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Effects Questionnaire
Your Email
*
What ingredients did you consume?
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When was the last time you consumed the effect ingredient?
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When did you last eat?
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Mood State (Calm vs Excited)
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Calm
Excited
Mood State (Strong vs Feeble [Weak])
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Strong
Weak
Mood State (Muzzy [Foggy] vs Clear-headed)
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Foggy
Clear-headed
Mood State (Well-coordinated vs Clumsy)
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Well-coordinated
Clumsy
Mood State (Lethargic [Sluggish] vs Energetic)
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Sluggish
Energetic
Mood State (Contented vs Discontented)
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Contented
Discontented
Mood State (Troubled [Worried] vs Tranquil [Peaceful])
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Worried
Peaceful
Mood State (Mentally slow vs Quick-witted)
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Mentally slow
Quick-witted
Mood State (Tense vs Relaxed)
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Tense
Relaxed
Mood State (Attentive [Focused] vs Dreamy [Spacey])
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Focused
Spacey
Mood State (Incompetent [Incapable] vs Proficient [Skilled])
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Incapable
Skilled
Mood State (Happy vs Sad)
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Happy
Sad
Mood State (Antagonistic [Hostile] vs Amicable [Friendly])
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Hostile
Friendly
Mood State (Interested vs Bored)
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Interested
Bored
Mood State (Withdrawn [Private] vs Gregarious [Out-going])
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Private
Out-going
Do you FEEL any effect?
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Not at all
Extremely
Do you LIKE the effect you are feeling now?
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Not at all
Extremely
Do you DISLIKE the effect you are feeling now?
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Not at all
Extremely
Would you like MORE of what you received, right now?
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Not at all
Extremely
Are you HIGH right now?
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Not at all
Extremely
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