Essential Oils Survey
Please fill out the form below to complete the survey.
Comments
This field is for validation purposes and should be left unchanged.
Are you interested in Natural Wellness?
*
Yes, it is my way of life!
Yes
Maybe, but I want to learn more.
No
No, I don't care for natural wellness.
Do you need safe, cheaper, more effective home healthcare solutions?
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Yes
No
Maybe
I would like to learn more
How much experience do you have with Essential Oils?
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Use Daily or More
Use Occassionally
Use Rarely
Don't Use, but want to
Never Use
Do you buy Essential Oils regularly or are a distributor?
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Yes, I am a distributor!
Yes, I buy from others
No, but I would like to buy more often
No
Which of the following would most interest you for using essential oils?
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Anxiety
Anti Aging
Hormones
Sleep
Other
None of these
Please select from these other uses what would most interest you for using essential oils:
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(Check all that apply)
Children
Personal Care
Cleaning
Pets
Immune Support
Detox
Other/Not Listed
From the following which health issues most frequently come up for you and your family?
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(Check all that apply)
Headaches
Digestive Issues
Sleeplessness
Allergies
Pain
Addiction
Other/Not Listed
What would you like to resolve in your health today?
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(Check all that apply)
Depression and/or Anxiety
Weight Loss
Hormone Imbalance
Pain and Inflamation
Sleeplessness
Other/Not Listed
Would you be interested in being contacted regarding tailored natural solutions for your family?
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Yes
No
What is a good phone number to contact you at?
*