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Tell us Your Story
Form for PAR website
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Option 1
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Hello and what's your name?
(If you want to remain anonymous, please skip this question.)
Your answer
What's your postcode?
(Providing this will allow us to view support by constituency.)
Your answer
Nice to meet you. Are you happy for us to share your story on our website and social channels?
(includes instagram, linkedin and twitter. Clicking Yes does not guarantee it will be shared or published.)
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Yes
No
We can discuss at a later date
Are you happy for us to share your story with the media?
(For example, with journalists. Clicking Yes does not guarantee it will be shared or published.)
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Yes
No
We can discuss at a later date
Briefly, why do you support the PAR campaign?
(Let us know what brought you here. You'll have an opportunity to describe your important experiences later.)
*
Your answer
Tell us your story! (
Have you had important experiences with psilocybin? What were they?)
Your answer
Would you recommend psilocybin to someone else? What do you think they should know?
Your answer
Are you happy for us to contact you about your answers?
(If so, drop your email below.)
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Can we have your permission to keep your information for future use?
I accept
Other:
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Thank you for sharing your story with us! Is there anything else you would like us to know?
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