DETOX & WEIGHT LOSS: PRE-Program Questionnaire
Welcome to the Prove it To Yourself Summer Program!

Our Savvy Essential Oils Team is excited to share an easy set of oil hacks, exercises, skills and new perspectives to enhance the body's natural response to releasing weight!

You may be wondering, "Will natural solutions and simple shifts in my routine REALLY help me detox and lose weight?" Answer this 3-5 minute Questionnaire, play along in our educational program and in 2 short weeks you can prove it for yourself!

 
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Name: *
Your shipping ADDRESS including ZIP CODE (for receiving your Program products and prizes): *
Do you have your Program Packet and Oils? *
Your name as it appears on Facebook (Join the PROVE IT TO YOURSELF by Aug 7 on Facebook Group to ask questions, watch helpful videos, interact with other study participants and mentors and be eligible for giveaways and promotions)
Who invited you to the program and sent you this questionnaire? *
Have you used essential oils therapeutically before? *
Age
Do you have a wholesale membership account with dōTERRA? *
What is your present weight? (write the weight down somewhere to track you progress at end of program) *
What is your goal weight? *
Measure key areas of your body: Waist (smallest part), Belly Button, Hips, Thighs. Answer here or keep them private and save for post program comparison.
Do you have a current food plan in place to help you reach your goal? *
My elimination function is:
Stopped to sluggish. 1-2 movements a week.
Smooth moves 2-3 times a day.
Clear selection
My digestive process is:
I don't notice it.
Extremely uncomfortable all the time.
Clear selection
Are you open to following a science-based food plan that delivers weight loss results in almost 100% of it's participants? *
How often do you experience unwanted cravings? *
None at all
Once a day or more
How much water do you currently drink a day? *
Do you exercise? If so, how often? (Note: exercise is NOT required for this program) *
Are you a vegan or vegetarian? *
Do you drink soda regularly?
Do you drink coffee regularly? *
Are you committed to participating in this study for 2 weeks and sharing your results via a final survey? *
I want to save 25%+ on doTERRA oils and products.
Clear selection
I would like to host a LIVE Essential Oils class in my area.
Clear selection
Are there any questions you have about essential oils or other health concerns you would like to learn about? *
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