OnlyVines Feedback Form
What is your gender?
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Please Select
Female
Male
Other
What is your age?
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Please provide insights into your state and circumstances before taking the capsules.
How did you feel before taking the dose? (check all that apply)
Calm
Anxious
Low energy
Overstimulated
Sad
Depressed
Motivated
Stressed
Neutral
How was your sleep the night before?
Very poor
Poor
Okay
Good
Excellent
How would you describe your (food) consumption before taking the capsules?
Fasting
Light meals
Regular meals
Heavy meals
Healthy diet
Fast food
Alcohol within 24h
Substance use within 24h
How was your physical load before?
No activity
Light activity
Workout
Heavy physical labor
How was your stress level before?
Relaxed
Regular day
Slightly stressed
Mildly stressed
Heavily stressed
Overwhelmed
Please provide insights on the dose taken and its effects.
What dosage did you take?
1 capsule (0.2 g)
2 capsules (0.4 g)
3 capsules (0.6 g)
What time of day did you take the dose?
Early morning
Late morning
Afternoon
Evening
Did you set an intention
No
Yes, it was:
When did you first feel the effects?
less than 30 min
30–60 min
60–90 min
90+ min
Not sure
How long did the effect last?
Less than 3h
3–6h
Most of the day
Hard to tell
What was the overall intensity?
Very subtle
Subtle
Clear
Strong
Too strong
Compared to the baseline, did you notice changes in:
Emotional state
More calm
More gratitude
More open-hearted
Easier emotional processing
Less judgment
No change
More emotional intensity
Mental state
Better focus
Better task-follow-through
Quieter mind
More clarity
No change
More mental noise
Energy state
More energy
Softer/clean energy
Sleepy but calm
Fatigued
No change
Social, relational
More open
Less self-conscious
Easier communication
More patience
No change
Needing more space or alone time
Functionality improvement
Work and productivity
Emotional regulation
Navigating stressful conversations
Physical activity
Ability to rest and recover
Being in a spiritual or reflective state
None of the above
Was there any discomfort or unwanted effects?
None
Sleepiness
GI discomfort
Emotional heaviness
Alcohol interaction
Cravings
Snacking
Other
How did you feel after the dose?
Balanced
Energized
Calm-tired
Overstimulated
Emotionally tender
Crashing
Other
What where the effects on your sleep after the dose?
Worse
Same
Better
Much better
Vivid dreams
No dreams
Please give some insight into the overall experience.
How would you describe your overall experience?
Very positive
Positive
Neutral
Mixed
Negative
What did you observe overall taking OnlyVines?
In which scenarios and situations do you think OnlyVines is best suited for?
Natural antidepressant
Mood and emotional regulation
Clarity and focus
Integration support after ayahuasca
Gentle, accessible entry medicine for friends and family
Short-term use
Mid-term use
Long-term use
Getting through the day (doing-state)
Presence and flow (being-state)
Other
Would you recommend OnlyVines to family and friends?
Yes
No
Depends:
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