Quantum Wellness

ESSENTIAL OIL EVALUATION FORM

   

WELCOME TO QUANTUM WELLNESS

Quantum Wellness
  
My name is Shanie L. Gaudet, D.PSc, CBCP 

I'm a certified Emotion Code & Body Code practitioner
and Wellness Advocate for doTERRA's essential oils

I've been able to help others in person and from long distances
by means of what I refer to as:
THE QUANTUM THEORY - a theory in physics based on the concept of the subdivision of radiant energy into finite quanta and applied to numerous processes involving transference or transformation of energy in an atomic or molecular scale.




*FREE*
Essential Oil Evaluations
are being offered
at this time!

An Initial Evaluation will include testing of which essential oil(s) your body would benefit from
receiving the most at this time and recommendations, if you choose one of the other 3 options surrounding a specific issue that you may have:

EMOTIONAL ISSUES (ex. anger, heartache, fear, low self-esteem, etc.)
PHYSICAL ISSUES (ex. pain, sores, acne, scars, etc.)
ILLNESSES (ex. PTSD, fibromyalgia, depression, etc.)
MOST BENEFICIAL (the oil(s) that your body would benefit from receiving the most, at this time)

dōTERRA (CPTG) Certified Pure Therapeutic Grade® essential oils represent the safest, purest, and most beneficial essential oils available today. They are gently and skillfully distilled from plants that have been patiently harvested at the perfect moment by experienced growers from around the world for ideal extract composition and efficacy. Experienced essential oil users will immediately recognize dōTERRA's superior quality standard for naturally safe, purely effective therapeutic-grade essential oils.

Your results will be emailed to you within a few days! 
 

Fill out the
Essential Oil Evaluation Form

below to receive yours!


 
Essential Oil Evaluation Form


*Marked Fields are Required




* Client's First Name:
 







* Client's Last Name:
 







If Client is a Minor/Child - Parent/Guardian's First & Last Name:


* Age:





* Male or Female:






* Address:
 




* City:









* State: 




* Zipcode:
 




* Country:
 




* Email:
 






* Phone Number: 



* PLEASE CHECK ONE OR MORE OF THE BOX(ES) BELOW:

Please list specific emotional issue(s): (ex. anger, heartache, fear, low self-esteem, etc.)




EMOTIONAL ISSUES

Please list specific physical issue(s) (ex. pain, sores, acne, scars, etc.):

PHYSICAL ISSUES

Please list specific Illness(es) (ex. PTSD, fibromyalgia, depression, etc.):

ILLNESSES

This will be the oil(s) that your body would benefit from receiving the most, at this time:
MOST BENEFICIAL


Comments:
(optional)






Where did you hear about Quantum Wellness?:
(certain website, blog, another person, etc.)







Disclaimer (box must be checked): 





I have Read and Agree to the Disclaimer, Terms & Conditions
Member Share Agreement


                 **PLEASE MAKE SURE THAT YOUR
EMAIL ADDRESS IS ENTERED IN CORRECTLY**

If you don't receive a response within a few days, please contact me at
www.shanie@quantumwellnessonline.com
 

 Disclaimer, Terms & Conditions 

The recommendations provided should not be accepted for professional advice or treatment. All recommendations will be presented in good faith. The accuracy, validity, effectiveness, completeness, or usefulness of any recommendation herein cannot be guaranteed. We strongly advise that you seek medical advice from your medical practitioner as appropriate before making any health decisions. The information provided with recommendations is not a substitute for medical care, diagnosis or treatment. Recommendations should not be considered as a replacement for consultation with a health care professional. If you have questions or concerns about your health, please contact your health care provider. Quantum Wellness makes no claims regarding healing or recovery from any illness. Any suggestions regarding supplementation of any kind, that you use or ingest any such at your own risk, with the recommendation that you seek the advice of a physician before using any remedy suggested. By submitting this disclaimer, you consent, in the event of a dispute or disagreement, that you understand the contents of this disclaimer and that Quantum Wellness accepts no responsibility or liability for both the use of the information provided and information provided with sessions. I agree to have my PMA Health Care Provider, Shanie L. Gaudet, register me with the PMA's Member Share Agreement  PMA's Information Disclaimer


*FREE*
 
Body Code Initial Evaluations
are being offered at this time
which will include
determining if you have a
Heart-Wall
&
your
Vibrational Frequency Level 
using Dr. David Hawkins Scale of Consciousness
Click Here 
to submit your Client Information




To visit my doTERRA website Click Here for essential oil products

To visit my store
 Click Here for services of Body Code, Emotion Code & VFL Sessions

To schedule an an appointment Click Here (all times listed are CST)

You may contact me at Shanie@quantumwellnessonline.com



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