Product Survey Form

Product Match Form

Fill out this form & I'll send you a cart link with my recommendations + the greatest discount I can get you!
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
EMail
example@example.com
Best Way to Reach You?
What are you seeking relief with? (If more than one apply please select)
If other, what is your biggest concern? And if pain, location please.
Elaborate a bit more 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, tell me a little about your experience and results, what brand/product did you try, ect?
Do you have any concerns with a small (legal), NON-intoxicating amount of THC (.3% or less) in your products? *You may want to stay with the Broad Spectrum if you are routinely drug tested.
There are 2 ways to take our CBD. Extract (oil/tincture) form of Jellie (gummy) form. Which would you prefer? Or are you interested in Collagen or other products not listed?

Other
If interested in another product not listed please describe here.
Some people will notice a difference quickly, within a couple of days. However, it's not uncommon for it to take several consistent weeks to fully experience the top results. Are you willing to give CBD a minimum of 6-8 weeks of consistency, and allow me to help coach you through dosage?
Are you interested in a CBD regimen for anyone else in your family? Even your dog or extended family?

Other
If Other please reference:
Anything else I need to know, or questions you may have?
Thank you for completing this survey!
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Product Match Form