Mailchimp Survey

Pyschedelic Events Survey

Please take a minute to answer the questions below, your responses will help us better understand how we can help direct you to facilitators and experiences that best fit your needs.
Have you attended a psychedelic event or used psychedelics before?
Yes, I am comfortable taking them again.
No, this will be my first time.
I have some experience but still consider myself a beginner.
What is your primary intention for attending a psychedelic event?
To have a spiritual or introspective experience.To have a fun and social experience.To explore something new and expand my consciousness.To address or release past trauma.
What type of setting do you prefer for your psychedelic experience?
A private, one-on-one setting.A small group setting (3–10 people).A larger group or community event.I’m open to any setting.
Have you been diagnosed with any psychological disorders?
Yes
No
I'm not sure
If yes, please provide details on any diagnosed psychological disorders.
Are you currently taking any prescription medications?
YesNo
If yes, please specify what medications you are taking.
Do you consume alcohol, cannabis, or other recreational substances regularly?
YesNo
If yes, please provide information on what substance and your frequency of consumption. For example: Cannabis daily. Alcohol 3-6 drinks per week.
Do you have a trusted friend, guide, or therapist to support you during or after the experience?
YesNoI'm not sure
What type of event are you most interested in attending?
A guided ceremonial or spiritual multi day retreat.A recreational or social gathering.A guided meditation and soundbath A therapeutic or trauma-focused session.A workshop or educational event about psychedelics with no consumption.
If you do not see listed above please describe what kind of event you are looking for.
How comfortable are you with trying psychedelics in a group setting?
Very comfortable.Somewhat comfortable, but I have concerns.Not comfortable; I prefer a private setting.
Are you interested in integration support (e.g., therapy, coaching, or group discussions) after the experience?
Yes, I would like integration support.No, I don’t think I’ll need it.I’m not sure.
Is there anything else you’d like us to know about your intentions, concerns, or preferences?
Please provide your name and contact number. We will be in touch.
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