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<br /> <br /> <br /> <br /> <br /> Vatwaba umerr Oam~a~n PO Box 1716, El Cerrito CA 94530 Page 3 <br /> <br /> 27) How has cannabis impacted your health: ? Positively ? Negatively. <br /> Explain: <br /> <br /> <br /> 28) Have you used cannabis medically? ? Yes ? No. For what symptom or condition? <br /> <br /> 29) How has cannabis enhanced your life? <br /> <br /> <br /> <br /> 30) Has cannabis had any negative effects on your life? <br /> <br /> <br /> <br /> 31) What effects has marijuana prohibition had on you or your family? <br /> <br /> <br /> <br /> 32) Have you turned down a job opportunity due to a drug test? ? Yes ? No. <br /> 33) Have you been discriminated against for your cannabis use? If so, how <br /> <br /> <br /> 34) Has cannabis affected your views on life? ?Yes ? No. How so? <br /> <br /> <br /> <br /> 35) On the government? How so? <br /> <br /> <br /> <br /> 36) Does your family know about your cannabis use? ? Yes ? No. <br /> <br /> 37) How do you handle your use within your family/home? How has it affected your <br /> relationship with your kids (if any)? <br /> <br /> <br /> <br /> <br /> <br /> <br /> 38) How out of the closet are you? ? Friends ? Co-workers ? Peers ? Completely <br /> 39) Which high profile people have you smoked pot with? <br /> <br /> <br /> 40) Will you refer them to join the Cannabis Consumers Campaign? ? Yes ? No. <br />