Answer the following questions only if affirmative.
Blank answers meanning NO.

Do you have any disease? If yes, please, explain.

Do you have any special psychological condition? If yes, please, explain.

Do you have any dietetic program? If yes, please, explain.

Psychoactive substances use

Are you currently taking any medication? If yes, please, explain.

Do you have any experience with modified states of consciousness? If yes, please, explain.

Do you have any experience with ritual context use of psychotropic plants like San Pedro, Peyote, Ayahuasca, Hongos, Wilca, etc? If yes, please, explain.

Do you practice meditation, yoga, reiki, bioenergy or another self-exploration technique? If yes, please, explain.

How do you find us?

Do you have any problem not indicated in this questionnaire? If yes, please, explain.