Your name *

First Name

Last Name

what's your skin type *

Very Dry

Dry

Normal

describe your fingernails *

don't grow and break

grow but are fragile

in good condition

how's your sleep *

I have a hard time falling asleep, I wake up often

I fall asleep quickly but I wake up and can't fall asleep again

I fall asleep quickly and wake up rested

which emotions do you mostly experience during the day *

anxiety

anger

despair

calmness

confidence

Do you share your emotions with people close to you? *

yes

no

Do you feel that you are: *

Heard

Understood

Supported

Loved

Do you know the properties and benefits of essential oils? *

yes

no

just a bit

Do you know that they would help you the quality of life? *

yes

no

Would you make a conscious effort the raise your mental emotional balance, regain your electromagnetic vibrational frequency, be happy and experience love with the help of essential oils?

Rather yes

Rather not