JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Purchase Data
Stats about the product purchased
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What Province did you purchase the cannabis in?
AB
BC
MB
NL
NB
NS
ON
PEI
QC
SK
YK
Clear selection
Vendor
Where did you purchase the product you are reviewing?
Alberta Cannabis
OCS
Other:
Clear selection
Price paid in CAD
Enter the price before tax, without the dollar sign (ie. 34.56)
Your answer
Date of Purchase
What day did you purchase the product? If it was shipped, enter the day you actually received it.
MM
/
DD
/
YYYY
Date of packaging
Enter the date of packaging shown on the product
MM
/
DD
/
YYYY
Date of Harvest
If there is a harvest date shown, please enter it here.
MM
/
DD
/
YYYY
Date of Evaluation
What day did you do the review?
MM
/
DD
/
YYYY
Market of origin
Please select if the purchase was from the legal recreational market, direct medical, or from the legacy or traditional market.
Recreational
Medical
Traditional
Clear selection
House Name
Please enter the product name.
Your answer
Cultivar Name
If the product wasn't renamed or you know the actual name of the cultivar, please enter it.
Your answer
Genetic Lineage
If you know the parental generation of this cultivar, please enter it here.
Your answer
Breeder
If you know the breeder of this cultivar, please enter it here.
Your answer
Notes on the Cultivar
If you have any further thoughts on or experience with this cultivar, please enter it here.
Your answer
Producer
Please enter the producer of the product. If you do not know, it is usually shown on the packaging.
Your answer
Brand
Please enter the brand the product was sold under.
Your answer
Producer/Brand Notes
Any further thoughts on or experience with the producer or brand? Write it here.
Your answer
Container Type
Select the type of container, or add another type
Glass Jar
Plastic Jar
Mylar Bag
Tuna Tin
510 Cartridge
Other:
Clear selection
Package Sealing
Please select the type of seal on the package
Tongue in groove
Foil lined seal
Tuna tin metal lid
Heat seal with mylar
Other:
Clear selection
Was the seal completely intact?
If the seal was damaged or broken, please reflect that here
Yes
No
Clear selection
Notes on container
This is the place for any other thoughts on the container or packaging
Your answer
Product type
What's the product type you're reviewing?
Flower
Pre-rolls
Infused Pre-rolls
Bubble Hash
Hash
510 Cartridge
Edible
Other:
Clear selection
Package Size
Please select the package size, or enter a new package size but keep the format
0.5g
1g
3.5g
7g
14g
28g
Other:
Clear selection
Mass in Grams (Actual)
Please weigh your sample
Your answer
THC Percent
eg. 17.6%
Your answer
CBD Percent
eg. 5.4%. Please do not enter less than symbols. If no value is given, please enter 0.001%
Your answer
Terpene Percent
eg. 2.1%
Your answer
Next
Page 1 of 7
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
