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Psychedelic Integration Scales
Please state your level of agreement with the following statements, considering the time period since your most recent psychedelic experience. If you have already filled out this questionnaire, indicate your responses only with respect to the time period since you last filled out the questionnaire. Answer as honestly as possible. There are no right or wrong answers. At any given time, your answers will naturally vary between lower and higher scores. Scores are measured on a Likert Scale ranging from Strongly Disagree, Disagree, Neither Agree nor Disagree, and Strongly Agree.
Escalas de Integración Psicodélica
Por favor, indique su nivel de acuerdo con las siguientes afirmaciones, considerando el período de tiempo desde su experiencia psicodélica más reciente. Si ya ha completado este cuestionario, indique sus respuestas únicamente con respecto al período de tiempo desde que completó el cuestionario por última vez. Responda tan honestamente como sea posible. No hay respuestas correctas o incorrectas. En cualquier momento, sus respuestas variarán naturalmente entre puntuaciones más bajas y más altas. Las puntuaciones se miden en una escala de Likert que va desde Totalmente en Desacuerdo, En Desacuerdo, Ni de Acuerdo ni en Desacuerdo, y Totalmente de Acuerdo.
Name
First Name
Last Initial
Nombre
Nombre
Appellido
Client Email
example@example.com
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Fecha de Nacimiento
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date of Medicine Journey
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Medicine
Ketamine
Other
If other, what medicine?
What was your dose?
I've given myself mental space to reconnect to the experience
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I've read, viewed, or listened to informative content relevant to my experience
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I've gained insight on my experience through talking with supportive people.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I've spent time in silent contemplation of my experience.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I've spent time in nature to nurture my experience.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I've followed up on my experience with focused attention practice (meditation, mantra, journaling, visualization, etc).
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I've applied learnings from my experience into my daily life.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
Because of my experience, I've prioritized my overall wellness.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I've spent time in environments that that help me stay attuned to the lessons following from my experience.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I've been supportive of others as a result of my experience.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I've made healthy life choices for myself because of my experience.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I feel at peace with my experience.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I feel more balanced because of my experience.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I feel harmony between the experience and my inner being.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I feel harmony between my daily life and my experience.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I feel a sustained connection to my experience.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I feel more connection to my life because of my experience.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I have a deep feeling of connection between nature and my experience.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I feel greater self-awareness since my experience.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I feel the benefit from my experience expressed in my life.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I feel the positive effect of the way I interpret my experience.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
I've felt the benefit of my experience extending past myself into my community.
*
Strongly DIsagree
1
2
3
4
Strongly Agree
5
1 is Strongly DIsagree, 5 is Strongly Agree
Submit
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