Curious if you Qualify for Medical Marijuana?
Take this short survey to find out. Estimated time 6-10 minutes.
Which Pre-Qualifying Medical Condition applies to you? If you aren't sure which pre-qualifying condition applies to you, select "any other medical condition...".
Do you have your Medical Records or Medical History from your Primary Care Provider that shows the above selected Qualifying Condition available or easily accessible?
Has a doctor ever denied or restricted your activity for any reason? *Has a doctor ever denied or restricted your activity for any reason?
Have you ever been hospitalized?
Have you ever been treated for an emotional condition?
Have you ever had a seizure?
Do you have any rashes, sores, or
other skin problems?
Have you been diagnosed with
Adult Onset Diabetes?
Are you trying to lose or gain weight?
Have you had any problems with your eyes or vision?
Have you ever had numbness, tingling, or weakness in your arms or legs?
Do you currently consume cannabis?
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