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PERSONAL ESSENTIAL OIL BLENDS
Designed with Pure Therapeutic Quality Essential Oils
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Custom-Created Essential Oil Blends are a special aromatherapy TREAT as well as supportive self-help healing tools. In my role as a health advocate / self-help educator, I'm always interested in researching 'just the right healing oils' for clients, family & friends. It's a joyful, creative process of discovery to meld unique synergistic blends. I get tremendous satisfaction, learnring how therapeutic essential oils - wonderful gifts from plants - enhance our health and well-being.

To get an idea of how I approach life, healing journeys, and working with essential oils. Please read my articles:
~ The Healing Path...A Journey of Challenge, Grace, & Inspiration and
~ Distance Healing with Therapeutic Essential Oils

If the Gaia's Pharmacopeia Blends don't fit your needs and you feel a custom-created blend is what you want, please fill out & submit the Health History / Fragrance Preferences Form (below) before emailing or calling to set-up an appointment. I will use my intuition, knowledge and alchemist gift, along with your comments and this questionnaire, to create your blend.

All custom blends are made with 100% pure therapeutic-grade essential oils and quality carrier oils if a therapeutic dilution is more appropriate for your situation. Each essential oil has it’s own frequency and healing attributes, which may assist a person with physical, emotional / psychological, and spiritual issues by raising our frequencies, boosting our immune systems with powerful healing compounds, and by bringing our being into balance through life's journeys. Or they can be worn simply as a delightful signature fragrance.

Each custom blend consultation includes a description of the medicinal properties of essential oils in your blend with suggestions for application and use. Custom blends vary in price due to individual medicinal grade essential oils & current market availability. Your custom blend formula will be recorded for future purchases.

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * RATES

  • $60 an hour for consultation & to research / assemble custom therapeutic essential oils blends (One hour minimum. Additional time charged in 15 minute segments).
  • PLUS the price of the custom blend & shipping (plus sales tax for California residents.
  • We accept payment via credit card: Discover, Mastercard, VISA at Gaia's Pharmacopeia or by personal check.
  • If you prefer to pay by check, please read our Fax-Mail-Order form PDF (Adobe Acrobat) for mailing instructions.. Mail the Order Form along with your check, which will be deposited prior to our consultation. Keep a copy for your own records.


All phone calls are paid by the client.

For new clients calling 707-542-0280 to schedule an appointment, I'm happy to discuss your needs for 5 minutes, without charge, on the issues you'd like to work on. If you wish to discuss your case in more detail, please arrange for a pre-paid consultation appointment to be charged at my rates listed above.

For new clients e-mailing inquiries to Cynthe@EssentialOisForHealing.com, I will answer one brief question about what your needs are. Then you may decide if you wish to schedule an appointment. The time and date for appointments can be arranged via email.

Appointments are scheduled Monday through Friday, between 12 noon and 5pm, PST. Booking at least one week in advance is recommended.

Cancellations require a 36-hour advance notice.

 

INSTRUCTIONS: Please fill out this Health History / Fragrance Preferences Form, which will help me understand your needs and assist in selecting Essential Oils appropriate for your situation.

YOUR CONTACT INFORMATION

First Name   Last Name
Woman    Man   
Culture / Country of Origin
eMail
Address    Apt.
City    State / Province
 Zip / Postal Code    Country
Day Phone    Night Phone  
Have you used therapeutic essential oils before? YES     NO

If so, how long have you used essential oils?

Which EOs? Comments:

HEALTH HISTORY

Any ACUTE Health Issues? YES    
Comments:
Any CHRONIC Health Issues? YES   
Comments:
Any EMOTIONAL Stresses? YES   
Comments:
Any PHYSICAL Stresses? YES   
Comments:
Any ALLERGIES? YES 

FOODS YES
Comments:

POLLENS YES
Comments:

ANIMALS YES  
Comments:

MEDICATIONS YES
Comments:

Exposure to PETROCHEMICALS? YES
Comments:

Any SKIN sensitivites? YES
Comments:

OTHER:
ASTHMA? YES
Comments:
LUNGS / RESPIRATORY Issues? YES
Comments:
DIGESTIVE / INTESTINALIssues? YES
Comments:
ENDOCRINE / REPRODUCTIVE SYSTEM Issues? YES
Comments:
HEART / CIRCULATION problems? YES
Comments:
BLOOD PRESSURE: HIGH? YES / LOW? YES
Comments:
URINARY SYSTEM Issues? YES
Comments:
History of DISEASES? YES 
Comments:
Notable INJURIES? YES
Comments:
Notable SURGERIES? YES
Comments:
Prescription MEDICATIONS? YES
Daily SUPPLEMENTS? YES

FRAGRANCE PREFERENCES

Please indicate your LIKES / DISLIKES for each fragrance category:
~ FLORAL YES     NO   ~ CITRUS YES     NO
~ HERBACEOUS YES     NO   ~ WOODSY YES     NO  
~ EARTHY YES     NO   ~ SPICY YES     NO  
~ EXOTIC YES     NO
 

CONSULTATION SESSION GOALS

Consultation Session - CLIENT GOALS
Aromatherapy CONSULTATION / TREATMENT Personal EOs BLEND

PHYSICAL ISSUES
Aid HEALING of surgery incisions,injuries, wounds
Reduce INFLAMMATION Ease PAIN Minimize SCAR formation
Support ENDOCRINE balance / function SUPPORT KIDNEY health / function
Fatigue Insomnia

MENTAL / EMOTIONAL ISSUES
Reduce ANXIETY / STRESS Ease DEPRESSION / GRIEF
Aid FOCUS / MENTAL CLARITY PRAYERwork / MEDITATION DREAMwork
Other

MINI~MARKETING SURVEY

How did you find out about the workshops?
If OTHER, please specify details:


Please print a copy for your own records.