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  • Custom Creation Consultation

    Each blend is thoughtfully created based on your unique needs & intentions. Take your time — this is where your custom ritual begins.
  • Is this blend for you or someone else?*
  • What age group is this blend intended for?*
  • Is this blend for someone who is pregnant or breastfeeding?*
  • Are there any colors you’d prefer not to include?
  • Are there any scent profiles you’d prefer not to include? (We will do our best to suit your preferences although sometimes certain oils must be used to support specific needs.)
  • Would you like crystals included in your custom roller?*
  • What is the main area you'd like to focus on?*
  • What physical area is most affecting you?
  • Sleep & Relaxation
  • Stomach & Digestion
  • Body & Tension
  • What kind of head tension do you need support with most?
  • Hormones & Intimacy
  • Seasonal Wellness
  • Mental concerns
  • Emotional concerns
  • Spiritual concerns
  • Social / lifestyle concerns
  • Are you looking for day or night support?*
  • How do you envision using this blend?*
  • What secondary area would complement your main focus?
  • Please choose one lightly supported secondary mental concern.
  • Please choose one lightly supported secondary emotional concern.
  • Please choose one lightly supported secondary spiritual concern.
  • Please choose one lightly supported secondary social / lifestyle concern.
  • What matters most for this blend?*
  • Consent Statement

    By submitting this form, you acknowledge that your custom blend is a personalized product created based on the information you provide.

    DyJest products are intended for external use & general wellness only & are not medical treatments.

    I understand these products do not diagnose, treat, cure or prevent any disease.

    I have disclosed all known allergies, sensitivities, medical conditions, pregnancy & nursing status. I understand that DyJest is not responsible for reactions resulting from undisclosed information.

    Essential oils may cause sensitivity; I accept responsibility for proper use & discontinue use if irritation occurs.

    Crystal properties are based on Aesthetics or traditional beliefs & are not medically proven.

    I voluntarily assume all risks associated with product use & release DyJest from liability.

    Custom & personalized products are final sale.

    I understand submitting this form is to provide information needed to create my custom blend, & is not an order. Custom blend will be created after checkout is complete.

    If you are creating this blend for someone else you confirm that this blend is being created for another person & that the information provided reflects their sensitivities, health considerations, & preferences to the best of my knowledge.

    Thank you for trusting DyJest with something that's personal to you.

     

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