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New Online DankBlue Client Intake Form

Let's start with the basics.

What is your first and last name?

How would you like me to refer to you?

How would you like me to refer to you?
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What is your email address?

Let's dive deeper.

What Interests would compliment a Cannabis Tour?

What Interests would compliment a Cannabis Tour?

List your top 3 concerns you have about your health, cannabis, Cops, or Themed Tours.

Why did you choose those 3?

What are you most wanting to see in a Cop Reversal Themed Tour?

What aren't you willing to see in a War on Drugs Catharsis Experience?

What are the top 3 things you'd like to experience from Hunky Cop cosplayers driving you to dispensaries?

Please list all of the obstacles you feel like you're facing when it comes to enjoying a Cannabis Tour?

What kind of price range would you be willing to pay for a luxury experience like this Tour?

On a scale of 1-10, how would you rank your health right now?

0 being "it totally sucks" and 10 being "I should be my own species I'm so healthy"
On a scale of 1-10, how would you rank your health right now?

Disclaimer

It is your responsibility to work directly with your health care provider before, during, and after seeking drugs of any kind, including under trained supervision. Any information provided by DankBlue.com is not to be followed without prior approval from your doctor. If you choose to move forward with the information provided without your doctor's approval, you agree to accept full responsibility for your decision.
By clicking the yes button below, you're agreeing to the disclaimer and that all of the information you've provided above is accurate and up to date to the best of your knowledge.
Untitled multiple choice field
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