1.What is your full name?

2.Please provide your email address.

3.Designation or current job position (i.e., graduate student, professor, program manager)

4.Area of interest in substance use research. Ideally including a few keywords around your area(s) of interest

5.What is your research methodology?

Qualitative

Quantitative

Mixed methods

N/A

Other (please specify)

6.Please provide your position/role and your current organizational affiliation.

7.How did you hear about CRISM?

8.What interests you about being a member of the CRISM network / Ontario node?

9.Are you interested in working with the Node to develop new CRISM projects and initiatives? These could include research projects and knowledge exchange activities. If yes, please identify a topic of particular interest to you in the space below.