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Endometriosis Month Survey

Help our research team and fill out our endometriosis survey

1. How old are you?*

1. How old are you?*

2. Have you been officially diagnosed with endometriosis?*

2. Have you been officially diagnosed with endometriosis?*

3. How long have you experienced symptoms of endometriosis?*

3. How long have you experienced symptoms of endometriosis?*

4. What symptoms do you experience with endometriosis? (check all that apply)*

4. What symptoms do you experience with endometriosis? (check all that apply)*

5. What therapies if any, have you tried?*

5. What therapies if any, have you tried?*

6. Have you ever used cannabis?*

6. Have you ever used cannabis?*

7. What types of medical cannabis have you used? Select all that apply*

7. What types of medical cannabis have you used? Select all that apply*

8. How long have you been using medical cannabis?*

8. How long have you been using medical cannabis?*

9. How often do you use medical cannabis?*

9. How often do you use medical cannabis?*

10. What type of cannabis product do you mainly consume?*

10. What type of cannabis product do you mainly consume?*

11. Did you discuss using medical cannabis with a healthcare practitioner (i.e., doctor, nurse practitioner, pharmacist…) before starting therapy?*

11. Did you discuss using medical cannabis with a healthcare practitioner (i.e., doctor, nurse practitioner, pharmacist…) before starting therapy?*

12. Since beginning cannabinoid therapy, how would you describe the change, if any, in activity limitations, symptoms, emotions and overall quality of life related to your condition? Select ONE option:*

12. Since beginning cannabinoid therapy, how would you describe the change, if any, in activity limitations, symptoms, emotions and overall quality of life related to your condition? Select ONE option:*

13. Would you consider using cannabis for conditions such as endometriosis?*

13. Would you consider using cannabis for conditions such as endometriosis?*

14. Do you have any concerns with using medical cannabis? (Select all that apply)*

14. Do you have any concerns with using medical cannabis? (Select all that apply)*

15. Do you use cannabis suppositories?*

15. Do you use cannabis suppositories?*

16. Would you consider using cannabis suppositories?*

16. Would you consider using cannabis suppositories?*

17. How did you learn about cannabis suppositories?*

17. How did you learn about cannabis suppositories?*

18. Rate the accessibility of medical cannabis in Canada. Using the scale below, pick a number that best corresponds with your experience;
1: More difficult to access than other medications
3: Same difficulty to access as other medications
5: Easier to access compared to other medications*

18. Rate the accessibility of medical cannabis in Canada. Using the scale below, pick a number that best corresponds with your experience;
1: More difficult to access than other medications
3: Same difficulty to access as other medications
5: Easier to access compared to other medications*

Peak Pharm Labs Female Doctor Prescribing cannabis suppositories for endometriosis pain
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