Cannabis Risk Evaluation Questionnaire
Do you or any household member possess cannabis for personal or medicinal purposes?
☐ Yes
☐ No
Do you store cannabis products (e.g., flowers, edibles, oils) in your home?
☐ Yes
☐ No
If Yes, approximately how much at any given time? _________________________
Is the cannabis in your possession compliant with state and local laws (e.g., quantity limits, licensing)?
☐ Yes
☐ No
Do you grow cannabis plants in or around your home?
☐ Yes
☐ No
If Yes, how many plants?_________________________
Are the plants grown for personal use, medicinal use, or sale?_________________________
Do you use specialized equipment for cultivation (e.g., grow lights, ventilation systems)?
☐ Yes
☐ No
Is the cultivation area compliant with local laws and regulations?
☐ Yes
☐ No
Are the plants protected against theft or vandalism (e.g., secure location, locked area)?
☐ Yes
☐ No
Do you use any chemicals (e.g., pesticides, fertilizers) during cultivation?
☐ Yes
☐ No
If Yes, are they stored safely to avoid contamination or exposure?
☐ Yes
☐ No
Do you allow guests to consume cannabis on your property?
☐ Yes
☐ No
If Yes: Do you monitor consumption levels to ensure safety (e.g., avoiding overconsumption)?
☐ Yes
☐ No
Do you provide transportation options for guests under the influence (e.g., ride-sharing, designated drivers)?
☐ Yes
☐ No
Have you ever been involved in an incident (e.g., injury, property damage) related to cannabis consumption at your home?
☐ Yes
☐ No
Have you or any household member experienced theft or vandalism involving cannabis products or plants?
☐ Yes
☐ No
Do you grow or process cannabis for sale or distribution?
☐ Yes
☐ No
Do you operate any cannabis-related business from your home (e.g., consulting, product manufacturing)?
☐ Yes
☐ No
Are you licensed to grow, sell, or distribute cannabis in your state?
☐ Yes
☐ No
Do you store cannabis business inventory or equipment on your property?
☐ Yes
☐ No
If Yes, what is the estimated value of the inventory/equipment? _________________________
Are cannabis products or plants stored in a secure, fire-safe location?
☐ Yes
☐ No
Do you use electrical equipment for growing cannabis (e.g., high-wattage lights)?
☐ Yes
☐ No
If Yes, has the electrical system been inspected for safety?
☐ Yes
☐ No
Have you experienced any property damage (e.g., fire, water damage, mold) related to cannabis cultivation or storage?
☐ Yes
☐ No
Are you aware of any exclusions in your homeowners insurance policy related to cannabis?
☐ Yes
☐ No
Have you discussed cannabis-related risks with your insurance agent?
☐ Yes
☐ No
Thank you for completing the Cannabis Risk Evaluation Questionnaire.
By submitting this form, it will help identify any potential cannabis insurance coverage gaps or liabilities. If you have questions regarding this questionnaire, contact us.