SHARE YOUR FEEDBACK

Valens is committed to delivering exceptional quality products, backed by superior service. If you have experienced an issue with any of our associated brands, please fill out the form below so that we can continue to improve our products for the future.

Brand Name *

Product Name *

Product Category *

Contact Type *

Contact Name *

Email *

Phone

Reason for complaint *

Have you experienced adverse effects? *

Adverse Effects

Describe the event experienced *

Did you require medical attention and receive a diagnostic/treatment? *

If Yes, please explain the medical attention and/or diagnostic/treatment *

Did you take any accompanying medication or cannabis products with this product? *

If Yes, please elaborate on medication or cannabis products *

Do you have any past medical history which may relate to the current adverse reactions? *

If Yes, please elaborate on relevant medical history to the adverse reactions *

Did you discontinue the use of the product? *

Photo Upload

For extra information, upload any relevant photo (one photo)

File Upload

Click or drag a file to this area to upload.

Lot # (first line above the barcode titled Lot No.)

Retailer Name

Retailer Location

Thank you for your time, your feedback is important to us. A Valens representative will get back to you as soon as possible to help resolve any issues.

1 (778) 755-0052 | info@thevalenscompany.com
230 Carion Road Kelowna, BC V4V 2K5

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