GI Upset and Marijuana Use - Anonymous Questionnaire

Thank you for taking the time to participate in our anonymous survey. This survey is being conducted as part of a collaborative research project with the University of Toronto. The collaboration aims to gather valuable insights and data for our joint research efforts. Your responses will be aggregated and analyzed collectively, and no identifying information will be collected, ensuring that individual identities remain protected. If you have any questions or concerns regarding the survey or the collaboration with the University of Toronto, please feel free to reach out to us at info@weedless.org or at hsenderovich@baycrest.org. Once again, we greatly appreciate your participation and the valuable contribution you are making to this research collaboration.

Question Title

* 1. Have you recently stopped using marijuana after a period of regular use?

Yes

No, I'm still using marijuana

Question Title

* 2. Please describe the symptoms you are experiencing

Question Title

* 3. When did the symptoms begin to appear?

Question Title

* 4. Have you experienced any of the following?

	None	Mild	Moderate	Quite a Lot	Severe	Very Severe	Unbearable
Abdominal pain	Abdominal pain None	Abdominal pain Mild	Abdominal pain Moderate	Abdominal pain Quite a Lot	Abdominal pain Severe	Abdominal pain Very Severe	Abdominal pain Unbearable
Heartburn	Heartburn None	Heartburn Mild	Heartburn Moderate	Heartburn Quite a Lot	Heartburn Severe	Heartburn Very Severe	Heartburn Unbearable
Regurgitation	Regurgitation None	Regurgitation Mild	Regurgitation Moderate	Regurgitation Quite a Lot	Regurgitation Severe	Regurgitation Very Severe	Regurgitation Unbearable
Abdominal rumbling	Abdominal rumbling None	Abdominal rumbling Mild	Abdominal rumbling Moderate	Abdominal rumbling Quite a Lot	Abdominal rumbling Severe	Abdominal rumbling Very Severe	Abdominal rumbling Unbearable
Bloating	Bloating None	Bloating Mild	Bloating Moderate	Bloating Quite a Lot	Bloating Severe	Bloating Very Severe	Bloating Unbearable
Empty feeling	Empty feeling None	Empty feeling Mild	Empty feeling Moderate	Empty feeling Quite a Lot	Empty feeling Severe	Empty feeling Very Severe	Empty feeling Unbearable
Vomiting	Vomiting None	Vomiting Mild	Vomiting Moderate	Vomiting Quite a Lot	Vomiting Severe	Vomiting Very Severe	Vomiting Unbearable
Loss of appetite	Loss of appetite None	Loss of appetite Mild	Loss of appetite Moderate	Loss of appetite Quite a Lot	Loss of appetite Severe	Loss of appetite Very Severe	Loss of appetite Unbearable
Fullness after eating	Fullness after eating None	Fullness after eating Mild	Fullness after eating Moderate	Fullness after eating Quite a Lot	Fullness after eating Severe	Fullness after eating Very Severe	Fullness after eating Unbearable
Belching	Belching None	Belching Mild	Belching Moderate	Belching Quite a Lot	Belching Severe	Belching Very Severe	Belching Unbearable
Flatulence	Flatulence None	Flatulence Mild	Flatulence Moderate	Flatulence Quite a Lot	Flatulence Severe	Flatulence Very Severe	Flatulence Unbearable
Difficulty swallowing	Difficulty swallowing None	Difficulty swallowing Mild	Difficulty swallowing Moderate	Difficulty swallowing Quite a Lot	Difficulty swallowing Severe	Difficulty swallowing Very Severe	Difficulty swallowing Unbearable
Diarrhea	Diarrhea None	Diarrhea Mild	Diarrhea Moderate	Diarrhea Quite a Lot	Diarrhea Severe	Diarrhea Very Severe	Diarrhea Unbearable
Constipation	Constipation None	Constipation Mild	Constipation Moderate	Constipation Quite a Lot	Constipation Severe	Constipation Very Severe	Constipation Unbearable

Other (please specify)

Question Title

* 5. What is your gender?

Female

Male

Other (specify)

Question Title

* 6. 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

Question Title

* 7. How long have you been using marijuana? (Please select the closest estimate.)

0-6 months

7-12 months

1-2 years

3-5 years

6-10 years

11+ years

Question Title

* 8. In the past year, how frequently have you used marijuana on average?

Multiple times a day

Once a day

Four to six times per week

Two to three times per week

One time per week

Two to three times per month

One time per month

Seven to eleven times this year

Three to six times this year

One to two times this year

I have used marijuana but not in the past year

I have never used marijuana

Question Title

* 9. In the past 60 days, how frequently have you used marijuana?

Multiple times a day

Once a day

Four to six times per week

Two to three times per week

One time per week

Two to three times per month

One time per month

One time in the past 60 days

I have not used marijuana in the past 60 days

Question Title

* 10. For what purpose do you use marijuana?

Medicinal purposes only

Recreational purposes only

Both recreational and medicinal purposes

Question Title

* 11. How available is marijuana to you if you want to get it?

Readily available; I can get marijuana any time I want it.

Somewhat available; I can usually get marijuana when I want it, but sometimes it

Can be difficult.

Slightly available; I can sometimes get marijuana when I want it, but usually it is difficult.

Not very available; it is very difficult for me to get marijuana when I want it.

Not at all available; it is impossible to get marijuana.

Question Title

* 12. In what country do you live?

Question Title

* 13. Can we share your responses with our community (anonymously)?

Yes

No, I'd prefer it stay private

Question Title

* 14. Optional: Enter your email address to receive information about products we're developing to reduce withdrawal symptoms when quitting weed (we promise not to SPAM you).

Email Address