Five Questions About Psychedelic Therapy You may complete the questionnaire anonymously (using a false name). Your email address needs to be valid. Any text that you submit to Psychedelic Society Germany website will be subject to review before publication. (*= mandatory field). Name * Email Address * Age * Occupation * 1. Why did you take part in a psychedelic therapy? Did you have personal problems, were you already in therapy or were you just curious? 2. If you were having problems, to what extent did psychedelic therapy help you to overcome these problems? How was it different to other forms of therapy? If you were not having problems, how has the experience influenced your current life. 3. Do you have any complaints about your experience? Any inappropriate or abusive behavior, transgression of boundaries, or exaggerated claims by your therapist or guide? 4. Psychedelic therapy, or rather the majority of the required substances are banned. What is your opinion of this ban? 5. Do you have any further comments that you feel are important and not yet included in your answers to other questions? If you are willing, could you please also upload a photograph of yourself. Following file types are allowed: JPG, JPEG, GIF, PNG. The image file should be less than 1 MB. Terms and Conditions: By clicking on the “SEND” button, you consent to the publication of you statement on the www.psychedelische-gesellschaft.org website. You may withdraw your consent at any time in the future by sending a short email to email@example.com and your data will be deleted without delay. I have read and agree to the above terms and conditions.