Marijuana Survey Gateway

1. in order to keep the survey anonymous please use the last 2 digits of your phone number and the two digits of your birthday month (01-12) and your middle initial (if you have one) as your Respondent ID. This way your pre and post survey responses can be matched without using names/identifying information.

Example: 9905J *This question is required.

Respondent ID

2. Please verify your Respondent ID *This question is required.

Respondent ID

3. Is this a pre-class or post-class response? *This question is required.