CBD Product Match Form

CBD Product Match Form
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Have you heard of Green Compass before?*

No! This is new to me!Yes, but I haven't been able to try it yet!Yes, I'm excited to try it again!
What are you seeking help for? Select all that may apply*

AnxietyDepressionSleep TroublePianDigestionFocus / EnergyOverall Support
Tell me a little bit about your symptoms. Are they chronic or acute? How long have you had these symptoms? Have you tried anything in the past and has it helped? *
Have you take CBD before? If so, what were your results? *
Are you comfortable with the legal trace amount of THC (.3% or below)?*

YESNOUndecided
Do you have a budget that you're working with?*

$60-80$80-100$100-150
CBD comes in a tincture that is used sublingually for 45-60 seconds. It also comes in a edible jelly form. Which would you prefer?*

TinctureJellyEither
Do you have anyones else in your life such as kids, pets, spouse that you are curious if CBD could help with? If so, explain*
Anything else I should know?*
How would you like your results?*
Should be Empty: