Entheogenic Synergy
In this form, we will create a profile of your name/beliefs/culture/ethnic background, and country/city (in case of recreational use).

The provided data will be a part of a chapter of our upcoming book Entheogenic Synergy, which will use your experience as examples of how events before psychedelic intakes affect our trips.

To understand more about this concept please read the following article:

https://psychedelicsasl.com/novel-concept-of-entheogenic-synergy/

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Name (Can be an alias for your personal safety)
What is your gender? 
Where do you live country/city? (Nothing too specific for safety purposes) 
What is your cultural background?
What are your life philosophies/beliefs/religion?
Does your ethnicity impact your beliefs? If so, how? 
Did you have any pre-existing condition at the time of the experience? If so which? 
Which of these options resonates with you the most? 
Do you have experience with psychedelics?
Clear selection
What experience will you be reporting? 
Describe your experience (post/prior/during intake) 
In the following question, we'd like you to describe your experience as accurately as possible.

(If your experience doesn't fit in the form, please send the experience to our email:

general@psychedelicsasl.com

The email must include your name and the experience you will be reporting


Just as mentioned in the article, we believe a psychedelic experience may start happening before the intake of a psychedelic. To understand more, please read the following article:

https://psychedelicsasl.com/novel-concept-of-entheogenic-synergy/


We are specifically looking for information regarding the before and after the psychedelic experience and how factors such as the ones mentioned below might have affected your experience.

We would love to hear your psychedelic experience, even details that you may find insignificant. 


What should be included: 


Changes in your diet.

Did you have to travel for your experience? (Country or City) If so, how did this make you feel?

Did you have to meet new people, or have to communicate in other languages? If so, what was it like? How did that affect you before the trip (made you more anxious/felt safe/etc.)

If you had a ceremony, how did the music/new visual information feel/ how did you feel about the roles tribesmen had during the ceremony/ what practices did you accept to follow, and what practices you denied to follow/ did you feel any culture clash between your beliefs/ how did you feel while being in a different ambiance than the one you typically are/ did you communicate with various people throughout your journey to the facility where you'd be doing your retreat, if so how did that feel/ did you hear any folk stories about the community/place you will be staying/ how did you feel witnessing the experience of others that were in the same circle as you, what did you feel when taking the compound/ what was your trip like/etc.


If you had a recreational use, did you extract the compound yourself/are you familiar with chemistry, or were you scared that you might have missed a step/ did the fact that these compounds are considered illegal trouble you at all/ what did you feel being surrounded by your typical environment/ did you had a trip sitter/ did you use any music, if so what type of music/ did you had any effect of nostalgia for being surrounded by the things you love/ did technological devices took place in your experience at all/ what did you feel when taking the compound/ what was your trip like/etc.


If you had a therapeutic use, were you comfortable with your therapist, did you feel comfortable in the setting, or did it feel too much like a clinic/hospital/ did you feel anxious/did you enjoy the music played during the session/ did you use any other instrument such as a VR headset/ what is your experience with other therapies/ are you comfortable around hospitals and clinics/ did you feel guided throughout the experience or did you feel you could achieve the same result by yourself/ did you feel a connection with your therapist for having a similar background of culture and beliefs/what did you feel when taking the compound/ what was your trip like/etc.

Describe your experience! (Please read the information above before filling this out.) 
Did this experience change the way you portray the world and your beliefs? If so, what has changed? 
Thank you for your help! Sending love.
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