Identifying Data
Customer name, contact, and product identifiers to trace reports to batches and purchasers.
A consistent feedback form helps identify product issues early, documents customer complaints for compliance, and creates auditable records for remediation. Accurate feedback supports product safety, regulatory reporting, and quality improvements without replacing clinical or legal reporting obligations.
Licensed dispensary managers, product quality teams, compliance officers, and customer service staff commonly issue or collect this questionnaire.
Completed questionnaires create a single record that supports follow-up, trend analysis, and retention policies required by regulators and internal quality programs.
| Field | Configuration |
|---|---|
| Authentication | Email link or SMS code for customer validation |
| Required Fields | Name, product identifier, date of use, description, consent |
| Retention Policy | Automatic export to secure storage with access logging |
| Notifications | Auto-notify QA and compliance teams on submission |
Ensure the platform you use supports secure form hosting, required authentication, and an audit trail.
Verify that the chosen solution provides exportable signed PDFs and searchable metadata to support audits and regulatory requests.
Customer name, contact, and product identifiers to trace reports to batches and purchasers.
Date/time of use, onset, duration, and symptom details for clinical triage and investigation.
Notes on tampering, mislabeling, or missing warnings important for compliance and recalls.
Explicit consent for contact, data retention, and sharing with regulators if required.
A simple scale or checkbox set to flag serious adverse reactions needing immediate escalation.
Time, uploader, IP, and signature evidence to preserve chain-of-custody.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Free trial available | Free trial available | Free trial available | Free trial available |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |