enter a valid phone number.Format: (000) 000-0000.
What is your Instagram handle?
Example: @allibisland FOLLOW ME :)
What are you seeking help for? Mark all that apply.
If other, what is your biggest concern?
How much stress are you experiencing? (1 = mild, 5 = extreme)
How much pain or inflammation are you dealing with? (1 = mild, 5 = extreme)
Please elaborate on the symptoms you're dealing with. Are they chronic or acute? How long have you been dealing with them? Has anything else worked in the past?
Have you used CBD before? If so, what were your results? What product did you use?
During the day, do you ever wish you had more focus, mental clarity, or a natural mood lift to help you stay on track?
How important is daily immune support for you in your wellness routine?
Do you currently enjoy alcoholic beverages, or are you open to trying a refreshing alcohol-free alternative that provides a light, feel good lift?
At the end of a long day, do you ever find yourself needing help relaxing, calming your mind, or easing into restful sleep?
If you are a woman, are you experiencing any of the following perimenopause or menopause symptoms? (Check all that apply)
CBD comes in the form of tinctures, which need to be held sublingually for 30-60 seconds at minimum, or edible jellies. Would you have a preference?
If I recommend our Tri Blend Collagen, which flavor is your preference?
Do you have any issues with a small, legal, non-intoxicating amount (0.3%) of THC in your products? You should avoid this if you are routinely drug tested for any reason.*
Do you have a budget I need to work with? *As a new customer, I'm able to get you started with 2 full sized CBD products for only $99 (45% off)!
While the effects of CBD are occasionally seen quickly, it's not uncommon for it to take weeks or even months to fully experience results. Are you willing to give CBD a minimum of 6-8 weeks of consistency? And keep me posted on your progress - I want to help you with dose and timing every step of the way.
If you could earn product credit and commission by sharing CBD & functional mushrooms with friends and family, would that be something you want to learn more about?
Do you have any kids or pets that you want to see if you can help with CBD? If so, please explain.
Anything else I should know?
Thank you so much for taking the time to share your wellness goals with me. Your answers will help me guide you toward the regimen that best fits your needs. I'll be in touch with you via text message soon to talk about where to go from here and answer any questions you might have.

I can't wait to connect with you!

With love, Alli
Should be Empty: