Microdose Coaching Application

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Please complete the below form in its entirety. You will receive an email response within 2-4 BD to complete your payment and schedule your first session. You will have 48 hours to complete the payment and scheduling step upon email receipt, otherwise the application will be voided, and you will need to resubmit.

Email *

First and Last name *

Email *

Do you have previous experience with plant medicine? *

Yes; microdosing specifically

Yes; recreational use only

Yes; guided or self-guided journey

None

Other:

List 1-3 intentions you have with microdosing *

I'm interested in coaching for: *

Submit

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