Holistic Lifestyle Vitality Assessment

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Fill out this quick quiz to find out what oils you could benefit from most, then I'll email you your results!

Email *

What is your first & last name? *

who makes up your family? single/married, kids/no kids, fur babes, etc *

What is your age? *

18-25 years old

25-35 y/o

35-45 y/o

45-55 y/o

55+ y/o

My sleep is satisfying and I awake feeling rested. *

never

seldom

sometimes

often

always

I live my life free of physical aches & pains *

never

seldom

sometimes

often

always

I have a strong immune system and I rarely get sick with a cold, stomach bug or flu *

never

seldom

sometimes

often

always

I would describe myself as emotionally balanced *

never

seldom

sometimes

often

always

I am stressed *

never

seldom

sometimes

often

always

I am anxious or consumed by anxiety *

never

seldom

sometimes

often

always

I have energy throughout most of the day *

never

sometimes

seldom

often

always

I move my body enough to elevate my heart rate & break a sweat *

never

sometimes

seldom

often

always

My mental focus and memory are quick and sharp *

never

sometimes

seldom

often

always

My hair skin & nails are healthy and vibrant *

never

sometimes

seldom

often

always

What are your primary health concerns? *check all that apply* *

aging gracefully

digestive issues

not enough sleep

muscle/joint pain

all-over body pain

headaches/migraines

allergies

lack of energy

brain fog & fatigue

metabolism

tension

reducing stress

Required

I take over the counter medications (OTC's) *

Always

Often

Sometimes

Rarely

Never

I take prescription medications *

Always

Often

Sometimes

Rarely

Never

what type of prescription medications do you take?

What lifestyle changes do you feel would support you in achieving your healthiest, most vibrant, best-version-of-yourself goals? *check all that apply* *

eating habits

diet differences (ex: dairy, gluten, animal-free, kosher, etc)

exercise

clear blemish free skin

using clean, chemical-free lifestyle product (soaps, lotions, cleaners, skin/body care, laundry soap, etc)

massage

overall 'good' feeling

water intake

healthy sleep patterns

youthful glowing skin

chiropractic care

immune support

empowered healthcare

autoimmune support

financial abundance

healthy children/family

chronic illness(es)

hormones

healthy gut biome

a community full of uplifting & supportive women

memory & focus

personal development

emotion & mood support

serving others/giving back

healthy metabolism

self care, learning to put me first. My air mask goes on before any others

a sense of belonging

Mother Earth advocate

counselling or therapy

Other:

Required

Did you know that the big brands who make soaps, lotions, potions, skin/body care, oral-care, hair-care, household cleaners, etc ALL contain toxic chemicals & perfumes that are very harmful to the body? *

Yes

tell me more

Other:

Have you ever used essential oils before? *

Yes

Do you already have a dōTERRA membership? *

Yes

not sure

Are there any topics from below that you are interested in learning more about? *check all that apply* *

women's health/hormones/libido

children's health

men's health

metabolisim & weightloss

detoxing/cleansing

non-toxic, all-natural cleaning

oral health

infertility

pregnancy/babies

self-care

yoga/exercise

meditation/affirmations

build a doterra business

Other:

Required

Is there anything else you'd like me to know about your health priorities or goals? *

Submit

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