Sign up for QuitRunChillBy quitrunchill / May 22, 2023 Please fill out and submit the following form to get started! 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 Cit? coll?gialeLakehead 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 Smoking rates can differ between groups of individuals. Leave The Pack Behind often develops materials for different groups. Do you identify with any of the following groups? (Check all that apply) Aboriginal (First Nations, M?tis, Inuk/Inuit) Francophone LGBTQ Recent immigrant/visitor to Canada None of the above Prefer not to answer 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 Check all the ways you learned about QuitRunChill I saw print ads (e.g., posters, banners, bus ads) I received a promotional hand-out (e.g., referral cards, palm cards) I saw ads or posts on social media (e.g., facebook, twitter) I received an email announcement I saw website banner ads I heard about it through word-of-mouth (e.g., friend, LTPB team) I heard about it from a healthcare professional or public health unit representative I saw it on a LCD screen ad in a clinic waiting room I heard about it through the woulduratherÂ… contest I heard about it as part of the Make It Memorable, Quit on a Holiday promotion Other Please specify: campus_id.remove(54);