Help Us Understand Your Background and Experience

Complete the following questionnaire to help us determine your eligibility for the free 30-minute 1-on-1 consultation with Saj Razvi.

Pre-Screening for 30-minute 1-on-1 Consultation with Saj Razvi

Kindly answer the following questions accurately so that our team may evaluate your qualifications for this opportunity

First Name *

Last Name *

Country *

State/Province *

City/Town *

Email *

Phone *

What is your profession/licensure? *

Are you a psychotherapist, psychiatrist, LPC, RCC, medical doctor, nurse practitioner, certified/uncertified somatic experiencing practitioner, craniosacral therapist, breathworker, psychedelic guide, shaman, doula, massage therapist, etc.? Please be as specific as possible.

Please describe your practice & how you work with clients/patients. *

How many years have you been practicing as a [licensed/unlicensed marriage and family therapist, osteopathic physician, psychiatric mental health nurse practitioner, etc.]? What kind of clients/patients do you see? How often?

What is it that you're looking to consult about? *

Is it about your own personal process working with trauma or psychedelics? Is it about your practice or clients/patients? Are you interested in training with PSI and looking for more information? Please describe.

Help Us Understand Your Background and Experience

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