Name

Email Address

This group is designed as a cumulative, ongoing practice. Please respond with one of the following: - Yes this orientation feels supportive for me right now. - I’m unsure and would like to explore further. - Not at this time

Preparation & Safety Requirement For the safety and coherence of the group field, participants must not have engaged in psychedelic or plant-medicine use within 72 hours prior to any group meditation, session

What is calling you to this meditation group at this time?

How would you describe your current meditation or inner practice, if any?

This group meets weekly and is designed as an ongoing practice. Does this rhythm feel workable for you at this time?

What are you hoping to cultivate through steady, guided practice over time?

Are you currently working with any other practitioners, modalities, or therapeutic supports you’d like me to be aware of?

Is there anything about your nervous system, health, or life circumstances that may be helpful for me to know in the context of group practice?

Please type “I understand” to confirm that you recognize this group is a cumulative practice and that depth arises through consistency rather than occasional experiences.

Is there anything else you’d like to share?

Medicine Medicine I understand the safety requirement that I must abstain from psychedelic or plant-medicine use for at least 72 hours before attending any meditation session, and I confirm that I meet this requirement.