CPT + MDMA Form for Interested Participants
Please fill out this form to see if you initially qualify for participation in our study. Please only complete information for yourself.

The below website questionnaire responses are stored on a secure Ryerson University server. Only the study staff will have access to your responses.
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Please check the box that indicates your age group *
Please enter your first and last name *
What is your email address? *
What is your phone number that a study team member can call you at? *
Do you live in Toronto, Canada? *
Have you experienced PTSD symptoms for at least 6 months? *
Do you know what caused your PTSD? *
Are you currently being treated for PTSD? Please select all that apply *
Please check all PTSD symptoms below that you experience *
Do you take any medications or supplements? *
Have you had ketamine treatment in the last 3 months? *
Are you available for study visits over a 5-week period, including some in-person visits, and available for periodic assessments between the end of treatment and 6 months after? *
Are you available for two all-day therapy sessions that will likely take place on either two Thursdays or two Saturdays during the 5-week study period? *
Are you willing to remain overnight at the clinic after each of two day-long MDMA therapy sessions? *
Historically people of colour have been underrepresented in clinical trials. We are committed to inclusivity and ensuring volunteers from all backgrounds are included in research studies. If you are comfortable, please select the category or categories that you identify with.Select one or more:
You are agreeing to have the answers to your questions sent to the study team. Due to the volume of inquiries received, there may be a time delay before we can respond to your questionnaire submission. Thank you for your interest. *
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