2021 TPL Annual Membership Survey
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Email *
Basic Info
ALL DATA is required.
NO Identifying Info will be collected.
Sex *
Age (in whole years) *
Research Product Information
ALL DATA is required.
NO Identifying Info will be collected.
Which research product are you currently using? (Fill out separate survey for each) *
How long have you been using this research product? *
Which of the following GENERAL categories describe the symptoms which you are using the research product for (check all that apply): *
Required
Please rate the INTENSITY of your symptoms BEFORE using the research product on a scale from 1-10 (1 =minor symptoms to 10= extremely intense symptoms) *
Please rate the INTENSITY of your symptoms AFTER using the research product on a scale from 1-10 (0 =NO symptoms to 10= extremely intense symptoms) *
How much of the research product do you use PER DOSE? *
How many times PER DAY do you use the product? *
Have you ever had a "craving" for the research product you are using? *
Research Product Satisfaction
ALL DATA is required.
NO Identifying Info will be collected.
Are you satisfied with the quality of the product? *
Are you satisfied with the PRICE of the product? *
Have you recommended this research product to others? *
Has A PHYSICIAN recommended this product to others, based on your progress? *
Research Product Support
ALL DATA is required.
NO Identifying Info will be collected.
Do you think there is adequate  support available for using this product? *
Do you think there is adequate  resources and information available for using this product? *
Please note what resources and support you would like to see added to The Pot Lab's center to better service you as a member:
Do you feel that you are appreciated by The Pot Lab? *
Please let us know how we can show our members more  appreciation:
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