Tier 1  Aromatherapy Consultation- Questioner/ Personalized Blend Logo
  • Tier 1 Questioner/ Personalized Blend

  • Let's create a personalized essential oil blend, just for you!

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  • By signing below you acknowledge:

    1. I have stated all my known conditions and have answered questions honestly.

    2. I certify that I have read and fully understood and completed this form to the best of my knowledge.


    3. I understand that failure to disclose information requested above may result in adverse side effect(s) and therefore I accept full liability/responsibility for the information given. 


    4. I understand that the practitioner does not diagnose, prevent or treat illness, disease or any other physical or mental condition.


    5. I understand that essential oils & aromatherapy are complementary, holistic therapy and that this protocol is not substiute for medical treatment or diagnosis.


    6. I understand the following essential oil safety: I am not being advised to take essential oil products internally. I must keep all essential oil products out of the reach of children. Essential oils could be poisonous if swallowed. Essential oils must be stored in a cool, dark place. Essential oils may irritate the skin if not stored or used properly.


    7. I fully undertand the above and consent to the Aromatherapy treatment to be carried out.

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  • This information will help us to make a great blend, specific to your needs and prefrences! We'll get busy creating, and will contact you when your blend is ready! 

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