Adaptogenic Mushroom Consumption Feedback
Share how you're feeling after your dose to help us improve.
Date you used sample
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What products have you sampled?
Please Select
Adaptogenic Tea
Vegan Gummies
Capsules
Chocolates
Pixies
How are you feeling after consuming your sample?
*
1
2
3
4
5
Would you say your mood has improved since consuming your sample?
No difference
Somewhat better
Better
Feeling great
Not enjoyable
Would you like to share more about how you're feeling?
Where did you purchase your sample?
The community
Mush Love Ann Arbor
Stemology
Website
How have you integrated adaptogenics into your life?
Microdosing with treats, gummies, chocolates
Via meals
Tinctures
Capsules
How old are you?
21-25
25-29
29-39
39-59
60+
Please tell us how you identify yourself
She/her
He/Him
They/Them
Do you have children?
Please Select
Yes
No
What is your occupation?
Submit Check-In
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