Smokers Panel: Registration Form and Baseline Survey
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:
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.
You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the
button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey,
you may click the other button below to continue, which will also remove the value of the option you just selected
to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter
a new response for that question and continue the survey.