Below is a suggested series of ideas slightly modified from my previous surveys. I think it is a good starting place for any comprehensive survey on psychedelic effects. Obviously questions 7 and 9 would probably be modified slightly for other compounds of different duration and general level of potency.
I B
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1. OVERALL RATING OF DOB-DFLY (AKA Bromo-Dragonfly) (Choose Only One): Considering all of the psychoactive compounds that you may have used in your lifetime, please choose the rating of the compound that best expresses your overall opinion of the material:
01) A+ (Best Chemical Ever Ingested, absolute favorite)
02) A (Very Good, one of my favorites, would recommend to others)
03) B (Worthwhile Material, likely would do it again)
04) C (Nothing Special, might do it again)
05) D (Disliked, likely would not do it again)
06) E (Very Bad Side-Effects &/or No Worthwhile Effects, would tell others to avoid)
07) F (Severe Adverse Reaction, hospitalization, seizure, HPPD, etc.)
2. OVERALL GENERAL PLEASURE DIRECTION OF DOB-DFLY (AKA Bromo-Dragonfly) (Choose Only One):
0
+3 (Ecstatic / Rapture / Heaven / Bliss)
09) +2 (Elated / Euphoric / Very Upbeat)
10) +1 (Pleasant / Mildly Elevated Mood)
11) 0 (Neutral / Baseline / ‘Normal’ / Prone To Both Positive or Negative Experiences)
12) –1 (Unpleasant / Mildly Depressed Mood / Mildly Disconcerting)
13) –2 (Painful / Disturbing)
14) –3 (Grueling / Agony / Hellish)
3. OVERALL GENERAL ENERGY DIRECTION OF DOB-DFLY (AKA Bromo-Dragonfly) (Choose Only One):
15) +3 (Extremely Stimulating)
16) +2 (Moderately Stimulating)
17) +1 (Slightly Stimulating)
1
0 (Neutral / Baseline / or Prone To Both Stimulation or Sedation)
19) -1 (Slightly Sedating)
20) -2 (Moderately Sedating)
21) -3 (Extremely Sedating)
4. ‘PRIMARY EFFECTS’ OF DOB-DFLY (AKA Bromo-Dragonfly) (Check All That Apply Including Less Intense Phenomena If At All Present):
22) No Psychedelic Effects Noticed.
23) Brighter Colors / Color Enhancement.
24) Mild Open Eye Visuals (trails, patterning, etc.).
25) Notable Open Eye Visuals (fractals, warping, morphing, etc.).
26) Extreme Open Eye Visuals (Complete Loss of Visual Reality / White Out etc.)
27) Mild Closed Eye Visuals (2-D &/or simple geometric patterns).
2
Notable Closed Eye Visuals (3-D geometric patterns &/or complex visions).
29) Extreme Closed Eye Visuals (Utterly Real / Believable Other Dimensions or Worlds / The Void / etc.)
30) Notable Auditory Effects (sound distortion, music sounds ‘wider,’ etc.).
31) Tactile Enhancement (things feel good or interesting to touch etc.).
32) Feel Like Laughing / Hilarity (everything is much funnier etc.).
33) Electric / Tingling Feelings.
34) Feeling Detached &/or Removed From One’s Physical Body
35) Feeling of Being Reborn
36) Time Seems To Pass Much Faster
37) Time Seems To Pass Much Slower or Cease To Exist.
3
Feelings of Increased/Enhanced Empathy
39) Deep Intellectual Thought / Introspection.
40) Awe / Amazement.
41) Increased Aesthetic Appreciation.
42) Sense of Presences / Entity Contact
43) Feeling of Being ‘At One’ / Oneness / Unity.
44) Presence of Numinous Force / Higher Power / God.
45) Synaesthesia (‘crossing’ of senses, seeing music, hearing colors etc.).
46) Sexual Feelings / Enhancement / or Pronounced Sexual Imagery.
5. ‘SIDE EFFECTS’ OF DOB-DFLY (AKA Bromo-Dragonfly) (Check All That Apply Including Less Intense Phenomena If At All Present):
47) No appreciable side-effects whatsoever.
4
Headache.
49) Perceived Chest Pain or Heart Palpitation/Heart Racing.
50) Abdominal Pain.
51) Perceived or Actual Temperature Change (Hot/Cold Flashes).
52) General Physical Discomfort.
53) Nausea / Upset Stomach.
54) Vomiting
55) Severe Diarrhea.
56) Muscle Twitches.
57) Notable Tremors.
5
Nystagamus (eye-wiggles).
59) Bruxism / Jaw Clenching / Tooth Grinding.
60) Sexual Dysfunction
61) Anxiety &/or Feeling Very Nervous.
62) Unpleasant Change in Thinking Rate.
63) Feelings of Isolation.
64) Paranoia (feeling like people are ‘out to get you,’ everyone is against you, etc.).
65) Feel Like Crying &/or Feeling Depressed.
66) Sense of Doom
67) Convinced You had Died or were Dying
6
Tinnitus (ringing in the ears that persists).
69) ‘Bad Trip,’ Bummer, Psychotic Reaction, Panic Attack.
70) SEVERE ADVERSE REACTION (Severe Allergy / Hospitalization / Blackout / Seizure / HPPD / etc.).
6. Number of Times Used: How many times have you used DOB-DFLY (AKA Bromo-Dragonfly) in total?
71) 1 Time.
72) 2-5 Times.
73) 6-10 Times.
74) 11-20 Times.
75) 21-30 Times.
76) 31-50 Times.
77) 51-75 Times.
7
76-100 Times.
79) 101 or More Times.
7. What dosages have you taken with this compound (Check All That Apply)?
80) Less than 50 micrograms
81) 50-100 micrograms
82) 101-200 micrograms
83) 201-300 micrograms
84) 301-400 micrograms
85) 401-500 micrograms
86) 501-600 micrograms
87) 601-700 micrograms
8
701-800 micrograms
89) 801-999 micrograms
90) 1,000 micrograms (1 milligram) or more
91) Unknown Dose / Not Sure of Dose
8. Routes of administration used with this compound (Check All That Apply)? *Note inclusion of a route of administration in this question in no way implies it is regularly used this way or can be done so safely.
92) Orally (by mouth)
93) Sublingually (held under the tongue)
94) Buccal (held between cheek and gums)
95) Rectal Suppository (Plugging, etc.)
96) Intravenously Injected (I.V.)
97) Intramuscularly Injected (I.M.)
9
Subcutaneously Injected (S.C.)
99) Insufflated (Snort, Sniffed, Railed, etc.)
100) Vaporized
101) Other Method of Administration
9. How long do the effects of Bromo-Dragonfly last? (Please check the shortest duration you noted and check the longest duration noted. If you only took the compound one time, please choose the single answer that best represents the duration you experienced.)
102) No Effects Noted Whatsoever.
103) Less Than 1 Hour.
104) 1 Hour – 3 Hours.
105) 3 Hours – 6 Hours.
106) 6 Hours – 9 Hours.
107) 9 Hours – 12 Hours.
10
12 Hours – 15 Hours.
109) 15 Hours – 18 Hours.
110) 18 Hours – 21 Hours.
111) 21 Hours – 24 Hours.
112) 24 Hours – 27 Hours.
113) 27 Hours – 30 Hours.
114) 30 Hours – 33 Hours.
115) 33 Hours – 36 Hours.
116) More Than 36 Hours.
10. Free Form Additional Information: If you have had any extremely unusual experiences or effects from this compound (positive or negative) please enter them here:
117) :
