Merry Jane Gardening Club Member Info
Please put as much detail as you can for the long response questions, and please know that we will never ever share your information with anyone!  Period!  We will use your answers to do research on your issues, and help you the best way we can, by steering you to resources, recipes and scientific articles that might help.
Name *
Email *
Address *
Phone number *
Do you currently grow cannabis or make cannabis medicine?
Occupation or none if currently not working-  please include past occupations, it would be helpful to know what type of situations you’ve dealt with like heavy lifting, sitting at a computer, etc.
Health Issues- including accidents, falls, diseases, stress, anxiety, PTSD, etc.
How long have you had this issue
To what extent does this problem interfere with your daily activities (work, sleep, sex, hobbies, etc)
Have you been given a diagnosis for this problem?
What kind of treatments have you tried?
Allergies to drugs, chemicals or foods
Any other pertinent information we should have, answer none if you don’t have anything extra to add
What do you hope (examples: like minded community, grow and recipe tips) to gain from joining the Merry Jane Gardening Community?
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