Patient Feedback Please select your product(Required)Wild Flower – Grape GalenaWild Flower – GMO BreathPlease only provide feedback for products that you have received.What condition are you being prescribed for?(Required) What symptoms are you looking to treat?(Required) Which of these symptoms is the product working on?(Required) Are you having any adverse effects? Please note, any serious side effects should be reported as a medical emergency immediately. Please rate the product freshness out of 10 (1 = not very fresh | 10 = very fresh)(Required) 1 2 3 4 5 6 7 8 9 10 Please rate the product moisture out of 10 (1 = not very moist | 10 = very moist)(Required) 1 2 3 4 5 6 7 8 9 10 Please rate the size of buds out of 10 (1 = very small | 10 = very large)(Required) 1 2 3 4 5 6 7 8 9 10 Please rate the overall quality out of 10 (1 = very poor | 10 = very good)(Required) 1 2 3 4 5 6 7 8 9 10 Are you generally happy with the quality of the product?(Required) Yes No Is the product effectively treating your symptoms or condition?(Required) Yes No Would you like to sign up to our mailing list?(Required) Yes No