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Marijuana Questionnaire
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* Indicates required question
Forms of CBD/THC intake
*
Smoke marijuana
Ingest cannabis
Other
Frequency of use
*
Daily
4-5 times a week
3-4 times a week
2-3 times a week
1-2 times a week
less than 3 times a month
Do you have any other health concerns?
*
Yes
No
Best contact number
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Email
Your answer
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