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Smokers Panel: Registration Form and Baseline Survey
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Welcome to the Smokers’ Panel!

We’re happy that you have decided to join so we can understand more about smoking and quitting tobacco use. This short registration form will tell us a little more about you and how to contact you. After you complete the registration form, you will have the opportunity to immediately complete the Baseline Survey or you can choose to answer it later.

There will be a draw for answering the registration questions:
  • 1 $100 Visa or Mastercard gift card
There will also be a second draw for completing the Baseline Survey:
  • 1 $500 Visa or Mastercard gift card

A link to the complete prize draw rules can be found here: http://smokerspanel.ca/rules-and-regulations/. Please note that registration will only be allowed once per individual/email.

All of your personal information and responses will remain confidential and visible only to researchers working at the Ontario Tobacco Research Unit. Smokers’ Panel follows strict privacy practices that govern how your information is collected, who will be able to see your information and how that information will be used. Protecting your personal information is extremely important to us and safeguards are in place to ensure your privacy.

For more information about Smokers’ Panel, please visit http://smokerspanel.ca or email the study coordinator at smokerspanel@utoronto.ca or call 1-855-311-2264 (toll free).

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/^[-+]?\b\d+\b$/
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