Cannabis & Pain Study Thank you for your interest in participating in our confidential cannabis research at The University of Sydney.

Please complete the below form to lodge your interest. Are you interested in being a cannabis using participant or a non-cannabis using control? Cannabis using participant

Non-cannabis using control

On average, how many days a week did you smoke cannabis in the last month? How many years have you been using cannabis regularly for? Age Live in Sydney? Yes

No Do you have any of the following ACTIVE medical conditions? Chronic pain

Stroke/neuropathy

Active Depression or Anxiety

None of the above

Other: Have you had formal treatment for any drug and alcohol issues in the last month? Yes

No Email address Postal address Mobile number Landline number Gender Male

Female The study team will review your answers over the next week or so and get back to you, ONLY IF IT LOOKS LIKE THE STUDY MAY BE SUITABLE FOR YOU. Congratulations, this study may be suitable for you, please leave your contact details for a confidential phone interview with a member of the study team







