As Spirit Leads...
What is your age?
What is your gender?
Check the conditions that apply to you:
Are you currently taking any medication?
Please list them.
If on Anti-depressant, Psilocybin is Used in Place of Ayahuasca
Do you have any medication allergies?
Do you use any kind of tobacco or have you ever used them?
What kind of tobacco products? How long have you used/been using them?
Do you use any kind of illegal drugs or have you ever used them?
What kind of drugs? How long have you used/been using them?
If there is anything significant you would like to tell us about, please do so here. If you have any questions, please ask them here.
How often do you consume alcohol?
Should be Empty: