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Desired dosage for one sitting? (Select all that apply)
 
1-5 mg
 
5-10 mg
 
10-15 mg

 
 
 
Any Allergies? (Select all that apply)
 
Milk
 
Eggs
 
Peanuts
 
Tree nuts
 
Soy
 
Wheat
 
Other
 

 
 
 
What types of candy do you like? (Select all that apply)
 
Milk Chocolate
 
Dark Chocolate
 
Sour Candy
 
Chewy Candies
 
Sucking Candies
 
Toffee

 
 
 
 What types of baked goods do you like? (Select all that apply)
 
Cakes
 
Cookies
 
Brownies
 
Muffins

 
 
 
What types of snacks do you like? (Select all that apply)
 
Chips
 
Jerky
 
Popcorn
 
Other
 

 
 
 
What types of condiments do you like? (Select all that apply)
 
Peanut Butter
 
Nutella
 
Agave
 
Olive Oil
 
Other