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Seasonal Variation Study Participant Information (0.5)

Note: Please first read and complete the study consent form before providing your physical mailing address in the form below. A link to the consent form can be found in the same e-mail that featured the link to this form. We will only send radon detectors to those who provide consent through the consent form.

Thank you for expressing interest in participating in Health Canada’s Seasonal Radon Variation Study. By participating in this study, you are contributing to important research that aims to enhance our knowledge of radon exposure in Canada.

The following form is used to collect your physical mailing address. This is required in order to send you your radon detectors.

*Before you submit your responses, please take a moment to review your details for accuracy.

There are 10 questions in this survey.

Personal Information:

First Name:

Last Name:

E-mail Address:

Please enter your e-mail address:

Please check the format of your answer.

Candidate ID

Your Candidate ID can be found in the same E-mail that featured the link to this form.

Candidate ID:

Physical Mailing Address

Apartment number (if applicable):

Address line 1 (street name and number):

Address line 2:

Municipality:

Postcode:

Please check the format of your answer.

Your answer should contain a space between the 3^rd and 4^th characters e.g. K1A 1C1

Please confirm you want to clear your response?