Dobrý den, k možnosti zaslání vzoru na naši adresu je třeba nejdříve vyplnit následující dotazník. Po jeho vyplnění se Vám zobrazí další instrukce. :)
Hello, please fill in the following questionnaire. After you have done that, you will see further instructions and an address where to send the sample :)

Vzhledem k vánočním prázdninám a technickým revizím laboratoře budou do Vánoc analyzovány vzorky, které dorazí do 10.12.2025. Ostatní vzorky budou analyzovány po novém roce.

Due to the Christmas holidays and technical inspections of the laboratory, samples arriving by December 10, 2025 will be analyzed before Christmas. Other samples will be analyzed after the New Year.

Most fields are not strictly required. Feel free to only fill what you know and what you are comfortable with sharing. Still, especially if the sample is suspicious or has already caused you health issues, any additional information can help others.

Form for a mail-in sample

⚕ Health information

Gender*:

Gender of the sample donor

Age*:

Age of the sample donor

Sample already used:

Did you already try the substance

Psychotropic substance use frequency: How often do you use psychotropic substances

🧪 Sample description

What should this sample contain*:

Sample description: If the sample is a distinct product like tablet, blotter, etc. please describe the design, shape, logos, etc.

📱 Sample origin

Sample source*: What is the source of the sample

Sample procurement date:

When was (approximately) the sample procured by the donor

Sample cost [EUR]:

How much did the substance cost per gram/piece/unit, in EUR

Approximate place of procurement Where (place/city of the party, name of club, festival, ...) was the originally sample procured

🗨 Anything else?

Other information Any other information you feel like adding

The form will lock itself after submission, so that it doesn't change while staff is analyzing the sample. Once you filled everything you wanted, please click Confirm.