FIRST:
Review the Self-Screening Assessment:

Participants must meet all of the following criteria:

– identify as a “Millennial” age woman who experienced the death of their birth mother before the age of 13

-are currently considering or experiencing pregnancy, childbirth, and motherhood

-have previous spiritual or transpersonal experiences involving psychedelics

-would consider themselves an ecospiritual person or practitioner of some form of Earth based spirituality


If you meet the criteria, you are welcome to submit a Screening Survey – BUT
you must use an anonymous email address with
a fake, or “Alias” Name


This should be fun, so feel free to be creative! 

Be sure to write your new email address and password down somewhere – you’ll be using it to review your Screening Survey results and any enrollment forms.

Use ProtonMail to create an anonymous email address using an Alias Name now:

SECOND:
Submit Anonymous Screening Survey:

Use your Alias Name and anonymous ProtonMail account to complete the Privacy Disclaimer:

The Link to your Screening Survey will be found in the Confirmation Message of your Privacy Disclaimer.

Copy and Paste that link into your browser window to Complete the Screening Survey.

QUESTIONS? Email Katie at psychedelic midwifery dot com for support!