Aromatherapy Preference Questionnaire
Name
Age
Have you used aromatherapy before?
Yes
No
Which scents do you prefer? (Select all that apply)
Floral
Citrus
Woody
Herbal
Spicy
Other
Preferred method of use
Diffuser
Massage
Bath
Inhalation
Topical
What do you hope to achieve with aromatherapy?
Do you have any allergies or sensitivities we should know about?
Additional notes/preferences