PMD Profile Evaluation 1.0
Thank you for taking the time and allowing me to ask these personal questions in order to provide you with a comprehensive, unique and adaptable cannabis profile. We will never share your data with any third party. Your privacy is very important to The UCCC.
What is your name?
What is your email address
What is your age?
What is your weight?
Have you ever used cannabis before?
Clear selection
If yes, when, how and how often?
If yes, what was/were your experience(s)?
What is your overall current interest in cannabis education?
Based on your current knowledge of the plant, how do you feel about cannabis as a medicinal product?
Based on your current knowledge of the plant, how do you feel about cannabis as a recreational product?
Do you feel that you currently have a “normal” eating schedule?
Clear selection
Do you feel that you currently have a “normal” sleeping schedule?
Clear selection
Do you have any major areas of recurring pain?
Do you feel you experience some form of anxiety?
Clear selection
Do you feel you have some form of depression?
Clear selection
Do you currently take medication that contains "consumption of grapefruit" warnings?
Clear selection
What smell or odor( s) do you relate to the following happiness?sadness?calmness?excitement?
What tastes do you prefer when choosing your favorite dessert?
If you drink alcohol, what would you consider your tolerance level?
Do you have any occupational or religious limitations to consuming cannabis?
What would you consider your monthly budget for cannabis purchases?
What are your top 3 favorite fruits?
What are your top 3 favorite spices?
In a range from 1 to 5, where 1 is Not at All and 5 Extremely, *
How hesitant are you to try cannabis?
What would you consider your main reason for wanting to try cannabis?
Are there any other areas you would like to apply a cannabis regiment? *
Do you have any known allergies? If yes, please list.
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