Farmers Mental Health Registration This page includes registration questions, including your name, contact information, and the number of adults in your household. Confidentiality is important to us: we will not share your information with anyone. OK Question Title * 1. How did you hear about this study? At a local event Email invitation from my RM I received an invitation by mail. OK Question Title * 2. What is your first name? OK Question Title * 3. What is your last name? OK Question Title * 4. At what email address would you like to be contacted? OK Question Title * 5. What is your phone number? We will use this number to text you information and reminders about the study, up to a maximum of two text messages each month. OK Question Title * 6. How many adults (16+) are in your household, including yourself? OK Question Title * 7. Would you like to complete the survey online, or on paper (mail out)? Online Survey Paper Survey, to be mailed out If you would like a mailed survey, please enter your mailing address. OK NEXT