Sign-up Creative Event

Thank you

Thank you for filling in the form. We will go over this during the online zoom call.

Looking forward talking to you!

Eric & Marieke

First name *

Last name *

Company

Email *

Phone *

Date of birth *

Streetname + number *

Zipcode *

City *

Do you have experience with psychedelics? *

On what would you like to focus during the workshop? *

What would be the ideal outcome of the workshop? *

What creative challenges are you currently facing to achieve this outcome? *

What works well for you to get in the right flow? *

On the personal side: what would you like to know, find out, learn, process during the journey? *

Do you ever use mind-altering drugs? *

Are you currently taking any medications? *

Do you suffer from psychological problems? *

Do psychological problems run in the family? *

Do you suffer from heart problems or high blood pressure? *

What is your primary response to fear? *

What helped you the most at such a moment? *

Which loved ones that are important to you have passed away? *

What events in your life have left a deep impression on you? *

What are recurring patterns that hinder you? *

Can you tell us something about your background? *

Think of family, upbringing, what did you get from home

Are there recurring themes in the family line? *

Think health / family patterns / traumas / problems

Food-wise: what do you like to eat? *

Something you can really enjoy

And what would you rather not eat? *

Allergies, diet or conscious choices

Is there anything else that is good for us to know? *

What can help us make your experience as pleasant as possible for you

How did you find us *

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