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Consultation Survey 

Please fill out the information below to the best of your ability. After completing the survey, you will receive a link to book your complimentary consultation with one of our practitioners. The link will pop up once you submit your information, as well as via email and sms. We look forward to co-piloting this journey with you!

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3. Gender
8. Are you currently working with a Mycology Psychology Practitioner?
9. How did you hear about us?
13. We highly recommend therapeutic support as microdosing is dramatically enhanced by integration. We offer 15 min сheck-ins and full sessions. Check all that apply.
17. Have you ever been diagnosed or suspect any of the following? Check all that apply
14. Have you ever been diagnosed with any of the following? Check all that apply
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