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Cannabis as a Tool for
Harm Reduction and Recovery

Thank you again for participating in this is community self-assessment. Please answer to the best of your ability as honest as possible. 

Age Range
18-20
21-30
31-40
41-50
51-60
61-70
71-80
81-90
91-100
100+
How do you currently describe your gender identity? (You may select more than one.)
Select the option(s) that best describe your racial or ethnic identity: (You may select more than one.)
Household: What is your current household composition? (Select all that apply.)
Are you the primary caregiver for someone in your household?
Yes
No
Education: What is the highest level of education you have completed?
No formal education
Some high school
High school diploma or equivalent (e.g., GED)
Some college, no degree
Associate degree (e.g., AA, AS)
Bachelor’s degree (e.g., BA, BS)
Graduate or professional degree (e.g., MA, MS, PhD, JD, MD)
Trade or Technical School
Prefer not to answer
Veteran Status: Have you ever served in the U.S. Armed Forces?
Yes
No
If yes, please indicate your current status:
Active duty
Reserve or National Guard
Retired
Separated/veteran
Prefer not to answer
How long has cannabis consumption been a tool in ‘recovery’ ?
Less than 1 year
1-2 years
3-5 years
5+ years
No longer believes in lifelong recovery
If Less Than a Year, open to contact for follow up questions in August?
Yes
No
Other
Substances that cannabis helped with - Primary drug of choice - age use began
Substances that cannabis helped with - Primary drug of choice - duration of use
Substances that cannabis helped with - Secondary drug of choice - age use began
Substances that cannabis helped with - Secondary drug of choice - duration of use
How helpful was cannabis use in supporting your recovery during detoxification? (Select the option that best reflects your experience.)
Not helpful at all
Slightly helpful
Somewhat helpful
Mostly helpful
Completely helpful
How helpful was cannabis use in supporting your recovery during the first 90-days? (Select the option that best reflects your experience.)
Not helpful at all
Slightly helpful
Somewhat helpful
Mostly helpful
Completely helpful
How helpful was cannabis use in supporting your recovery during the first year? (Select the option that best reflects your experience.)
Not helpful at all
Slightly helpful
Somewhat helpful
Mostly helpful
Completely helpful
Which types of cannabis products have been most helpful in supporting your recovery? (Select all that apply.)
When did you realize cannabis might be helpful in supporting your recovery? (Select the option that best reflects your experience.)
Before starting recovery, based on personal research or recommendations
Early in recovery, during detoxification
After trying cannabis for the first time in recovery
After hearing about others’ positive experiences with cannabis
During a challenging moment in recovery when other methods weren’t working
Other
What does your current cannabis consumption look like? (Select the option that best reflects your current consumption.)
What methods have you tried in your recovery journey? (Select all that apply.)
Have you participated in inpatient treatment?
Yes
No
If yes, how many times?
Once
2–3 times
4 or more times
Have you participated in outpatient treatment?
Yes
No
If yes, how many times?
Once
2–3 times
4 or more times
When did you first consider cannabis as a method of recovery?
Before starting recovery
During inpatient or outpatient treatment
During detox
After traditional methods didn’t work
Other
Did you/do you experience any resistance to cannabis as a recovery tool? (Select all that apply.)
Did you/do you have to consume cannabis in secret while it was helping your recovery?
Yes
No
Other
Are you currently consuming other substances?
Yes
No
How do you currently identify?
Active Use
In Recovery
Recovered
Do not identify
Other
Are you/have you ever participate/d in any recovery programs?
Do the programs you participate in allow cannabis use as part of recovery?
Yes
Yes, SMART Recovery
Not sure
Other
Have program policies about cannabis use impacted your participation?
Yes, positively
Yes, negatively
No impact
Other
Do you use cannabis to address specific symptoms or needs? (Check all that apply)
How would you rate cannabis as a recovery tool compared to other methods you’ve tried?
Much more effective
Somewhat more effective
About the same
Less effective
Much less effective
Other
How has cannabis been effective in reducing your reliance on other substances?
Much more effective
Somewhat more effective
About the same
Less effective
Much less effective
Other
Since incorporating cannabis into your recovery, have you experienced improvements in the following areas? (Check all that apply)
Have you experienced any challenges with using cannabis as a recovery tool?
Yes
No
Do you consider yourself in recovery while using cannabis?
Yes
No
Other

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