1. Where do you get your cannabis from? *
2. What is the form of the cannabis? *
3b. What is the concentration volume for the ratio? *
for example 3:6 per __mL. This will help us with data analysis.
Only need to answer ONE question for question 4. Answer either 4a, 4b. 4c or 4d
Only need to answer ONE question for question 4. Answer either 4a, 4b. 4c or 4d
Only need to answer ONE question for question 4. Answer either 4a, 4b. 4c or 4d
Only need to answer ONE question for question 4. Answer either 4a, 4b. 4c or 4d
5. How often is the medication given? *
6. What is the indication in which cannabis is being used? *
7. Has there been improvement in the condition for which cannabis is being used? *

Thank you for your time filling this questionnaire. Information gathered will help us have a better understanding of what patients are taking and results.