In Canada, recent data shows that Lyme diseases (LD) have increased in many different regions of the country. British Columbia (BC), with its natural beauty and suitable terrain for outdoor activities, has drawn thousands of hikers to the established hiking trails, as well as off–trail wilderness. Consequently, more people are expected to be exposed to Lyme disease every year. For better understanding of the risk, study of their knowledge and awareness, and also their preventative behavior against Lyme disease is necessary. The purpose of our study is to evaluate hiker awareness about LD and assess type and frequency of preventive measures they take against the disease., Outdoor activity, British Columbia, Hiking, Lyme disease, Tick bite, Ixodes pacificus