Lifestyle RESET Program
Welcome! I am excited that you are interested in joining me for my brand new "Lifestyle RESET Program."
This program was designed to EDUCATE and EMPOWER you to STOP buying products that have been proven over and over to be toxic. Health is wealth! You can either INVEST in your health NOW or pay for NOT investing in it later.

Contrary to popular belief, purchasing toxic free products does NOT have to be expensive. Not only will this program educate you on how to avoid KNOWN toxins, it will also help you to create a cost-effective plan to replace them!

Please answer the following questions so we can establish a baseline and collect the necessary information to help me get to know where your biggest problem areas are. Once you have completed and submitted this survey, I will send you a customized plan that will suit your personal needs and budget.
Email address *
Name *
Your answer
Phone Number *
Your answer
Who referred you to this program? *
Your answer
Please select ALL of the products that you purchase on a regular basis with regards to vitamins and supplements. *
Required
How much do you spend on a monthly basis on your vitamins/supplements? Please be sure to include the total amount for you and anyone else who resides with you. *
Your answer
How would you rate your current vitamins/supplements? *
Please select ALL of the products that you purchase on a regular basis relating to personal care. *
Required
How much do you spend on a monthly basis on your personal care products? Please be sure to include the total amount for you and anyone else who resides with you. *
Your answer
How would you rate your current personal care products? *
Please select ALL of the products that you purchase on a regular basis relating to household cleaning products. *
Required
How much do you spend on a monthly basis on your household cleaning products? *
Your answer
How would you rate your current cleaning products? *
Are you familiar with the "Think Dirty Shop Clean" app? *
Please select ALL of the products that you purchase on a regular basis relating to your medicine cabinet. *
Required
How much do you spend on a monthly basis on your medicine cabinet products? Please be sure to include the total amount for you and anyone else who resides with you. *
Your answer
How would you rate your current medicine cabinet? *
How frequently do you engage in physical activity? (30+minutes) *
How ready are you to make changes to your current lifestyle choices? *
Required
What would prevent you from making changes to your current lifestyle? *
Required
Are you interested in setting up a complimentary Wellness Consult so that we can discuss an appropriate plan of action for you? *
Do you have your own dōTERRA wholesale account? *
Are you currently ordering through the Loyalty Rewards Program? *
A copy of your responses will be emailed to the address you provided.
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