Use the Survey below to see if you qualify! Take our easy qualification survey to see if you qualify for a Medical Marijuana recommendation today! STEP 1/3 Please select your medical condition —Please choose an option—ALSAnxietyAnorexiaArthritisBack PainCachexia (Wasting Syndrome)CancerCrohn's DiseaseCyclical Vomiting SyndromeDiabetesEpilepsyGlaucomaHepatitis CHIV/AIDSIrritable Bowel Syndrome (with chronic abdominal pain)Lyme DiseaseMigraineMultiple SclerosisMuscle SpasmsMuscular DystrophyParkinson's DiseasePTSDSevere & Chronic PainSevere NauseaSickle Cell AnemiaSpasticityAny Terminal ConditionOther Debilitating Condition of Like, Kind, Or Class STEP 2/3 My condition affects my everyday life 1: Not at all2: Half the time3: All the time I can not do the things I enjoy because of my condition 1: Not at all2: Half the time3: All the time If I didn’t have this condition, my quality of life would be better 1: Not at all2: Half the time3: All the time