Badge Of Life Canada

Canadian Research Demographic
Canadian Research Demographic

Canadian Research Demographic

This is a follow up Program Intake Form that will be sent to applicants of our listed Programs. Please do not fill out this Program Intake Form until someone from Badge of Life Canada has connected with you following your submission to be a participant in one of our listed Programs. Once your application for one of our listed Programs has been received you will then be asked to complete the attached Program Intake Form. Upon participation in a Badge of Life Canada Program you will be asked to sign a Letter of Consent allowing your demographics and any completed mental health surveys to be submitted by our charitable organization for academic research purposes. No personal identification will be included in any submissions linking your personal identification to the information submitted for academic research purposes.


Research Demographics

This form is required to enable us to obtain demographics for academic research purposes for evaluation of our programs and future funding. Note no personal identifiers are requested.
  • Canadian Research Demographics

  • Medical Health History

  • Mental Health History

  • Activity & Exercise

  • Exercise Regimen