You are invited to participate in a survey assessing the knowledge and use of CBD (CANNABIDIOL) PRODUCTS (NOT cannabis/marijuana). The survey is designed to gather more information about use of CBD products
The following survey should take you about 5-7 minutes to complete. No benefits accrue to you for answering the survey, but your responses will be used to explore possible knowledge gaps and inform potential educational interventions. There is minimal risk for participation in this study of breach of confidentiality. Your identity will not be linked to your responses, and you will remain anonymous.
Your decision whether or not to participate will not affect your current or any future relationships with Atrium Health. Your completion of this survey implies your consent to participate in this research study. If you decide to participate, you are free to stop at any time and you may skip questions. For questions regarding the survey, you may contact Chasse.Bailey-Dorton@atriumhealth.org
Clicking the link, confirms that you have read this form and decided to participate in the project. Its general purposes, the details of involvement, and possible risks and inconveniences have been explained.
* must provide value
Yes, I agree to participate in this study and understand the above information about the survey No, I do not wish to participate in this study
CBD stands for Cannabidiol, one of the major constituents of cannabis/hemp. CBD products are made from legal industrial hemp and come in various products.
Female Male Trans male/Trans man Trans female/Trans woman Genderqueer/Gender non-conforming Different identity (Other) Female
Male
Trans male/Trans man
Trans female/Trans woman
Genderqueer/Gender non-conforming
Different identity (Other)
18-24 25-34 35-44 45-54 55-64 65-74 75-84 85 or older 18-24
25-34
35-44
45-54
55-64
65-74
75-84
85 or older
Hispanic or Latino Non-Hispanic or Latino Unknown Hispanic or Latino
Non-Hispanic or Latino
Unknown
AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY DC PR VI AS GU MP
UNITED STATES AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA, PLURINATIONAL STATE OF BONAIRE, SINT EUSTATIUS AND SABA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA CÔTE D'IVOIRE CROATIA CUBA CURAÇAO CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUERNSEY GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISLE OF MAN ISRAEL ITALY JAMAICA JAPAN JERSEY JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINE, STATE OF PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR RÉUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT BARTHÉLEMY SAINT HELENA, ASCENSION AND TRISTAN DA CUNHA SAINT KITTS AND NEVIS SAINT LUCIA SAINT MARTIN (FRENCH PART) SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA SEYCHELLES SIERRA LEONE SINGAPORE SINT MAARTEN (DUTCH PART) SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SOUTH SUDAN SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TIMOR-LESTE TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES MINOR OUTLYING ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA, BOLIVARIAN REPUBLIC OF VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE
Highest Education Completed
High school/GED Trade/technical training College Master's degree Professional/doctorate degree Other
single married/domestic partnership widowed divorced/separated
employed out of work homemaker student military retired unable to work
Are you currently using some form of a Cannabidiol (CBD) oil products?
Yes No
Have you ever used/tried any form of CBD product?
Yes No
Have you ever been diagnosed with cancer?
breast
gyn(ovarian, cervix, uterine, endometrial)
GI(colon, esophagus, liver)
pancreas
prostate
leukemia
head and neck
kidney
lymphoma
melanoma (skin)
lung
Other breast
gyn(ovarian, cervix, uterine, endometrial)
GI(colon, esophagus, liver)
pancreas
prostate
leukemia
head and neck
kidney
lymphoma
melanoma (skin)
lung
Other
Are you currently being treated for cancer?
3 Why are you using / did you use CBD products? Can be more than one reason:
Does/Did the CBD product help your condition or why you were taking it?
Yes
No
4
5 Where did you learn about use of CBD products?
Alternative provider (chiropractor/naturopath) Family members/friend Internet Local store Physician Other
6 How often do/did you use a CBD product?
less than once per day daily more than once per day other
How long have/had you been using a CBD product?
less than a month 1-5 months 6 months more than 1 year 2-3 years more than 3 years more than 5 years
8 Have you experienced any side-effects from a CBD product?
9 How much money do/did you spend weekly on CBD products?
Less than $20 $21-$30 $31-$50 $51-$75 $76-$100 $101-150 More than $150
Thank you for participating. You can complete your survey by clicking the "Submit" button below.