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Patients' survey on CBD products
If patient < 16 years old, this survey should be completed by a parent or a legal tutor.
10 - 18
25 - 35
35 - 45
What condition(s) are you treating with this product?
Which CBD product are you using?
CBD Hemp Oil
CBD Hemp Capsule
CBD Hemp Chewing Gum
What BRAND is it?
What is the CBD content of your product? Expressed in mg not in %
What dose of CBD products do you consume in one use (number of drops, capsules or other)?
How often do you use your medication? (e.g. once a day; twice a week)
What side effect(s) are you experiencing from this product?
(if none, please write 'No side effects')
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