Survey Maker LogoSuper Survey Maker
Survey MakerSurvey TemplatesContactPrivacy & Security

GGW Pharmaceutix self survey #666

Date: on what date was the starter dose self administered?
Route
Oral
Other
Inhalation
Was the starter dose taken on an empty stomach 0=empty 10=full
1
2
3
4
5
6
7
8
9
10
What Recreational drugs were also consumed at time of Starter dose?
Improve Focus?
Improved Productivity?
Improved Calmness ?
List any side effects that you suspect may be related to the starter dose for none type "None"
Would you like to sample a stronger dosage?
Yes
No
How likely would you recommend this pill to someone?
Very Likely
Likely
Neither likely nor unlikely
Unlikely
Very Unlikely
{"name":"GGW Pharmaceutix self survey #666", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Date: on what date was the starter dose self administered?, Route, Was the starter dose taken on an empty stomach 0=empty 10=full","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}

More Surveys

Is the School Motto Important to you?
7427
Sleeping Compatibility Survey
9418
Telehealth Provider Survey
8442
Wollongong Catering Survey
10530
BCM Quiz
520
WVSO Banquet Award Survey
320
Mean Girls
12615
Spinal Cord Injury Survey
1580
Procrastination
630
Product
9423
OWN YOUR SH*T
6331
Happy Halloween!
3223
Make your own Survey
- it's free to start.
Super Survey Logo
Powered by
Super Survey Maker Make your own Survey