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Cannabis Dispensary - Siksika Community Survey
Thank you for participating in the community survey. Your feedback is valuable, and appreciated. Results of the survey will be posted to the community shortly after all results have been received.
1.
What is your gender?
Female
Male
Other (specify)
2.
What is your age?
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 to 74
75 or older
3.
Do you live on reserve or off?
On
Off
4.
What is your highest level of schooling completed?
Less than high school diploma
High school diploma or equivalent (e.g., GED)
Post-secondary Diploma
Post-secondary Degree
Bachelor degree
Master's degree
Other (please specify)
5.
Which of the following categories best describes your employment status?
Employed, working full-time
Employed, working part-time
Not employed
Student
Retired
Disabled, not able to work
Old Age Pension
6.
Do you have friends who currently use recreational cannabis?
Yes
No
7.
Do you have family who currently use recreational cannabis?
Yes
No
8.
Have you used cannabis for medical use?
Yes
No
9.
Have you used cannabis to treat a medical condition from any of the following groups? (select that all apply)
No
Cancer
Gastro-intestinal
Mental health and/or substance use
Neurological
Pain
Sleep
Other (please specify)
10.
Have you used cannabis for recreational use? (at least once per week for a period of three months or longer).
If no, skip to question 14
Yes
No
Other (please specify)
11.
What type of cannabis do you MAINLY use?
Dried flower or leaf for smoking or vaping (excludes dried flower or leaf used to make homemade products such as edibles).
Cannabis Oil for oral use (e.g., capsules, in dropper, syringe, etc.)
Hashish or kief
Cannabis vape pens or cartridges
Cannabis concentrates extracts (e.g., shatter, wax, budder, butane honey oil, resin)
Edible cannabis (e.g., chocolates, baked goods, soft chews)
Homemade edible cannabis
Ready to drink cannabis beverages (e.g., soft drinks, sparkling water, coffee, tea)
Cannabis beverages prepared at home (e.g., dissolvable powders, drink mixes, coffee and tea)
Cannabis topicals (e.g., lotions, creams, ointments)
Other (please specify)
12.
What is the MAIN way you consume cannabis?
Oral tablets or capsules
Oral edibles (cake, cookies, etc.)
Oral liquid (tincture etc.)
Oral spray (mount)
Fresh juice
Nasal application (through nose)
Rolled into a joint
Pipe ( plastic, metal, glass)
Water pipe/ bong
Vaporizer
Suppository
Dabbing or spotting
Topical (cream, or patch applied to skin)
Other (please specify)
13.
When you purchase cannabis for recreation use where do you access the products?
Gleichen
Strathmore
Calgary
Other (please specify)
14.
Would you support a Siksika Member owned cannabis dispensary on reserve?
Yes
No
15.
Would you support a Siksika Nation owned cannabis facility?
Yes
No
Other (please specify)
16.
Do you think a cannabis dispensary should be a minimum distance away from the following locations?
Schools and daycares
Playgrounds
Public parks
Community service buildings
Arenas
Sports fields
Medical facilities
Rehabilitation facilities
All of the above
Other (please specify)
17.
Further to the previous question, what minimum distance would you like to see established?
No minimum distance
Less than 1 km
Less than 2 km
Less than 3 km
Less than 5 km
More than 5 km
Other (please specify)
18.
Do you think private businesses that are involved in the sale of cannabis should be required to have additional security in place?
Yes
No
19.
Do you think Private businesses that are involved in the sale of cannabis be allowed to operate under a federal land instrument on Siksika Nation?
Yes
No
20.
Are you in favour of future cannabis lounges permitted to operate on reserve?
Yes
No
Other (please specify)
21.
Do you feel you have enough information regarding cannabis use for recreational sales?
Yes
No
Other (please specify)
22.
Would you like more information regarding cannabis use in the future?
Yes
No
Other (please specify)
23.
How would you like to get informed about cannabis use for medical and recreational use?
Siksika Nation Website and APP
Social Media
YouTube
Written documents
Workshops
Other (please specify)
24.
General comments regarding cannabis sales on Siksika Nation Lands.
