Book a Connection Call
To confirm, you are here because you want to heal with plant medicine, either for your own recovery, or in service to others?
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Yes - I want to heal myself or guide others with plant medicine
No - I am going to leave this page immediately
First Name
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Last Name
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What is your current occupation and how long have you been doing it?
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Are you in recovery? If so, for how long?
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Are you on any pharmaceutical medication? If so, please describe.
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(If in recovery) How long has it been since you last used?
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What’s happening in your life right now that has you considering the Plant-Allied Recovery Program? Ultimately, what is your goal? Please be as detailed as possible.
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(If in recovery) Are you currently in sober living? If so, do you have an expected move-out date?
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What is your email address for the calendar invite?
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What is your phone # for the call?
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What is your Instagram handle: @_______
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Which of the following best describes your ability to invest in yourself?
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I have the funds, or can get access to funds, so I am able to invest myself.
I may or may not have access to the funds, but I can get resourceful and creative to make it happen
I do not have any access to funds, no access to credit, and am living paycheck to paycheck with no expendable income.
On the following page you will be able to schedule a call with our team. Will you 100% be able to make the time you choose? We do not reschedule no shows or late cancellations.
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Yes - I will stay 100% committed to the time I choose.
Maybe - I'm not sure if I'm serious.