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<br /> <br /> <br /> <br /> <br /> catwahls ( amvmer6 va)v boa r PO Box 1716, El Cerrito CA 94530 Page 2 <br /> <br /> 16) Political interests? <br /> Political affiliation? <br /> Do you vote regularly ? Yes ? No. Are you active in your parry? ? Yes ? No. <br /> <br /> 17) Have you received any awards or honors? ? Yes ? No. <br /> Examples: <br /> <br /> <br /> <br /> 18) Do you participate in community events or organizations? ? Yes ? No. Do you <br /> <br /> volunteer? ? Yes ? No. Example <br /> <br /> <br /> <br /> <br /> 19) What word for "cannabis" do you most prefer? <br /> 20) Would you rather have it said that you: ? Have used cannabis or ? Do use <br /> <br /> cannabis? <br /> 21) How old were you when you first used cannabis? <br /> <br /> 22) How long have you used it or what year did you start? <br /> 23) How frequently do you consume cannabis? O Once in a while ? Once a month <br /> <br /> ? A few times a month ? On weekends 0 Several times a week ? Daily <br /> ? Throughout the day ? Other: <br /> <br /> 24) Do you prefer to consume it ? Alone and/or ? With others <br /> Describe your patterns <br /> <br /> <br /> <br /> 25) Please describe your personal uses/benefits from cannabis: ? Stimulation <br /> ? Artistic inspiration ? Medicinal ? Creative enhancement or inspiration, <br /> ? Relaxation ? Sensory enhancement, e.g. sex, eating, music appreciation, <br /> ? Spiritual ? Stress reduction ? Anger management ? other: <br /> <br /> <br /> <br /> <br /> <br /> <br /> 26) How do you consume it? ? Smoke ? Vaporize OTincture ? Merry pills ? Hash <br /> ? Eat ? Other <br />