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APPLICATION

Thank your for your interest in the 1:1 Private Psychedelic Therapeutic Session.

And welcome to our health screening. We deeply value your well-being, and our priority is to provide you with a safe and enriching experience. To achieve this, we kindly ask you to answer this questionnaire as thoroughly and honestly as possible. By doing so, we can gather essential information to tailor the Psilocybin Therapeutic Session exactly to your needs. Our goal is to offer you the most appropriate and meaningful facilitation for your personal situation, and this intake will serve as a practical guide to help us achieve that.

Rest assured that your privacy is important to us. We uphold high standards of data protection and confidentiality, ensuring that your personal information is handled with care. We understand that health screenings can sometimes feel overwhelming, which is why our dedicated staff will be with you every step of the way, guiding and supporting you. Once you have completed this questionnaire, one of our team members will reach out to you to continue the process. We are looking forward to embark in this journey together!

Warmly, The Anima Team

If you have any questions, please take a moment to review our Frequently Asked Questions section at the end of this page. Should you have any further inquiries that are not addressed there, please do not hesitate to reach out to us.

Have you ever been diagnosed or suspect to have any of the following medical conditions?: Required
Have you ever been diagnosed or suspect you suffer from any of the following psychiatric conditions? Required
Do you drink?:
Have you used any of the following substances in the past 3 months?

Thank you for your application

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