CheckYourCannabis.net

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Check Your Cannabis (CYC)

This 13 question survey is completely anonymous and has been designed to help you, your loved ones or your health care professional answer some questions you might have about cannabis, marijuana or hashish use.

When you’re finished you can print your Final Report or email your results directly to yourself or your health care professional. Start the CYC by filling in the following anonymous information:

1. Are you a health care professional or a researcher? Please note that use of this program is for your personal, non-professional use. Yes
No
2. Your First Name: (to protect your privacy please only use your first name or a nickname)

3. You are: male
female
4. Your date of birth:

5. What country do you live in?

6. You are taking this test: For yourself
For someone you know
You are just checking out the test to see what the results look like
Please check this box to acknowledge that your anonymous information will be used for purposes of improving this questionnaire. Your use of this program is subject to your data being used for research purposes. We do not collect or analyze individual statistics and no one will contact you at any time.