HLM's Kush Check™ General Shopper Database Signup

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We currently have work in Washington state and Southern California.

If you live in Washington, please sign up in the WA database here: https://forms.gle/YvUAEdW9sExvZnjg8

If you live in California, please sign up in the CA database here: https://forms.gle/QGcGJu6QvdzhzmY6A

If you do not live in WA or CA, please complete the form below and we will notify you via email when there are assignments available.

First and Last Name *

City *

Zip Code *

E-mail Address *

Cell Phone Number

Choose One

Male

Female

Clear selection

How old are you? *

We shop retail cannabis stores and you must be 21 or older to do so. If you are not 21 years old, you cannot signup to our database.

I am 21 years old or older

Date of Birth *

YYYY

How often do you shop at a Cannabis store? *

A few times per week

Once per week

1-2 times per month

Not often, but I've shopped at one

I've never been to a Cannabis store

Please list the names and locations of any Cannabis stores you have shopped in

Include recreational or medical dispensaries you've shopped at.

What's your favorite Cannabis store you've shopped in?

Have you ever completed any kind of mystery shop before? *

Selecting no will not disqualify you from completing Kush Checks™

Yes

Any questions or comments?

Submit

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