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* 1. Check any of the following drugs you have taken for recreational, spiritual, or healing purposes:

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* 2. • Have you ever received treatment for substance abuse or dependency?

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* 3. • Do you believe God approves of taking pot and/or psychedelic drugs?

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* 4. • Do you believe the Bible supports taking pot and/or psychedelic drugs?

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* 5. Do you consider yourself a Christian?

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* 6. • If you are a Christian, do you consider yourself a Bible-believing Christian?

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* 7. Do you believe that any of images and/or hallucinations you have received while taking the above drugs can be helpful and/or therapeutic?

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* 8. • Do you believe taking DMT can help you heal of PTSD or childhood trauma?

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* 9. What is your age group?

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