Psychedelic Use Survey

Psychedelic Use Survey

All submissions are anonymous. Please only fill out once, even if you are returning at a later time having taken new substances.

How many times have you taken each of these substances? (full doses only)*

	None	Once	Two to ten	Ten +
Psilocybin
LSD
DMT (changa, freebase, other short form)
DMT (ayahuasca or other extended duration)
5-MeO-DMT
Mescaline
2c-family
Ibogaine
Ketamine
MDMA
Other novel molecules (4-HO-MET, DOM, etc.)

In what settings have you taken full-doses of psychedelics? (Select all that apply)*

At my home or a friend's homeClinical or research settingsMusic festivals and concertsA local ceremonial centerOverseas retreatsCamping or hiking in natureOther

How often do you microdose each of these substances?*

If you had to pick a single substance, which was the most significant for you? And if you're comfortable sharing, why?*
How beneficial have psychedelics been to your personal development?*

1

2

3

4

5

6

7

8

9

10

1 is Not much, 10 is Extremely
What is your main reason for using psychedelics?*

Mental health benefitsSpiritual growthRecreationAddiction treatmentPhysical pain reliefCreativity, productivity, or other work benefitOther
Have you ever had a difficult trip?*

YesNo
Please select your highest level of education completed (Optional)
Please select your gender identity (Optional)
Please select your MBTI personality type if you know it. Otherwise, skip.
Please select your favorite music genre (Optional)
Should be Empty: