S&S application

How often do you take psilocybin mushrooms?

Never

Rarely (1-2 times a year)

Occasionally (a few times a year)

Regularly (several times a month)

Frequently (weekly or more)

I have never used psilocybin mushrooms, but I have used other psychedelics.

How would you categorize your ability to stay grounded when on psilocybin mushrooms?

Very well - I have a strong ability to stay grounded and maintain control.

Moderately - I can stay grounded but may experience some challenges.

Not very well - I struggle to stay grounded and often lose touch with reality.

I have not used psilocybin mushrooms, so I'm unsure of my ability to stay grounded.

Are there any mental health concerns or medications that might conflict with your experience on psilocybin mushrooms?

No, I have no mental health concerns or medications that might conflict.

Yes, I have mental health concerns, but I have consulted with a healthcare professional and received guidance on the safe use of psilocybin.

Yes, I have mental health concerns, and I am not sure if psilocybin is safe for me. I need further guidance.

Yes, I am currently taking medications, and I have consulted with a healthcare professional to assess potential interactions.

Will you be attending with a trusted support person or “sitter” who will be present during the experience?

Yes, I will have a trusted support person with me during the experience.

No, I will not have a support person present but will have someone on-call if needed.

I have not yet decided.