Progress Assessment

 

To ensure the success of our psilocybin-assisted microdosing therapy programs for all our clients, we kindly ask you to take a few minutes to answer the following progress evaluation questions. The information you provide will be entered into your internal file and used exclusively to fine-tune and tailor the subsequent phases of the program.

Name(Required)
Did you experience any noticeable changes in your mood?(Required)

Did you have any changes in your sleep patterns?(Required)

Did you feel an improvement in your overall sense of well-being?(Required)

Did you experience any nausea during the treatment?(Required)

Did you find it easier to focus on tasks?(Required)

Did you notice a reduction in anxiety levels?(Required)

Did you have any episodes of vomiting?(Required)

Did you feel more energetic during the day?(Required)

Did you experience any changes in your appetite?(Required)

Did you notice a decrease in depressive symptoms?(Required)

Did you have any instances of feeling dizzy or lightheaded?(Required)

Did you find it easier to manage stress?(Required)

Did you notice any changes in your social interactions?(Required)

Did you have any headaches during the treatment period?(Required)

Did you feel more creative or inspired?(Required)

Did you experience any changes in your cognitive abilities?(Required)

Did you notice a reduction in physical pain or discomfort?(Required)

Did you have any hallucinations or visual disturbances?(Required)

Did you feel more connected to your surroundings or nature?(Required)

Did you experience any changes in your memory or recall abilities?(Required)

Your privacy is paramount to us. Rest assured that the personal and health information you provide will be kept strictly confidential and will not be sold or shared with any third parties. It will be utilized solely for the purpose of providing you with the assistance and services you seek from us. We employ robust security measures to safeguard your data. For more detailed information, please view our Privacy Policy.