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Experience Feedback Survey
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* Indicates required question
Email
*
Your email
What is the name of the product you are using?
*
Your answer
From what dispensary did you purchase this product?
*
Your answer
What is the product's form?
Chocolate edible
Gummy
Sucking candy / lozenge
Nougat
Tea
Tincture
Other food / liquid
Flower
Vape flower
Vape concentrate
Lotion
Patch
Suppository
Other:
Clear selection
Which cannabis goal are you trying to address?
*
Minimize pain
Improve sleep
Reduce stress / anxiety
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