Your Screening Questionnaire data will be handled to the highest standards of confidentiality. We store your answers in compliance with GDPR and will only use your data for assessment purposes.
Health History
The following questions are designed to assess if your mental and physical health meet the baseline safety criteria required for participating in a psychedelic supported retreat.
Substance Use
The following questions are designed to understand more about your history and relationships to various substances
Current Intentions & Journey Experience
Lifestyle
Social History, Support Network, & Integration
The following questions will help understand more about your current social situation and support network
Current Symptoms
The following questions are designed to create a snapshot of how you've been feeling over the last 2-4 weeks
Thank you!