• First Name:
• Email:
• Email (again):
• Password:
• Where do you currently live?:
  OntarioQuebecNova ScotiaNew BrunswickManitobaBritish ColumbiaPrince Edward IslandSaskatchewanAlbertaNewfoundlandNorthwest TerritoriesYukonNunavut
• What are the first 3 characters of the
  postal code where you currently live?:
• What best describes you?:

  I am currently a studentI am currently workingI am currently not working
• Which campus are you studying at?:

  Algoma UniversityAlgonquin CollegeBoreal CollegeBrock UniversityCambrian CollegeCanadoreCanadore CollegeCarleton UniversityCentennial CollegeConestoga CollegeConfederation CollegeDominican University CollegeDurham CollegeFanshawe CollegeFleming CollegeGeorge Brown CollegeGeorgian CollegeHumber College - Lakeshore CampusHumber College - North CampusLa Cité collégialeLakehead UniversityLambton CollegeLaurentian UniversityLoyalist CollegeMcMaster UniversityMohawk CollegeNew Brunswick CollegeNiagara CollegeNipissing UniversityNorthern CollegeOntario College of Art & DesignQueen's UniversityRoyal Military CollegeRyerson UniversitySault CollegeSeneca CollegeSheridan College (Brampton)Sheridan College (Oakville)St. Clair CollegeSt. Lawrence CollegeTrent UniversityUniversity of GuelphUniversity of Ontario Institute of TechnologyUniversity of OttawaUniversity of TorontoUniversity of Toronto - MississaugaUniversity of Toronto - ScarboroughUniversity of WaterlooUniversity of Western OntarioUniversity of WindsorWilfrid Laurier UniversityYork UniversityOther
• Security code:
  
  

• Age:

  Gender: Male   Female

• Think about the past month. How often did
  you smoke a cigarette, even a puff?:
  Every day, or almost every day
  On some days each week
  Once or twice all together
  I did not smoke at all
• Think about the past month. How often did
  you exercise vigourously for at least 30 minutes?:
  Every day, or almost every day
  On some days each week
  Once or twice all together
  I did not exercise at all
• Think about the past month. How often did
  you really feel stressed?:
  Every day, or almost every day
  On some days each week
  Once or twice all together
  I did not feel stressed at all