Diligent Health w/ The Diligent Woman Starter Kit Freebies Form
First and Last Name
Name on Young Living account, if different from above.
(for example, if you signed up using a business name)
Young Living Member number
(this should be in your confirmation email)
Did you buy a Premium Starter Kit?
Yes, I bought the Premium Starter Kit
No, I wanted a wholesale membership but not the freebies you are offering with the Premium Starter Kit
No, I live in a country where the Premium Starter Kit is not available
If you would like to be added to the Facebook group to get information on how to use your new oils, please leave your Facebook email address here.
Watch your Inbox for the invitation. If you do not receive an invitation within 1 week, please email
Check here if you can NOT access the email address associated with your Facebook account
I cannot access my Facebook email address
Would you like to be enrolled in an essential oils e-course with lots of information on how to use your starter kit?
to your email contacts list
What address should we mail your freebies to?
Did you refer any friends to this promotion? If so, leave their names below.
If you refer a friend to this promotion after filling out this form, please send an email to
to let me know.
Are you interested in the business side of Young Living?
(there's no pressure here, but we have resources available if you are!)
Yes! Please send me more information about the business side!
I would like more information about how to get my Premium Starter kit paid for by referring 3 friends.
I am not interested right now.
Are you a blogger?
If so, please leave your blog address below
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service