Aromatherapy Questionnaire Please enable JavaScript in your browser to complete this form.Name *Email *Seeking consultation for (select all that apply) *FatiguePainNauseaMental well-beingInsomniaSmoking cessation AnxietyStressIndigestion/Stomach upsetOthers (please provide details in the comments box)Are you currently on any medication *Yes (please provide details in the comment box)NoAre you allergic to any substances *Yes (please provide details in the comment box)NoComments *Submit
