Medical Cannabis Survey Form

Due to the increased public awareness of the potential medical benefits of cannabis, we have designed a brief survey to assist us in better understanding the perceived needs of the general public. Our intention is to use the collective data to further our clinical research and to assist, educate, inform and support medical practitioners and health authorities.

Please fill out your details below

Medical Cannabis Survey

If you are human, leave this field blank.

Your Email *

Your County / State *

Your Country of Residence *

Please indicate below which option describes your current medical condition: (In Ireland, current legislation clearly identifies the following three areas) *

Multiple Sclerosis

Epilepsy

Chemotherapy (side effects)

Other (please specify)Other (please specify)

Have you discussed the option of medical cannabis treatment with your GP? *

Yes

If you answered "Yes" above, is your doctor considering this as a potential treatment option? *

Yes

Have you discussed the option of medical cannabis treatment with your Consultant? *

Yes

If you answered "Yes" above, has your consultant indicated that this treatment could be beneficial for you? *

Yes

Have you already acquired a prescription? *

Yes

Have you used CBD previously as a treatment? *

Yes

If you answered "Yes" above, what form of CBD did you use?

If you answered "Yes" above, in what country did you use CBD?

Have you used medical cannabis previously as a treatment? *

Yes

If you answered "Yes" above, what form of medical cannabis did you use?

If you answered "Yes" above, in what country did you use medical cannabis?

Any other information

Keep up to date with relevant news *

Yes

Select "Yes" to receive email updates regarding the progression of legislation in terms of cannabis based products and medicines

GDPR Opt In *

I have read and accept the privacy policy here and give GreenLight permission to store and process all my data entered on this input form

Captcha

Medical Cannabis Survey Form

Please fill out your details below

Under review.

Please check back next week