Requesting additional CBD to distribute

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* 1. Org/Individual That Distributed Free CBD

Name of Organization

Contact Person (first/last name)

City

State

E-mail

Phone

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* 2. Date your org first received Free CBD?

February 2021

March 2021

April 2021

May 2021

June 2021

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* 3. How many bottles of 3,000 mg CBD oil did you receive?

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* 4. Approximately how many individuals were provided CBD by you/your org?

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* 5. Who did your org provide free CBD to (check all that apply)

Individuals experiencing homelessness

Individuals experiencing housing insecurity

Low/no income individuals

Residents/members of Pueblos/Reservations

Service workers/staff/volunteers

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* 6. What were the most common reasons participants gave for wanting to use/try CBD?

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* 7. Did you track participant distribution and/or feedback about CBD in any way (formally or informally)? If yes, please describe.

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* 8. Feedback/Testimonials: Please provide feedback and testimonials about the health impacts of CBD—including the benefits of receiving free medicine— for one or more of your participants. The more the better!

Participant 1

Participant 2

Participant 3

Participant 4

Participant 5

Participant 6

Participant 7

Participant 8

Participant 9

Participant 10

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* 9. How many additional bottles of 3,000 mg CBD oil would you like to request for your organization (in increments of 72 bottles)?

144

216

288

Other (please specify)

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* 10. Thank you for helping SFHC get this free medicine to people in need! Let us know if you have any additional questions or input (including additional orgs/individuals who we should contact to support distribution to their community).