Hi, mama! Thanks for taking this quick survey to help us get to know you a little better, so we can all make sure you're a perfect fit for a M.O.M. microdosing course!

You're under no obligation to sign up for anything by answering this survey - it just helps set up our call. *Completing this survey does not mean you are enrolled in a course.

This survey platform allows all answers to be stored anonymously using blockchain and encryption, so your answers are private and secure.

After the survey is completed you'll be directed to a Calendly link to schedule a 20 minute call with Amy, who will answer all your questions.

Thanks for filling this out! -Amy, Tracey & Anastasia