COPE • CARE • CONNECT

But before you do, please tell us: whether your answers can be included in a Brock study of CopeCareConnect.ca

I attend Brock University:

My email is:

My pledge is:

Click here for complete info about the study

I picked this pledge to…					strongly disagree						strongly agree	prefer not to answer
help me cope with things in my life
show others I care about them
make my institution a better place to be

Grade:

I live in a college/university residence:

My approximate overall average is:

Age:

In the past month, I…				not at all	once or twice altogether	some days each week	every day or almost every day	prefer not to answer
drank alcohol
vaped nicotine
smoked cigarettes
used cannabis
used other recreational drugs
took prescribed medication for mental health concerns

Please add me to the CopeCareConnect email list to receive updates & invites 5-6times/year.

Please submit your answers