The info you provide below will be illustrated by Jessica Warrick and published in the future book, Far Out: An Illustrated Collection of Magic Mushroom Experiences.

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This is an unpaid, volunteer questionnaire.

Only first names or “anonymous” will be used to protect identity.

You grant Jessica Warrick the right to represent your submitted info as they wish through visual art and selected direct quotes. Either partial quotes or fully transcribed experiences will be published.

By volunteering any info below, you agree to never take legal action against Jessica Warrick for any reason related to the use of your info in the publication.