Full Name

Email *

Phone *

What are you interested in exploring? *

Joining a group healing program

Sacred psychedelic session work

Training to become a guide

I’m not sure yet

Why are you reaching out now? *

I've tried therapy, coaching, and other approaches and I'm ready for something different

I'm in a season of deep personal transformation and want real support

I'm called to this work and want to learn how to guide others

I'm curious but still in research mode

Have you ever worked with psychedelic medicines before? *

Yes (therapeutic/ceremonial)

Yes (recreational)

No

Research only

Have you ever been diagnosed with bipolar disorder or schizophrenia? *

Yes

No

I'd prefer not to say

Are you currently experiencing suicidal ideation or in active mental health crisis? *

Yes

No

Are you currently pregnant or breastfeeding? *

Yes

No

Do you currently have a therapist, coach, or support system in your life? *

Yes

No, but I'm open to building one

No and I'm not interested in that

How ready are you to do real inner work — not just learn about it? *

I'm all in. I've been waiting for this.

I'm ready but I have fear — which is probably why I need this

I'm still deciding

I'm mostly curious right now

Are you open to investing in your transformation? *

Yes

Depends

Not right now financially

Just exploring

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