Questionnaire

PRE CEREMONY QUESTIONNAIRE

* Indicates required field

Name *

First

Last

Email *

Do you have any previous experience with psychedelics? *

If yes, when and how was that experience for you? *

Do you have a spiritual or religious alignment? *

Is there something in particular you are looking to receive from this experience? *

Do you have any fears surrounding consuming mushrooms? *

Do you or your family have any history of schizophrenia or psychotic episodes? *

Do you have any food allergies or restrictions? *

Submit