MetaPWR Pre-Trial Survey
Welcome to our Metabolic Trial! Please fill out this survey to the best of your ability so we can obtain an accurate reading out how you're feeling before the trial begins. None of your results will be shared without your permission.

After reviewing applications, you will be notified if you have been selected to participate in this trial.

Please fill out this initial questionnaire so we can qualify you and measure your improvement over the 3-day trial period. 

We look forward to hearing your feedback.

Thanks for joining us!
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First Name *
Last Name *
Phone Number *
Full Mailing Address (include city, state, and zip) *
Who invited you to this trial?  *
Do you have or have you had in the past a wholesale membership with doTERRA?  *
Are you currently taking any diabetic medications?  If so, which ones?  *
What health concerns do you currently have that you hope MetaPWR cam help with?  *
On a scale from 1-10, please rate your current energy level.

1 = No energy, always tired
10 = Tons of energy
 *
On a scale from 1-10, please rate your current state of mental clarity.

1 = Foggy, forgetful, struggle to recall information
10 = Clear mind, great recall
 *
On a scale from 1-10, please rate your quality of sleep.

1 = Rarely get a solid, restful night's sleep
10 = Always sleep well and wake up feeling rested
 *
On a scale from 1-10, please rate the health of your skin

1 = Unhealthy
10 = Healthy
 *
On a scale from 1-10, please rate the health of your hair and nails.

1 = Unhealthy
10 = Healthy
 *
On a scale from 1-10, how open are you to natural remedies?

1 = Closed-minded
10 = Open-minded
 *
What types of treatments, if any, have you tried to help with your health concerns? *
We highly suggest taking your beginning weight and measurements of your waist, hips, thighs, and chest. If you are open to share, please do so below (not required)
Please sign below if you agree to all stuff requirements:

-Use provided sample product as instructed, being as consistent as possible during the 3-day trial.
-Participate and learn in the Telegram app group, with all notifications on during the three days.
-Attend both the live pre-trial and the post-trial events on Zoom (dates will be provided) 
-Compete the post-trial survey.


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