Medical Marijuana Patient Intake Survey Are you here to get your medical marijuana card? Yes No Are you currently a medical marijuana patient? Yes No Are you a new patient? Yes No If you are not currently a patient, what has prevented you from getting your card? Select all that apply Cost of doctor's visit I didn't know about the program It wasn't convenient Other Other: Are you here to renew your medical marijuana card? Yes No How did you hear about this event? Social Media Dispensary Billboard News Word of Mouth Do you have any prior experience with marijuana? Yes No I am familiar with the following: Check all that apply Terpenes TCH (Tetrahydrocannabinol) CBD (Cannabidiol) What types of cannabis products are you interested in? Check all that apply Flower Vapes Edibles Topicals Concentrates Capsules Tinctures Not Sure yet Has the cost of obtaining a medical marijuana card been a barrier for you? Yes No Somewhat If yes, please explain Optional Have you felt judged or stigmatized for considering medical marijuana? Yes No Not sure Would more education or support from medical professionals make you feel more comfortable using medical marijuana? Yes No Maybe What would make you feel more confident or supported in becoming a medical marijuana patient? Lower Cost More Education Support from healthcare providers Positive testimonials from other patients Community Acceptance Other Other: Thank you!
