Name

First Name

Last Name

What is your relation to the military

active duty

veteran

spouse

child

VA employee

veteran service provider - mental health

veteran service provider - other

other (please note in box below)

What education events interest you?

intro to psychedelics

psychedelics for veterans

psychedelic safety (before/during/after)

psychedelic experience integration

intro to trauma (PTSD/CPTSD/ACES)

OTHER: add detail in 'OTHER EDUCATION EVENT' field below

If you are a military service member, family member or answering on behalf of them, what community events interest you?

meet vets with psychedelic experience (newcomer)

meet vets with psychedelic experience (experienced)

veterans integration circle

physical activities (hike, surf, etc...)

service activities (community service, peer support)

veteran family member support

OTHER - add details in 'OTHER MILITARY COMMUNITY EVENT' field below

If you are a veteran service provider, what community events interest you?

Meet other psychedelic-friendly veteran service providers

Other - add details in 'OTHER VETERAN SERVICE COMMUNITY EVENT' field below