Tea Tree Essential Oil Study Screening

TTEO Prescreen Questionnaire

TTEO Prescreen Questionnaire

Please think about your lifestyle habits and past health history. Please answer each question.
1. Please confirm your contact information *This question is required.
2. What is your gender? *This question is required.
4. Are you currently trying to conceive? *This question is required.
5. Are you currently pregnant? *This question is required.
6. Are you currently breastfeeding? *This question is required.
7. Do you plan on having ANY surgeries in the next 6 weeks (outpatient or inpatient)?  *This question is required.