Signature Scent questionaire

Name

Session Date

Phone/WhatsApp

2) What emotions or memories would you like your scent to evoke?

4) Your aroma preference feels closest to

Light & subtle Bold & intense Balanced in between

5) When would you like your Signature Scent to be most present in your life?

6) Do you want your scent to feel

Unique & unconventional Traditional & classic A mix of both

7) How important is it for your scent to be 100% natural, cruelty-free, and sustainably sourced?

Very important Somewhat important Essential

8) Do you prefer your scent to be:

Complex & layered Simple & easy to identify Balanced

9) Are there any specific ingredients, notes, or elements from nature that hold personal significance for you and that you would like included?

11) When you feel overwhelmed, what do you notice first?

12) Your nervous system currently feels most often:

Overstimulated Under-energized Balanced but sensitive Calm but emotionally guarded

13) How would you like to feel more often in your life?

15) Aroma families or scents you particularly enjoy:

16) Scents or notes you dislike or feel overwhelmed by:

17) Places, moments, or environments that feel emotionally safe or meaningful to you:

18) Does scent easily bring memories or emotions for you?

Yes, very strongly Sometimes Rarely

19) Do you have any sensitivities to natural aromas or essential oils?

20) If your Signature Scent had one purpose in your life, what would it be?

21) Complete this sentence intuitively: “My Signature Scent should make me feel ____________.”

22) Your zodiac sign:

23) Name your Signature Scent (if a name comes to you now):

Confirmation:

I understand that my Signature Scent is created using 100% natural essential oils and clean botanical ingredients, with no synthetic aroma, no phthalates, no parabens, and no denatured (SD) alcohol, in a way that respects the body and the nervous system. Additional notes you would like me to know: Thank you for completing this form. Your answers allow me to create a Signature Scent that is deeply personal, intentional, and aligned with you.
Farah
Champaka®️ by Farah

Your Signature Scent

Questionnaire