Survey

Sweet Leaf Health and Wellness Collective Inc

SURVEY

Patients Name *

How did you hear about this site? *

Internet Search Advertisement Friend Other

If Other please specify: *

What is your age? *

18-25 26-35 36-50 Over 50 Prefer not to say

Would you use sweet leaf agine? *

for sure maybe never agine

Tell us what we need to do for you our paitents? *

Tell us what kind of meds you like and we will note it in your file ! *

Overall were you happy with us? *

yes no

Submit

Sweet Leaf Health and Wellness Collective Inc.