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Survey For Party Pack -Form Fill

Section One
Q1

Name

First Name

Q2

Name

Last Name

Q3

Who referred you this form?

Q4

If you answered "someone else" Who was that person?

Q5

Email

Q6

Mailing Address

Street Address

Q7

Mailing Address

Street Address Line 2

Q8

Mailing Address

City

Q9

Mailing Address

State / Province

Q10

Mailing Address

Postal / Zip Code

Q11

Phone Number

Q12

Do you have a favorite scent or TYPE of scent? (example: fruity, clean & fresh, bakery, manly, etc.) or say "not sure"

Q13

Check all Product categories you have interest in

Q14

Check all the LIMITED products that you have interest in:

Q15

How interested are you in earning FREE and half-priced Scentsy products through your own private, online, scent event?

Q16

Would you like more information on earning a little extra cash with your own Scentsy side-hustle? Kits range from $0-$99!

Q17

Do you enjoy receiving free samples & goodies in the mail from me?

Q18

As your consultant, how well do you feel that I provide you with up to date info of specials, sales, and new products?

Q19

How can I be a better consultant to you?

Q20

Confirm that you are NOT already a current Scentsy Consultant