Request edit access
Subjective effect tracker
Please see for complete descriptions
Substance: *
Dosage *
Route of administration *
What is your age? *
What is your gender? *
What phase of the experience are you referring to when filling out this form? *
Are you filling out this form during or after the trip? *
What was the general setting/location of your trip? *
Are you currently taking any medication? If so, please list them and their dosages below *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy