First Name
Last Name
Email
*
Phone
*
FYI....Please make sure to hit the ▶️ button on each section on the bottom of the quiz
What is your activity level
*
sedentary
moderate
active
mother-runner
Emotional Stress Level
*
high
somewhat stressfull
I manage stress well
My Sleep is...
*
Exhausted by mid-afternoon
I can get through the day with coffee or stimulant
I have energy sans coffee or stimulants
Health Focus (pick ONE...your top health focus)
💪🏼 immune support (sick + tired of being sick + tired)
💃🏽 hormone balance (cray-cray hormones, hot flashes, period pains, moody...)
🤯 emotions (stress, anxiety, depression)
🤦🏽♀️ energy (always feel tired)
😴 good zzzzzz's (either going to sleep, staying asleep, or both)
🚽 tummy troubles (gut health)
🌱 cleanse | detox
🏃🏻♀️ exercise + weight loss
Are you open to trying something natural for your immune system?
yes
no
On a scale of 1-5 how serious are you about having a strong immune system?
1 (not serious)
2 (maybe)
3 (kinda)
4 (very serious)
5 (heck to the yes)
No elements found. Consider changing the search query.
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Tell me more about how having a weak immune system effects your family, relationships, work?
Are you open to trying something natural for your hormones?
yes
no
On a scale of 1-5 how serious are you about working on balancing your hormones?
1 (not serious)
2 (maybe)
3 (kinda)
4 (very serious)
5 (heck to the yes)
No elements found. Consider changing the search query.
List is empty.
Tell me more about how your hormones and how they feel cray-cray...
hot flashes
moody
infertility
menopause
pre-menopause
skin issues
sleep is a problem
other
Are you open to trying something natural for your emotions?
yes
no
On a scale of 1-5 how serious are you about working on your emotional health..
1 (not serious)
2 (maybe)
3 (kinda)
4 (very serious)
5 (heck to the yes)
Tell me more about how your emotions and mood are effecting your relationships, family, work and more....
Are you open to trying something natural for fatigue and low energy?
yes
no
On a scale of 1-5 how serious are you about feeling more energetic?
1 (not serious)
2 (maybe)
3 (kinda)
4 (very serious)
5 (heck to the yes)
Tell me more about how being tired effects relationships, family, work, motivation....
Are you open to trying something natural to get better sleep?
yes
no
On a scale of 1-5 how serious are you about getting better sleep?
1 (not serious)
2 (maybe)
3 (kinda)
4 (very serious)
5 (heck to the yes)
I need help with...
falling asleep
staying asleep
both
No elements found. Consider changing the search query.
List is empty.
Are you open to trying something natural for gut health.
yes
no
On a scale of 1-5 how serious are you about focusing on your gut health?
1 (not serious)
2 (maybe)
3 (kinda)
4 (very serious)
5 (heck to the yes)
Tummy troubles include: (click all that apply)
diarrhea
constipation
gas and bloating
Are you open to trying something natural to cleanse | detox?
yes
no
On a scale of 1-5 how serious are you about cleansing and detoxing?
1 (not serious)
2 (maybe)
3 (kinda)
4 (very serious)
5 (heck to the yes)
Tell me more about why you want to focus on cleansing and detoxing? What does this mean to you? How will feeling better effect relationships, family, work....
Are you open to trying something natural for exercise and weight loss?
yes
no
On a scale of 1-5 how serious are you about getting unstuck and moving your body?
1 (not serious)
2 (maybe)
3 (kinda)
4 (very serious)
5 (heck to the yes)
What is your fave way to glow + sweat?
rock the jog
spin + bike
swim
yoga
crossfit
walk
strength train
Topics I love or want to learn about... (click all that apply)
DIY recipes
skincare
vitamins + supplements
protein powders
children and essential oils
cleaning with essential oils
aromatherapy
reducing toxic load
cooking with oils
essential oil chemistry book
aromatic use of essential oils
topical use of essential oils
internal use of essential oils
the doTERRA business + making money #entrepreneur
Do you have a doTERRA membership?
yes (I am getting everything at 25% off retail)
no (I am new to doTERRA)
I don't known if I have a doTERRA account
I have bought oils on amazon, at wholefoods or other shop
I am a doTERRA wellness advocate