Medical Cannabis and Mast Cell Activation Syndrome Research Survey

This research survey should take no longer than 10-15 minutes of your time. Your personal information will never be shared or disclosed. By completing this survey, you're providing feedback that will help us collect important data for the mast cell activation syndrome community.

By continuing with this survey, you agree to the authorization use of your answers and written comments.

Once the survey is complete, the information will be made available on TickedOffMastCells.org for you to share with your doctor, caregivers, family, and friends. We hope that this survey will help provide data that may improve the quality of life for MCAS patients.

Thank you so much for your time.

Question Title

* 1. Have you ever been diagnosed with Mast Cell Activation Syndrome?

Yes

No, but it is suspected.

Question Title

* 2. Have you ever been diagnosed with a tick-borne illness? If so, please select the option that applies.

Alpha-gal Syndrome

Lyme Disease

Rocky Mountain Spotted Fever

Anaplasmosis

Colorado Tick Fever

Bartonellosis

Borrelia Mayonii

Powassan Disease

Rickettsia Parkeri Rickettsiosis

Tularemia

Tick-Borne Relapsing Fever

Southern Tick Associated Rash Illness (STARI)

Babesiosis

Q Fever

Borrelia Miyamotoi

Ehrlichiosis

364D Rickettsiosis

Rickettsia Amblyommi

Other (please specify)

None of the above

Question Title

* 3. Please select the symptoms that you experiance due to Mast Cell Activation Syndrome.

Skin: itching, flushing, hives, sweating, swelling, rash

Eyes: irritation, itching, watering, inflammation

Nose: itching, running or stuffy nose, sneezing, sinus pain or pressure

Mouth and throat: itching, swelling in your tongue or lips, swelling in your throat, a burning sensation, ulcers on the tongue or in the mouth

Lungs: trouble breathing, wheezing, coughing, increased mucus production, asthma-like symptoms

Heart and blood vessels: rapid heart rate, passing out, and/or vascular permeability (inflammation and swelling), abnormal blood pressures (either too high or too low)

Gastrointestinal tract: abdominal pain, cramping, diarrhea, bloating, nausea, vomiting, difficulty digesting certain foods, food intolerances

Nervous system: confusion, nerve pain, headache, neuropathy, vertigo, tinnitus, insomnia, depression, anxiety

Malnutrition and dehydration

Pelvic pain disorders: endometriosis, painful bladder syndrome, vulvodynia

Musculoskeletal system: muscle and bone pain, migratory arthritis, muscle weakness

Cognition: difficulty concentrating, reduced attention span, brain fog, trouble with memory

Liver: enlarged spleen, increased bilirubin levels, elevated liver enzymes, high cholesterol

Seizure or seizure-like activity

Anaphylaxis, chemical and environmental sensitivities

None of the above

Other (please specify)

Question Title

* 4. Have you found a mast cell stabilizer that has helped you? If so, please select the option that applies.

Cromolyn sodium

Ketotifen

Quercetin

Medical Cannabis

None of the above

Other (please specify)

Question Title

* 5. Have you tried any mast cell stabilizer that did not help or made things worse? If so, please select the option that applies.

Cromolyn Sodium

Ketotifen

Quercetin

Medical Cannabis

Other (please specify)

None of the above

Question Title

* 6. Have you tried medical cannabis as a mast cell stabilizer? If so, in what form do you tolerate it?

Ingesting the medical grade THC oil

Smoking the organic medical grade flower

Both

Other (please specify)

None of the above

Question Title

* 7. If you have tried smoking the medical grade cannabis flower for a mast cell stabilizer, what were the results? Please explain whether good or bad.

Question Title

* 8. If you have tried ingesting the medical grade THC oil for a mast cell stabilizer, what were the results? Please explain, whether good or bad.

Question Title

* 9. If you use medical cannabis as a mast cell stabilizer, what symptoms does the medical cannabis help with?

Question Title

* 10. If you use medical cannabis as a mast cell stabilizer, how often do you have to take it to see results?

Every 30 minutes

Every hour

Every 2 - 3 hours

Every 4 - 6 hours

Every 6 - 12 hours

Every 12 - 24 hours

Other (please specify)

None of the above

Question Title

* 11. If you use medical cannabis as a mast cell stabilizer, which strains help you the best?

Question Title

* 12. If you used medical cannabis as a mast cell stabilizer, which strains do not help or even make it worse?

Question Title

* 13. What state do you live in?

Question Title

* 14. If you use medical cannabis as a mast cell stabilizer, are you able to obtain it safely in your state?

Yes

Other (please specify)

None of the above

Question Title

* 15. Please enter your email address if you would like to be contacted for future projects.

Page1 / 2

50% of survey complete.