What's All The Hype? Essential Oil Study Group Questionnaire
Welcome! We are so glad you are joining us! In filling out this form, you are agreeing to participate in this 2 week essential oil experience on Facebook with us. We will be creating a customized Starter Pack of oils just for you! In order to receive the most benefit, there is a tidbit of info. you'll want to share with us.
Your first and last name
Cell Phone Number (so we can confirm receipt of your Starter Pack and provide guidance)
Who invited you to participate in this group?
If you are local to Central PA, you will pick your Starter Pack up at one of our partner businesses. If this applies to you, please select which business you will be visiting to pick up your pack.
Boutique on Pomfret @ 16 W Pomfret St, Carlisle, PA
Plum Bottom Shoes @ 2619 Brindle Dr, Harrisburg
Pineapple Studios 261 N Front St, Wilmington, NC 28401
I will pick my starter pack up from Kristen Gundersen
I am not within a reasonable distance of any of these locations Please ship my oils (list address in next section)
I already have my Starter Pack or have already made arrangements to get it.
If you need your Starter Pack shipped, please list your mailing address here
Have you ever used essential oils? If yes, Where do you get them? (please let us know if you are already using doTERRA and if you already have a support person in place)
If yes, What have you used them for?
Mark any of the symptoms that you currently experience
Trouble falling asleep and/or staying asleep
Struggle to manage stress
Chronic pain and inflammation
occasional pain and inflammation
Please select which Starter Pack you would like
Pain and Inflammation
Do you have any other health/wellness goals or anything else you would like to share in advance of the group?
Send me a copy of my responses.
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