DIPG

www.CannabisData.org

Question Title

* 1. Child's Name, Sex/Race

Question Title

* 2. Where were you from when diagnosed? (City, State)

Question Title

* 3. Age at Diagnosis AND Current Age

Question Title

* 4. Age at Death

Question Title

* 5. Conventional treatments used (chemo, radiation, steroids, etc... ):

Treatment Used/Dosage:

Results:

Treatment Used/Dosage:

Results:

Treatment Used/Dosage:

Results:

Treatment Used/Dosage:

Results:

Question Title

* 6. Did you try cannabis?

Yes

Question Title

* 7. If "yes," which cannabinoids did you use?

Type(s) of cannabinoid, terpene, strain:

Dosage:

Results:

Type(s) of cannabinoid, terpene, strain:

Dosage:

Results:

Type(s) of cannabinoid, terpene, strain:

Dosage:

Results:

Type(s) of cannabinoid, terpene, strain:

Dosage:

Results:

Type(s) of cannabinoid, terpene, strain:

Dosage:

Results:

Question Title

* 8. Do you have questions you would like a DIPG warrior family to answer?

Question-1:

Question-2:

Question-3:

Question-4:

Question-5:

Question Title

* 9. If you are part of a DIPG warrior family, what advice would you offer to help those who are new to the battle?

Tip-1:

Tip-2:

Tip-3:

Tip-4:

Tip-5:

Question Title

* 10. If CannabisData.org has questions, may we contact you via email? If so, please leave an email address. If there is anything else you think we need to add to this, please let us know: info@cannabisdata.org