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Medical Cannabis Patient Interest
1.
Do you or a family member plan to apply for a medical cannabis card?
Yes
No
2.
You or your family member's age group:
Under 19
19 to 39
40 to 60
60 plus
3.
What region of Alabama do you or your family member live?
Northwest
Northeast
Central-east
Central-west
Mid-east
Southeast
Gulf Coast
4.
You or your family member's qualifying condition(s):
Autism
Cancer
Crohn's
Depression
Epilepsy or condition causing seizures
HIV/AIDS
Panic Disorder
Parkinson's
Nausea
PTSD
Sickle Cell
ALS
Multiple Sclerosis
Spinal Cord Injury
Terminal Illness
Tourette's
Chronic Pain
Other (please specify)
5.
If given the option, how would you prefer receiving your medical cannabis card?
Virtual Card - $55
Hard Card - $65
Thank you for participating in the survey.
Any questions or advertisements following the completion of this survey are not sponsored by the Alabama Medical Cannabis Commission.