General Social Survey (GSS) - 2012 - Questionnaire

Date of birth of respondent (BDR)

BDR_Q100

What is your date of birth?

(MIN: 1) (MAX: 31)

DK, RF

BDR_Q105

What is your date of birth?

  1. January
  2. February
  3. March
  4. April
  5. May
  6. June
  7. July
  8. August
  9. September
  10. October
  11. November
  12. December
  13. DK, RF

BDR_Q110

What is your date of birth?

(MIN: 1881) (MAX: 2017)

DK, RF

BDR_Q120

So, your age is ^BDR_D120. Is that correct?

  1. Yes
  2. No, return and correct date of birth
  3. No, collect age
  4. DK, RF

BDR_Q130

What is your age?

(MIN: 1) (MAX: 130)

DK, RF

BDR_R140

This survey is for persons aged 15 and older. So, for this household, the survey is now completed. Thank you for your co-operation.

Confirmation of marital status of the respondent (CMR)

CMR_Q100

I'd like to confirm your marital status. Are you ^piSelRespMarS?

  1. Yes
  2. No
  3. DK, RF

CMR_Q110

What is your marital status? Are you:

  1. married?
  2. living common-law?
  3. widowed?
  4. separated?
  5. divorced?
  6. single, never married?
  7. DK, RF

Number of children (NLC)

NLC_Q100

How many children do you have? Please include all birth, step and adopted children.

(MIN: 0) (MAX: 20)

DK, RF

Main activity of respondent (MAR)

MAR_Q110

During the past 12 months, was your main activity working at a paid job or business, looking for paid work, going to school, caring for children, household work, retired or something else?

  1. Working at a paid job or business
  2. Looking for paid work
  3. Going to school
  4. Caring for children
  5. Household work
  6. Retired
  7. Maternity/paternity or parental leave
  8. Long term illness
  9. Volunteering
  10. Providing care to family or friends for a long term health condition
  11. Other - Specify
  12. DK, RF

MAR_S110

(During the past 12 months, was your main activity working at a paid job or business, looking for paid work, going to school, caring for children, household work, retired or something else?)

(80 spaces)

DK, RF

MAR_Q133

Were you employed or self-employed at any time last week?

  1. Yes
  2. No
  3. DK, RF

MAR_Q134

In the last four weeks, did you look for a job?

  1. Yes
  2. No
  3. DK, RF

MAR_Q135

Were you employed or self-employed at any time during the past 12 months?

  1. Yes
  2. No
  3. DK, RF

Respondent ever worked (REW)

REW_Q10

Have you ever been employed or self-employed?

  1. Yes
  2. No
  3. DK, RF

REW_Q20

In what year did you last do any paid work?

(MIN: 1900) (MAX: 2017)

DK, RF

REW_Q30

How old were you when you last did any paid work?

(MIN: 10) (MAX: 130)

DK, RF

Care receiving by respondent (CAR)

CAR_R110

The next questions ask about help or care you may have received for a long-term illness, disability or aging. This help may come from family, friends, neighbours, paid workers or organizations. It may include help with driving, shopping, housework, personal care or anything else.

CAR_Q110

During the past 12 months, have you received help or care for a long-term health condition or a physical or mental disability?

  1. Yes
  2. No
  3. DK, RF

CAR_Q115

During the past 12 months, have you received help for problems related to aging?

  1. Yes
  2. No
  3. DK, RF

Main health condition for which respondent received help (PRA)

PRA_Q10

What is the main health condition or problem for which you have received help?

  1. Arthritis (e.g., rheumatoid arthritis, osteoarthritis, lupus or gout)
  2. Osteoporosis
  3. Cardiovascular disease (including angina, heart attack, stroke and hypertension)
  4. Kidney disease
  5. Asthma
  6. Chronic bronchitis, emphysema or chronic obstructive pulmonary disease (COPD)
  7. Diabetes
  8. Migraine
  9. Back problems
  10. Cancer
  11. Mental illness (e.g., depression, bipolar disorder, mania or schizophrenia)
  12. Alzheimer's disease or dementia
  13. All other neurological diseases (e.g., Parkinson's disease, multiple sclerosis, spina bifida, cerebral palsy)
  14. Urinary or bowel incontinence
  15. Digestive disease (e.g., celiac disease, irritable bowel syndrome, stomach ulcers, Crohn's disease)
  16. Fibromyalgia, chronic fatigue syndrome or multiple chemical sensitivities
  17. Developmental disability or disorder
  18. Injury resulting from an accident
  19. Aging / old age / frailty
  20. Other - Specify
  21. DK, RF

PRA_S10

(What is the main health condition or problem for which you have received help?)

(80 spaces)

(DK, RF not allowed)

PRA_Q15

Would you say that this condition is mild, moderate or severe?

  1. Mild
  2. Moderate
  3. Severe
  4. DK, RF

Activities for which respondent received help (ARE)

ARE_R10

The next questions ask about the types of help you received for the health condition or problem you just mentioned. Here we are talking about help only from family, friends, or neighbours. Exclude help from paid workers or organizations.

ARE_Q10

During the past 12 months, have you received help with:

… transportation to do shopping or errands, or to get to medical appointments, or social events?

  1. Yes
  2. No
  3. DK, RF

ARE_Q20

During the past 12 months, have you received help with:

… meal preparation, meal clean-up, house cleaning, laundry or sewing?

  1. Yes
  2. No
  3. DK, RF

ARE_Q30

During the past 12 months, have you received help with:

… house maintenance or outdoor work?

  1. Yes
  2. No
  3. DK, RF

ARE_Q40

During the past 12 months, have you received help with:

… personal care, such as bathing, dressing, toileting, hair care, or care of nails?

  1. Yes
  2. No
  3. DK, RF

ARE_Q50

During the past 12 months, have you received help with:

… medical treatments, such as changing bandages, taking medications, or other medical procedures?

  1. Yes
  2. No
  3. DK, RF

ARE_Q60

During the past 12 months, have you received help with:

… scheduling or coordinating care-related tasks, such as making appointments or hiring professional help?

  1. Yes
  2. No
  3. DK, RF

ARE_Q70

During the past 12 months, have you received help with:

… banking, bill paying or managing your finances?

  1. Yes
  2. No
  3. DK, RF

ARE_Q80

During the past 12 months, have you received help with anything else?

  1. Yes - Specify
  2. No
  3. DK, RF

ARE_S80

(During the past 12 months, have you received help with anything else?)

(80 spaces)

DK, RF

Hours of help received by respondent (HAR)

HAR_Q10

In an average week, how many hours of care or help did you receive with these activities?

(MIN: 0) (MAX: 168)

DK, RF

Number of people helping respondent (NPA)

NPA_Q10

During the past 12 months, how many family members, friends or neighbours have helped you with any of the previous activities?

(MIN: 1) (MAX: 60)

DK, RF

Relationship of people helping respondent (RPA)

RPA_Q10

How many of these people are your:

… immediate family (spouse or partner, children, parents and siblings)?

(MIN: 0) (MAX: 20)

DK, RF

RPA_Q20

How many of these people are your:

… extended family (e.g. cousins, grandparents, aunts, uncles, in-laws)?

(MIN: 0) (MAX: 20)

DK, RF

RPA_Q30

How many of these people are your:

… friends and neighbours?

(MIN: 0) (MAX: 20)

DK, RF

Types of people helping respondent (TPA)

TPA_Q10

How many of these people were women?

(MIN: 0) (MAX: 20)

DK, RF

TPA_Q20

At the time they were helping you, how many of these people were:

… employed?

(MIN: 0) (MAX: 20)

DK, RF

TPA_Q30

At the time they were helping you, how many of these people were:

… retired?

(MIN: 0) (MAX: 20)

DK, RF

TPA_Q40

At the time they were helping you, how many of these people were:

… unemployed?

(MIN: 0) (MAX: 20)

DK, RF

TPA_Q50

At the time they were helping you, how many of these people were:

… students?

(MIN: 0) (MAX: 20)

DK, RF

Age of people helping respondent (APA)

APA_Q10

How many of these people were:

… below the age of 19?

(MIN: 0) (MAX: 20)

DK, RF

APA_Q20

How many of these people were:

… 19 to 44?

(MIN: 0) (MAX: 20)

DK, RF

APA_Q30

How many of these people were:

… 45 to 64

(MIN: 0) (MAX: 20)

DK, RF

APA_Q40

How many of these people were:

… 65 to 79

(MIN: 0) (MAX: 20)

DK, RF

APA_Q50

How many of these people were:

… 80 years of age or older?

(MIN: 0) (MAX: 20)

DK, RF

Receiving emotional support by respondent (RES)

RES_Q10

During the past 12 months, have you received emotional support?

  1. Yes
  2. No
  3. DK, RF

Professional help received by activity (PAA)

PAA_Q05

Now some questions about help from professionals. By professionals, we mean paid workers or organizations.

Have you received any types of help or care from professionals for a long-term health condition, disability or problems related to aging?

  1. Yes
  2. No
  3. DK, RF

PAA_Q10

During the past 12 months, have you received professional help with:

… transportation to do shopping or errands, or to get to medical appointments, or social events?

  1. Yes
  2. No
  3. DK, RF

PAA_Q20

During the past 12 months, have you received professional help with:

… meal preparation, meal clean-up, house cleaning, laundry or sewing?

  1. Yes
  2. No
  3. DK, RF

PAA_Q30

During the past 12 months, have you received professional help with:

… house maintenance or outdoor work?

  1. Yes
  2. No
  3. DK, RF

PAA_Q40

During the past 12 months, have you received professional help with:

… personal care, such as bathing, dressing, toileting, hair care, or care of nails?

  1. Yes
  2. No
  3. DK, RF

PAA_Q50

During the past 12 months, have you received professional help with:

… medical treatments, such as changing bandages, taking medications or other medical procedures?

  1. Yes
  2. No
  3. DK, RF

PAA_Q60

During the past 12 months, have you received professional help with:

… scheduling or coordinating care-related tasks such as making appointments or hiring professional help?

  1. Yes
  2. No
  3. DK, RF

PAA_Q70

During the past 12 months, have you received professional help with:

… banking, bill paying or managing your finances?

  1. Yes
  2. No
  3. DK, RF

PAA_Q80

During the past 12 months, did a professional provide you with emotional support?

  1. Yes
  2. No
  3. DK, RF

PAA_Q90

During the past 12 months, did a professional provide you with any other type of help?

  1. Yes - Specify
  2. No
  3. DK, RF

PAA_S90

During the past 12 months, did a professional provide you with any other type of help?

(80 spaces)

DK, RF

Number of hours of professional help provided to the respondent (DPA)

DPA_Q10

In an average week, how many hours of professional help did you receive with these activities?

(MIN: 0) (MAX: 168)

DK, RF

Care needed and received by respondent (CNR)

CNR_Q10

In general, did you receive the care or help you needed during the past 12 months? Please think of both professional care, and care from family and friends.

  1. Yes
  2. No
  3. DK, RF

CNR_Q20

Why not?

(80 spaces)

DK, RF

Prefer help from professional (PHP)

PHP_Q10

For the types of help we have just talked about, would you rather have had professional help than help from family and friends?

  1. Yes
  2. No
  3. DK, RF

Prefer help from family (PHF)

PHF_Q10

For the types of help we have just talked about, would you rather have had help from family and friends than help from professionals?

  1. Yes
  2. No
  3. DK, RF

Balance of help from family and professionals (BFP)

BFP_Q10

For all the types of help we have just talked about, are you satisfied with the balance of help from family and friends, and from professionals?

  1. Yes
  2. No
  3. DK, RF

BFP_Q20

Would you have preferred to receive more professional help or more help from family and friends?

  1. More professional help
  2. More family/friend help
  3. DK, RF

Need for help (NFA)

NFA_Q10

During the past 12 months, did you need help or care for a long-term health condition, physical or mental disability, or problems related to aging?

  1. Yes
  2. No
  3. DK, RF

NFA_Q30

Did you ask for help?

  1. Yes
  2. No
  3. DK, RF

NFA_Q50

If you had needed help, would you have been able to get it?

  1. Yes
  2. No
  3. DK, RF

NFA_Q60

If you had asked for help, do you think that you would have been able to get it?

  1. Yes
  2. No
  3. DK, RF

NFA_Q70

Who would have provided this help to you?

  1. 11. Immediate family (spouse or partner, children, parents and siblings)
  2. 12. Extended family
  3. 13. Friends, neighbours
  4. 14. Paid workers, government, non-governmental organizations
  5. DK, RF

The primary caregiver (PGN)

PGN_R10

Now some questions about the person who, over the past 12 months, has spent the most time and resources helping you because of a long-term health condition, a physical or mental disability, or problems related to aging. Exclude assistance from professionals.

PGN_Q10

What is the first name of this person?

(30 spaces)

DK, RF

PGN_Q20

How old is ^DT_PGN_Q10_R_E?

(MIN: 10) (MAX: 995)

DK, RF

PGN_Q30

How old was ^DT_PGN_Q10_R_E at the time of his/her death?

(MIN: 10) (MAX: 130)

DK, RF

Relationship between the respondent and the primary caregiver (PGG)

PGG_Q10

What ^DT_ISWAS the relationship of ^piPGN_Q10 to you?

  1. Spouse/partner of respondent
  2. Ex-spouse/Ex-partner of respondent
  3. Son of respondent
  4. Daughter of respondent
  5. Father of respondent
  6. Mother of respondent
  7. Brother of respondent
  8. Sister of respondent
  9. Grandson of respondent
  10. Granddaughter of respondent
  11. Grandfather of respondent
  12. Grandmother of respondent
  13. Son-in-law of respondent
  14. Daughter-in-law of respondent
  15. Father-in-law of respondent
  16. Mother-in-law of respondent
  17. Brother-in-law of respondent
  18. Sister-in-law of respondent
  19. Nephew of respondent
  20. Niece of respondent
  21. Uncle of respondent
  22. Aunt of respondent
  23. Cousin of respondent
  24. Close friend of respondent
  25. Neighbour of respondent
  26. Co-worker of respondent
  27. Other - Specify
  28. DK, RF

PGG_S10

(What ^DT_ISWAS the relationship of ^piPGN_Q10 to you?)

(80 spaces)

(DK, RF not allowed)

PGG_Q20

What ^DT_ISWAS ^piPGN_Q10's sex?

  1. Male
  2. Female
  3. DK, RF

Work information of primary caregiver (PGW)

PGW_Q10

At the time you were receiving help:

… was ^piPGN_Q10 employed or self-employed?

  1. Yes
  2. No
  3. DK, RF

PGW_Q20

At the time you were receiving help:

… did ^piPGN_Q10 work 30 hours or more in an average week?

  1. Yes
  2. No
  3. DK, RF

Year when respondent started to receive help from primary caregiver (PGS)

PGS_Q10

In what year did you start to receive help from ^piPGN_Q10?

(MIN: 1910) (MAX: 2017)

DK, RF

PGS_Q20

How old were you when you started to receive help from ^piPGN_Q10?

(MIN: 0) (MAX: 130)

DK, RF

Still receiving help from primary caregiver (SRE)

SRE_Q10

Are you still receiving help from ^piPGN_Q10?

  1. Yes
  2. No
  3. DK, RF

SRE_Q20

Why are you no longer receiving help from ^piPGN_Q10?

  1. Respondent no longer needs help
  2. Respondent moved
  3. Caregiver moved
  4. Caregiver is no longer able to provide care
  5. Caregiver has become ill
  6. Caregiver has died
  7. Paid professional now provides care
  8. Other - Specify
  9. DK, RF

SRE_S20

(Why are you no longer receiving help from ^piPGN_Q10?)

(80 spaces)

DK, RF

Month and year when receiving help ended (PGE)

PGE_Q10M

In what month and year did you stop receiving help from ^piPGN_Q10?

  1. January
  2. February
  3. March
  4. April
  5. May
  6. June
  7. July
  8. August
  9. September
  10. October
  11. November
  12. December
  13. DK, RF

PGE_Q10Y

In what month and year did you stop receiving help from ^piPGN_Q10?

(MIN: 1911) (MAX: 2017)

DK, RF

Difficulty finding help - If respondent had not received help (DFA)

DFA_Q10

If ^piPGN_Q10 had not helped you, would you have had difficulty finding help from someone else?

  1. Yes
  2. No
  3. DK, RF

Distance between the respondent's and the caregiver's dwellings (PGD)

PGD_Q10

How close does ^piPGN_Q10 live to you:

  1. … in the same household?
  2. … in the same building?
  3. … less than 10 minutes by car?
  4. … 10 minutes to less than 30 minutes by car?
  5. … 30 minutes to less than 1 hour by car?
  6. … 1 hour to less than 3 hours by car?
  7. … 3 hours or more by car?
  8. DK, RF

Usual dwelling of respondent (care receiver) (PGU)

PGU_Q10

Do you live:

  1. … in a private household?
  2. … in supportive housing?
  3. … in an institution or care facility (such as hospital or nursing home)?
  4. … in some other type of housing?
  5. DK, RF

PGU_S10

(What type of housing?)

(80 spaces)

DK, RF

PGU_Q20

Did you move residences, in order to live closer to ^piPGN_Q10?

  1. Yes
  2. No
  3. DK, RF

Frequency of contact with primary caregiver (PGH)

PGH_Q10

During the past 12 months, on average, how often did ^piPGN_Q10 see you? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

PGH_Q20

During the past 12 months, on average, how often did ^piPGN_Q10 have contact with you by letter, email or phone? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

Transportation... (AGT)

AGT_Q10

During the past 12 months, has ^piPGN_Q10 helped you with transportation to do shopping or errands, or to get to medical appointments, or social events?

  1. Yes
  2. No
  3. DK, RF

AGT_Q20

How often has ^DT_AGGEND_E helped you with these tasks? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

AGT_Q30

In an average ^DT_AGTIME_E, how much time has ^piPGN_Q10 spent helping you with these tasks? Was it:

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

AGT_Q35

Would that be:

  1. 10 hours to less than 15 hours?
  2. 15 hours to less than 20 hours?
  3. 20 hours or more?
  4. DK, RF

AGT_Q40

Was there anyone else who could have provided this help to you?

  1. Yes
  2. No
  3. DK, RF

Meal preparation... (AGI)

AGI_Q10

During the past 12 months, has ^piPGN_Q10 helped you with meal preparation, meal clean-up, house cleaning, laundry or sewing?

  1. Yes
  2. No
  3. DK, RF

AGI_Q20

How often has ^DT_AGGEND_E helped you with these tasks? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

AGI_Q30

In an average ^DT_AGTIME_E, how much time has ^piPGN_Q10 spent helping you with these tasks? Was it:

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

AGI_Q35

Would that be:

  1. 10 hours to less than 15 hours?
  2. 15 hours to less than 20 hours?
  3. 20 hours or more?
  4. DK, RF

AGI_Q40

Was there anyone else who could have provided this help to you?

  1. Yes
  2. No
  3. DK, RF

House maintenance... (AGO)

AGO_Q10

During the past 12 months, has ^piPGN_Q10 helped you with house maintenance or outdoor work?

  1. Yes
  2. No
  3. DK, RF

AGO_Q20

How often has ^DT_AGGEND_E helped you with these tasks? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

AGO_Q30

In an average ^DT_AGTIME_E, how much time has ^piPGN_Q10 spent helping you with these tasks? Was it:

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

AGO_Q35

Would that be:

  1. 10 hours to less than 15 hours?
  2. 15 hours to less than 20 hours?
  3. 20 hours or more?
  4. DK, RF

AGO_Q40

Was there anyone else who could have provided this help to you?

  1. Yes
  2. No
  3. DK, RF

Personal care… (AGP)

AGP_Q10

During the past 12 months, has ^piPGN_Q10 helped you with personal care?

  1. Yes
  2. No
  3. DK, RF

AGP_Q20

How often has ^DT_AGGEND_E helped you with these tasks? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

AGP_Q30

In an average ^DT_AGTIME_E, how much time has ^piPGN_Q10 spent helping you with these tasks? Was it:

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

AGP_Q35

Would that be:

  1. 10 hours to less than 15 hours?
  2. 15 hours to less than 20 hours?
  3. 20 hours or more?
  4. DK, RF

AGP_Q40

Was there anyone else who could have provided this help to you?

  1. Yes
  2. No
  3. DK, RF

Medical treatments… (AGM)

AGM_Q10

During the past 12 months, has ^piPGN_Q10 helped you with medical treatments or procedures?

  1. Yes
  2. No
  3. DK, RF

AGM_Q20

How often has ^DT_AGGEND_E helped you with these tasks? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

AGM_Q30

In an average ^DT_AGTIME_E, how much time has ^piPGN_Q10 spent helping you with these tasks? Was it:

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

AGM_Q35

Would that be:

  1. 10 hours to less than 15 hours?
  2. 15 hours to less than 20 hours?
  3. 20 hours or more?
  4. DK, RF

AGM_Q40

Was there anyone else who could have provided this help to you?

  1. Yes
  2. No
  3. DK, RF

Scheduling... (AGS)

AGS_Q10

During the past 12 months, has ^piPGN_Q10 helped you with scheduling or coordinating care-related tasks, such as making appointments or hiring professional help?

  1. Yes
  2. No
  3. DK, RF

AGS_Q20

How often has ^DT_AGGEND_E helped you with these tasks? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

AGS_Q30

In an average ^DT_AGTIME_E, how much time has ^piPGN_Q10 spent helping you with these tasks? Was it:

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

AGS_Q35

Would that be:

  1. 10 hours to less than 15 hours?
  2. 15 hours to less than 20 hours?
  3. heures ou plus?
  4. DK, RF

AGS_Q40

Was there anyone else who could have provided this help to you?

  1. Yes
  2. No
  3. DK, RF

Banking… (AGB)

AGB_Q10

During the past 12 months, has ^piPGN_Q10 helped you with banking, bill paying or managing your finances?

  1. Yes
  2. No
  3. DK, RF

AGB_Q20

How often has ^DT_AGGEND_E helped you with these tasks? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

AGB_Q30

In an average ^DT_AGTIME_E, how much time has ^piPGN_Q10 spent helping you with these tasks? Was it:

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

AGB_Q35

Would that be:

  1. 10 hours to less than 15 hours?
  2. 15 hours to less than 20 hours?
  3. 20 hours or more?
  4. DK, RF

AGB_Q40

Was there anyone else who could have provided this help to you?

  1. Yes
  2. No
  3. DK, RF

Visiting… (AGV)

AGV_Q10

During the past 12 months, has ^piPGN_Q10 checked up on you by visiting or calling to make sure you were okay?

  1. Yes
  2. No
  3. DK, RF

AGV_Q40

Was there anyone else who could have provided this help to you?

  1. Yes
  2. No
  3. DK, RF

Emotional help… (AGX)

AGX_Q10

During the past 12 months, has ^piPGN_Q10 provided you with emotional support?

  1. Yes
  2. No
  3. DK, RF

AGX_Q40

Was there anyone else who could have provided this help to you?

  1. Yes
  2. No
  3. DK, RF

Caregiving by respondent (ICG)

ICG_R110

The next questions ask about help or care you may have given to family, friends or neighbours for a long-term illness, disability or aging. This help may include driving them, shopping with or for them, helping with housework, personal care or anything else.

ICG_Q110

During the past 12 months, have you helped or cared for someone who had a long-term health condition or a physical or mental disability?

  1. Yes
  2. No
  3. DK, RF

ICG_Q115

During the past 12 months, have you helped or cared for someone who had problems related to aging?

  1. Yes
  2. No
  3. DK, RF

Types of help provided by respondent (APR)

APR_R10

The next questions ask about the types of help you have given to family, friends, or neighbours.

APR_Q10

During the past 12 months, have you helped someone with:

… transportation to do shopping or errands, or to get to medical appointments, or social events?

  1. Yes
  2. No
  3. DK, RF

APR_Q20

During the past 12 months, have you helped someone with:

… meal preparation, meal clean-up, house cleaning, laundry or sewing?

  1. Yes
  2. No
  3. DK, RF

APR_Q30

During the past 12 months, have you helped someone with:

… house maintenance or outdoor work?

  1. Yes
  2. No
  3. DK, RF

APR_Q40

During the past 12 months, have you helped someone with:

… personal care, such as bathing, dressing, toileting, hair care, or care of nails?

  1. Yes
  2. No
  3. DK, RF

APR_Q50

During the past 12 months, have you helped someone with:

… medical treatments, such as changing bandages, taking medications or other medical procedures?

  1. Yes
  2. No
  3. DK, RF

APR_Q60

During the past 12 months, have you helped someone with:

… scheduling or coordinating care-related tasks, such as making appointments or hiring professional help?

  1. Yes
  2. No
  3. DK, RF

APR_Q70

During the past 12 months, have you helped someone with:

… banking, bill paying or managing their finances?

  1. Yes
  2. No
  3. DK, RF

APR_Q80

During the past 12 months, have you helped someone with:

… anything else?

  1. Yes
  2. No
  3. DK, RF

APR_S80

(Anything else? )

(80 spaces)

DK, RF

Number of hours of help provided by respondent (HAP)

HAP_Q10

In an average week, how many hours of care or help did you provide with these activities?

(MIN: 0) (MAX: 168)

DK, RF

Number of people helped by respondent (PAR)

PAR_Q10

During the past 12 months, how many family members, friends or neighbours have you helped with any of the previous activities?

(MIN: 1) (MAX: 60)

DK, RF

Relationship of respondent to people receiving help (RRA)

RRA_Q10

How many of these people are your:

… immediate family (spouse or partner, children, parents and siblings)?

(MIN: 0) (MAX: 20)

DK, RF

RRA_Q20

How many of these people are your:

… extended family (e.g. cousins, grandparents, aunts, uncles, in-laws)?

(MIN: 0) (MAX: 20)

DK, RF

RRA_Q30

How many of these people are your:

… friends or neighbours?

(MIN: 0) (MAX: 20)

DK, RF

Demographics of people receiving help from respondent (DPR)

DPR_Q10

How many of these people are women?

(MIN: 0) (MAX: 20)

DK, RF

DPR_Q20

At the time you were helping them, how many were:

… employed?

(MIN: 0) (MAX: 20)

DK, RF

DPR_Q30

At the time ^YOU1 ^WERE helping them, how many were:

… retired?

(MIN: 0) (MAX: 20)

DK, RF

DPR_Q40

At the time ^YOU1 ^WERE helping them, how many were:

… unemployed?

(MIN: 0) (MAX: 20)

DK, RF

DPR_Q50

At the time ^YOU1 ^WERE helping them, how many were:

… students?

(MIN: 0) (MAX: 20)

DK, RF

Age of people receiving help from respondent (APX)

APX_Q10

How many of these people were:

… below the age of 19?

(MIN: 0) (MAX: 20)

DK, RF

APX_Q20

How many of these people were:

… 19 to 44

(MIN: 0) (MAX: 20)

DK, RF

APX_Q30

How many of these people were:

… 45 to 64

(MIN: 0) (MAX: 20)

DK, RF

APX_Q40

How many of these people were:

… 65 to 79

(MIN: 0) (MAX: 20)

DK, RF

APX_Q50

How many of these people were:

… 80 years of age or older?

(MIN: 0) (MAX: 20)

DK, RF

Respondent providing emotional support (RPE)

RPE_Q10

During the past 12 months, have you provided emotional support?

  1. Yes
  2. No
  3. DK, RF

The primary care receiver (PRN)

PRN_R10A

Now some questions about the person you have helped during the past 12 months.

PRN_R10B

Now some questions about the person to whom, over the past 12 months, you have dedicated the most time and resources because of a long-term health condition, a physical or mental disability, or problems related to aging.

PRN_Q10

What is the first name of this person?

(30 spaces)

DK, RF

PRN_Q20

How old is ^DT_PRN_Q10_R_E?

(MIN: 0) (MAX: 995)

DK, RF

PRN_Q30

How old was ^DT_PRN_Q10_R_E at the time of his/her death?

(MIN: 0) (MAX: 130)

DK, RF

PRN_Q40

Did ^DT_PRN_Q10_R_E die in:

  1. … a hospital?
  2. … a long-term care facility?
  3. … their home?
  4. … your home?
  5. … some other place?
  6. DK, RF

Gender and relationship (PRG)

PRG_Q10

What ^DT_ISWAS the relationship of ^piPRN_Q10 to you?

  1. Spouse/partner of respondent
  2. Ex-spouse/Ex-partner of respondent
  3. Son of respondent
  4. Daughter of respondent
  5. Father of respondent
  6. Mother of respondent
  7. Brother of respondent
  8. Sister of respondent
  9. Grandson of respondent
  10. Granddaughter of respondent
  11. Grandfather of respondent
  12. Grandmother of respondent
  13. Son-in-law of respondent
  14. Daughter-in-law of respondent
  15. Father-in-law of respondent
  16. Mother-in-law of respondent
  17. Brother-in-law of respondent
  18. Sister-in-law of respondent
  19. Nephew of respondent
  20. Niece of respondent
  21. Uncle of respondent
  22. Aunt of respondent
  23. Cousin of respondent
  24. Close friend of respondent
  25. Neighbour of respondent
  26. Co-worker of respondent
  27. Other - Specify
  28. DK, RF

PRG_S10

(What ^DT_ISWAS the relationship of ^piPRN_Q10 to you?)

(80 spaces)

DK, RF

PRG_Q20

What ^DT_ISWAS ^piPRN_Q10's sex?

  1. Male
  2. Female
  3. DK, RF

Health problems which requires help (PRP)

PRP_Q10

What ^DT_ISWAS the main health condition or problem for which ^piPRN_Q10 received help?

  1. Arthritis (e.g., rheumatoid arthritis, osteoarthritis, lupus or gout)
  2. Osteoporosis
  3. Cardiovascular disease (including angina, heart attack, stroke and hypertension)
  4. Kidney disease
  5. Asthma
  6. Chronic bronchitis, emphysema or chronic obstructive pulmonary disease (COPD)
  7. Diabetes
  8. Migraine
  9. Back problems
  10. Cancer
  11. Mental illness (e.g., depression, bipolar disorder, mania or schizophrenia)
  12. Alzheimer's disease or dementia
  13. All other neurological diseases (e.g., Parkinson's disease, multiple sclerosis, spina bifida, cerebral palsy)
  14. Urinary or bowel incontinence
  15. Digestive disease (e.g., celiac disease, irritable bowel syndrome, stomach ulcers, Crohn's disease)
  16. Fibromyalgia, chronic fatigue syndrome or multiple chemical sensitivities
  17. Developmental disability or disorder
  18. Injury resulting from an accident
  19. Aging / old age / frailty
  20. Other - Specify
  21. DK, RF

PRP_S10

(What ^DT_ISWAS the main health condition or problem for which ^piPRN_Q10 received help?)

(80 spaces)

(DK, RF not allowed)

PRP_Q15

Would you say that this condition is mild, moderate or severe?

  1. Mild
  2. Moderate
  3. Severe
  4. DK, RF

Work information of primary care receiver (PRW)

PRW_Q10

At the time you were providing help:

… was ^piPGN_Q10 employed or self-employed?

  1. Yes
  2. No
  3. DK, RF

PRW_Q20

At the time you were providing help:

… did ^piPRN_Q10 work 30 hours or more in an average week?

  1. Yes
  2. No
  3. DK, RF

Year when respondent started to provide help (PRS)

PRS_Q10

In what year did you start to help ^piPRN_Q10?

(MIN: 1910) (MAX: 2017)

DK, RF

PRS_Q20

How old were you when you started to help ^piPRN_Q10?

(MIN: 0) (MAX: 130)

DK, RF

Still providing help to primary care receiver (SPR)

SPR_Q10

Are you still helping ^piPRN_Q10?

  1. Yes
  2. No
  3. DK, RF

SPR_Q20

Why are you no longer helping ^piPRN_Q10?

  1. Care receiver no longer need help
  2. Care receiver moved to care facility
  3. Respondent moved
  4. Respondent is no longer able to provide help
  5. Respondent has become ill
  6. Another family / friend / neighbour now provides help
  7. Paid professional caregiver now provides care
  8. Other - Specify
  9. DK, RF

SPR_S20

(Why are you no longer helping ^piPRN_Q10?)

(80 spaces)

DK, RF

Month and year when providing help ended (PRE)

PRE_Q10M

In what month and year did you stop helping ^piPRN_Q10?

  1. January
  2. February
  3. March
  4. April
  5. May
  6. June
  7. July
  8. August
  9. September
  10. October
  11. November
  12. December
  13. DK, RF

PRE_Q10Y

In what month and year did you stop helping ^piPRN_Q10?

(MIN: 1911) (MAX: 2017)

DK, RF

Distance between the respondent's and the care receiver's dwellings (PRD)

PRD_Q10

How close does ^piPRN_Q10 live to you:

  1. … in the same household?
  2. … in the same building?
  3. … less than 10 minutes by car?
  4. … 10 minutes to less than 30 minutes by car?
  5. … 30 minutes to less than 1 hour by car?
  6. … 1 hour to less than 3 hours by car?
  7. … 3 hours or more by car?
  8. DK, RF

Usual dwelling of primary care receiver (PRU)

PRU_Q10

Does ^piPRN_Q10 live:

  1. … in a private household?
  2. … in supportive housing?
  3. … in an institution or care facility (such as hospital or nursing home)?
  4. … in some other type of housing?
  5. DK, RF

PRU_S10

What type of housing?

(80 spaces)

DK, RF

PRU_Q20

Did you move residences, in order to live closer to ^piPRN_Q10?

  1. Yes
  2. No
  3. DK, RF

Frequency of contact with primary care receiver (PRH)

PRH_Q10

During the past 12 months, on average, how often did you see ^piPRN_Q10? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

PRH_Q20

During the past 12 months, on average, how often did you have contact with ^piPRN_Q10 by phone, email or letter? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

Transportation... (ART)

ART_Q10

During the past 12 months, have you helped ^piPRN_Q10 with transportation to do shopping or errands, or to get to medical appointments, or social events?

  1. Yes
  2. No
  3. DK, RF

ART_Q20

How often have you helped ^DT_ARGEND_E with these tasks? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

ART_Q30

In an average ^DT_ARTIME_E, how much time have you spent helping with these tasks? Was it:

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

ART_Q35

Would that be:

  1. 10 hours to less than 15 hours?
  2. 15 hours to less than 20 hours?
  3. 20 hours or more?
  4. DK, RF

ART_Q40

Was there anyone else, other than a paid caregiver, who could have provided this help to ^DT_ARGEND_E?

  1. Yes
  2. No
  3. DK, RF

Meal preparation... (ARI)

ARI_Q10

During the past 12 months, have you helped ^piPRN_Q10 with meal preparation, meal clean-up, house cleaning, laundry or sewing?

  1. Yes
  2. No
  3. DK, RF

ARI_Q20

How often have you helped ^DT_ARGEND_E with these tasks? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

ARI_Q30

In an average ^DT_ARTIME_E, how much time have you spent helping with these tasks? Was it:

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

ARI_Q35

Would that be:

  1. 10 hours to less than 15 hours?
  2. 15 hours to less than 20 hours?
  3. 20 hours or more?
  4. DK, RF

ARI_Q40

Was there anyone else, other than a paid caregiver, who could have provided this help to ^DT_ARGEND_E?

  1. Yes
  2. No
  3. DK, RF

House maintenance... (ARO)

ARO_Q10

During the past 12 months, have you helped ^piPRN_Q10 with house maintenance or outdoor work?

  1. Yes
  2. No
  3. DK, RF

ARO_Q20

How often have you helped ^DT_ARGEND_E with these tasks? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

ARO_Q30

In an average ^DT_ARTIME_E, how much time have you spent helping with these tasks? Was it:

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

ARO_Q35

Would that be:

  1. 10 hours to less than 15 hours?
  2. 15 hours to less than 20 hours?
  3. 20 hours or more?
  4. DK, RF

ARO_Q40

Was there anyone else, other than a paid caregiver, who could have provided this assistance to ^DT_ARGEND_E?

  1. Yes
  2. No
  3. DK, RF

Personal care... (ARP)

ARP_Q10

During the past 12 months, have you helped ^piPRN_Q10 with personal care?

  1. Yes
  2. No
  3. DK, RF

ARP_Q20

How often have you helped ^DT_ARGEND_E with these tasks? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

ARP_Q30

In an average ^DT_ARTIME_E, how much time have you spent helping with these tasks? Was it:

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

ARP_Q35

Would that be:

  1. 10 hours to less than 15 hours?
  2. 15 hours to less than 20 hours?
  3. 20 hours or more?
  4. DK, RF

ARP_Q40

Was there anyone else, other than a paid caregiver, who could have provided this assistance to ^DT_ARGEND_E?

  1. Yes
  2. No
  3. DK, RF

Medical procedures... (ARM)

ARM_Q10

During the past 12 months, have you helped ^piPRN_Q10 with medical treatments or procedures?

  1. Yes
  2. No
  3. DK, RF

ARM_Q20

How often have you helped ^DT_ARGEND_E with these tasks? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

ARM_Q30

In an average ^DT_ARTIME_E, how much time have you spent helping with these tasks? Was it:

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

ARM_Q35

Would that be:

  1. 10 hours to less than 15 hours?
  2. 15 hours to less than 20 hours?
  3. 20 hours or more?
  4. DK, RF

ARM_Q40

Was there anyone else, other than a medically trained professional, who could have provided this help to ^DT_ARGEND_E?

  1. Yes
  2. No
  3. DK, RF

Scheduling… (ARS)

ARS_Q10

During the past 12 months, have you helped ^piPRN_Q10 with scheduling or coordinating care-related tasks, such as making appointments or hiring professional help?

  1. Yes
  2. No
  3. DK, RF

ARS_Q20

How often have you helped ^DT_ARGEND_E with these tasks? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

ARS_Q30

In an average ^DT_ARTIME_E, how much time have you spent helping with these tasks? Was it:

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

ARS_Q35

Would that be:

  1. 10 hours to less than 15 hours?
  2. 15 hours to less than 20 hours?
  3. 20 hours or more?
  4. DK, RF

ARS_Q40

Was there anyone else, other than a paid caregiver, who could have provided this assistance to ^DT_ARGEND_E?

  1. Yes
  2. No
  3. DK, RF

Banking… (ARB)

ARB_Q10

During the past 12 months, have you helped ^piPRN_Q10 with banking, bill paying or managing finances?

  1. Yes
  2. No
  3. DK, RF

ARB_Q20

How often have you helped ^DT_ARGEND_E with these tasks? Was it:

  1. daily?
  2. at least once a week?
  3. at least once a month?
  4. less than once a month?
  5. DK, RF

ARB_Q30

In an average ^DT_ARTIME_E, how much time have you spent helping with these tasks? Was it:

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

ARB_Q35

Would that be:

  1. 10 hours to less than 15 hours?
  2. 15 hours to less than 20 hours?
  3. 20 hours or more?
  4. DK, RF

ARB_Q40

Was there anyone else who could have provided this help to ^DT_ARGEND_E?

  1. Yes
  2. No
  3. DK, RF

Visiting… (ARV)

ARV_Q10

During the past 12 months, have you checked up on ^piPRN_Q10 by visiting or calling to make sure ^DT_GEND1_E was okay?

  1. Yes
  2. No
  3. DK, RF

ARV_Q40

Was there anyone else who could have provided this help to ^DT_ARGEND_E?

  1. Yes
  2. No
  3. DK, RF

Emotional help… (ARX)

ARX_Q10

During the past 12 months, have you provided ^piPRN_Q10 with emotional support?

  1. Yes
  2. No
  3. DK, RF

ARX_Q40

Was there anyone else who could have provided this help to ^DT_ARGEND_E?

  1. Yes
  2. No
  3. DK, RF

Care receiver considers respondent their primary caregiver (CCP)

CCP_Q10

Would you say that ^piPRN_Q10 consider^DT_CCP10_E you to be ^DT_GEND_E primary caregiver?

  1. Yes
  2. No
  3. DK, RF

CCP_Q20

Do you believe you ^DT_CCP20_E the main contact or coordinator for ^piPRN_Q10's care arrangements?

  1. Yes
  2. No
  3. DK, RF

Number of other people who help primary care receiver (CGN)

CGN_R120

Now we would like to know about people other than you who provided help to ^piPRN_Q10.

CGN_Q120

How many other friends and family members have helped ^piPRN_Q10 during the past 12 months?

(MIN: 0) (MAX: 60)

DK, RF

Relationship of other caregivers to primary care receiver (RNA)

RNA_Q10

How many of these people are your:

… immediate family (spouse or partner, children, parents and siblings)?

(MIN: 0) (MAX: 20)

DK, RF

RNA_Q20

How many of these people are your:

… extended family (e.g. cousins, grandparents, aunts, uncles, in-laws)?

(MIN: 0) (MAX: 20)

DK, RF

RNA_Q30

How many of these people are your:

… friends or neighbours?

(MIN: 0) (MAX: 20)

DK, RF

Demographics of other caregivers helping the primary care receiver (DNA)

DNA_Q10

How many of these people are women?

(MIN: 0) (MAX: 20)

DK, RF

DNA_Q20

At the time they were providing help to ^piPRN_Q10:

… how many of these people were employed?

(MIN: 0) (MAX: 20)

DK, RF

DNA_Q31

At the time they were providing help to ^piPRN_Q10:

… how many of these people were below the age of 19?

(MIN: 0) (MAX: 20)

DK, RF

DNA_Q32

At the time they were providing help to ^piPRN_Q10:

… how many of these people were between 19 and 44?

(MIN: 0) (MAX: 20)

DK, RF

DNA_Q33

At the time they were providing help to ^piPRN_Q10:

… how many of these people were between 45 and 64?

(MIN: 0) (MAX: 20)

DK, RF

DNA_Q34

At the time they were providing help to ^piPRN_Q10:

… how many of these people were between 65 and 79?

(MIN: 0) (MAX: 20)

DK, RF

DNA_Q35

At the time they were providing help to ^piPRN_Q10:

… how many of these people were 80 years of age or older?

(MIN: 0) (MAX: 20)

DK, RF

Relationship of the other person providing help to primary care receiver (ROA)

ROA_Q10

What is the relationship between ^piPRN_Q10 and this person who provided help?

  1. Spouse/partner of ^piPRN_Q10
  2. Son of ^piPRN_Q10
  3. Daughter of ^piPRN_Q10
  4. Father of ^piPRN_Q10
  5. Mother of ^piPRN_Q10
  6. Brother of ^piPRN_Q10
  7. Sister of ^piPRN_Q10
  8. Grandson of ^piPRN_Q10
  9. Granddaughter of ^piPRN_Q10
  10. Son-in-law of ^piPRN_Q10
  11. Daughter-in-law of ^piPRN_Q10
  12. Nephew of ^piPRN_Q10
  13. Niece of ^piPRN_Q10
  14. Close friend of ^piPRN_Q10
  15. Neighbour of ^piPRN_Q10
  16. Other - Specify
  17. DK, RF

ROA_S10

(What is the relationship between ^piPRN_Q10 and this person who provided help?)

(80 spaces)

(DK, RF not allowed)

Demographics of other person providing help to primary care receiver (DOA)

DOA_Q10

What is the sex of this person?

  1. Male
  2. Female
  3. DK, RF

DOA_Q20

While providing help to ^piPRN_Q10, was this person employed?

  1. Yes
  2. No
  3. DK, RF

DOA_Q30

How old is this person?

(MIN: 10) (MAX: 130)

DK, RF

Help provided to primary care receiver of respondent from paid workers, government agencies or voluntary organizations (HPO)

HPO_Q10

During the past 12 months, has piPRN_Q10 received help from professionals that is paid workers or organizations?

  1. Yes
  2. No
  3. DK, RF

Hours of received help (for primary care receiver of respondent) from paid workers or government or non-government organizations (HRA)

HRA_Q10

In an average week, how many hours of help has ^DT_HESHE received from professionals?

  1. less than 1 hour?
  2. 1 hour to less than 3 hours?
  3. 3 hours to less than 5 hours?
  4. 5 hours to less than 10 hours?
  5. 10 hours or more?
  6. DK, RF

Accommodate caregiving duties (ACD)

ACD_R10

The next questions are about support you may have received from others to help you with your caregiving responsibilities.

ACD_Q10

To accommodate your caregiving duties:

… has your spouse or partner modified their life and work arrangements?

  1. Yes
  2. No
  3. DK, RF

ACD_Q20

To accommodate your caregiving duties:

… have your children provided you with help (such as helping with household chores)?

  1. Yes
  2. No
  3. DK, RF

ACD_Q30

To accommodate your caregiving duties:

… have your extended family members provided you with help?

  1. Yes
  2. No
  3. DK, RF

ACD_Q40

To accommodate your caregiving duties:

… have your close friends or neighbours provided you with help?

  1. Yes
  2. No
  3. DK, RF

ACD_Q50

To accommodate your caregiving duties:

… have your community, spiritual community, or cultural or ethnic groups provided you with help?

  1. Yes
  2. No
  3. DK, RF

ACD_Q60

To accommodate your caregiving duties:

… have you had occasional relief or respite care?

  1. Yes
  2. No
  3. DK, RF

ACD_Q70

To accommodate your caregiving duties:

… have your family or friends provided you with financial support?

  1. Yes
  2. No
  3. DK, RF

ACD_Q80

To accommodate your caregiving duties:

… have you received money from government programs?

  1. Yes
  2. No
  3. DK, RF

ACD_Q90

Have you received any Federal tax credits for which caregivers may be eligible (e.g., caregiver tax credit, infirm dependant tax credit, medical expense tax credit)?

  1. Yes
  2. No
  3. DK, RF

Other type of support to accommodate caregiving duties (OAC)

OAC_Q20

Is there any other type of support that you would like to have to help with your caregiving duties?

  1. Yes
  2. No
  3. DK, RF

OAC_Q30

What kinds of support would you like to have?

  1. 11. Home care / support provided to recipient
  2. 12. Financial support / Government assistance / Tax credit
  3. 13. Information / Advice
  4. 14. Emotional support / Counselling
  5. 15. Help from medical professionals
  6. 16. Occasional relief / Respite care
  7. 17. Voluntary / Community services
  8. 18. Other - Specify
  9. DK, RF

OAC_S30

(What kinds of support would you like to have?)

(80 spaces)

DK, RF

Caregiving history (CGH)

CGH_Q100

Have you ever provided care to someone with a long-term health condition, disability or problems related to aging? Exclude paid assistance to clients or patients and volunteering on behalf of an organization.

  1. Yes
  2. No
  3. DK, RF

CGH_Q110

Not including the people you have helped during the past 12 months, have you ever provided care to anyone else with a long-term health condition, a physical or mental disability or problems related to aging? Exclude paid assistance to clients or patients and volunteering on behalf of an organization.

  1. Yes
  2. No
  3. DK, RF

CGH_Q120

How many people have you provided care to?

(MIN: 1) (MAX: 10)

DK, RF

Caregiving incident detail (CGI)

CGI_R100

We have a few questions about some of those people.

CGI_Q110

In what year did you begin to provide care to ^DT_PERSON?

(MIN: 1911) (MAX: 2017)

DK, RF

CGI_Q111

At what age did you begin to provide care to this person?

(MIN: 0) (MAX: 130)

DK, RF

CGI_Q120

In what year did you stop providing care to this person?

(MIN: 1911) (MAX: 2017)

DK, RF

CGI_Q121

At what age did you stop providing help to this person?

(MIN: 15) (MAX: 130)

DK, RF

CGI_Q130

What was the relationship of this person to you?

  1. Spouse/partner of respondent
  2. Ex-spouse/Ex-partner of respondent
  3. Son of respondent
  4. Daughter of respondent
  5. Father of respondent
  6. Mother of respondent
  7. Brother of respondent
  8. Sister of respondent
  9. Grandson of respondent
  10. Granddaughter of respondent
  11. Grandfather of respondent
  12. Grandmother of respondent
  13. Son-in-law of respondent
  14. Daughter-in-law of respondent
  15. Father-in-law of respondent
  16. Mother-in-law of respondent
  17. Brother-in-law of respondent
  18. Sister-in-law of respondent
  19. Nephew of respondent
  20. Niece of respondent
  21. Uncle of respondent
  22. Aunt of respondent
  23. Cousin of respondent
  24. Close friend of respondent
  25. Neighbour of respondent
  26. Co-worker of respondent
  27. Other - Specify
  28. DK, RF

CGI_S130

(What was the relationship of this person to you?)

(80 spaces)

DK, RF

CGI_Q140

Would you say that, other than professional care, this person considered you to be his or her primary caregiver (the person from whom he or she received the most time and resources)?

  1. Yes
  2. No
  3. DK, RF

CGI_Q160

Did this person also receive professional care?

  1. Yes
  2. No
  3. DK, RF

End-of-life care (CGE)

CGE_R100

Now I would like to ask about any end-of-life care you may have provided to family, friends or neighbours. Exclude paid assistance to clients or patients and volunteering on behalf of an organization.

CGE_Q100

Have you ever provided end-of-life care?

  1. Yes
  2. No
  3. DK, RF

CGE_Q150

Have you provided end-of-life care during the past 12 months?

  1. Yes
  2. No
  3. DK, RF

Currently providing end-of-life care (CPE)

CPE_Q10

^DT_CPE01_E you currently providing end-of-life care?

  1. Yes
  2. No
  3. DK, RF

CPE_Q20

^DT_CPE01_E you provide this care in your home?

  1. Yes
  2. No
  3. DK, RF

Preferred to provide end-of-life care at home (PEH)

PEH_Q10

Would you ^DT_PEH01_E to provide end-of-life care in your home?

  1. Yes
  2. No
  3. DK, RF

Conditions needed to provide end-of-life care at home (CEH)

CEH_Q10

What conditions would ^DT_CEH01_E you to provide end-of-life care to this person in your home? Would it be:

… physical modifications to your home?

  1. Yes
  2. No
  3. DK, RF

CEH_Q20

What conditions would ^DT_CEH01_E you to provide end-of-life care to this person in your home? Would it be:

… financial assistance to cover additional costs?

  1. Yes
  2. No
  3. DK, RF

CEH_Q30

What conditions would ^DT_CEH01_E you to provide end-of-life care to this person in your home? Would it be:

… time off work without loss of pay?

  1. Yes
  2. No
  3. DK, RF

CEH_Q40

What conditions would ^DT_CEH01_E you to provide end-of-life care to this person in your home? Would it be:

… better physical health or stamina?

  1. Yes
  2. No
  3. DK, RF

CEH_Q50

What conditions would ^DT_CEH01_E you to provide end-of-life care to this person in your home? Would it be:

… health-related training?

  1. Yes
  2. No
  3. DK, RF

CEH_Q60

What conditions would ^DT_CEH01_E you to provide end-of-life care to this person in your home? Would it be:

… home care support?

  1. Yes
  2. No
  3. DK, RF

CEH_Q70

What conditions would ^DT_CEH01_E you to provide end-of-life care to this person in your home? Would it be:

… some other condition?

  1. Yes
  2. No
  3. DK, RF

CEH_S70

What conditions would ^DT_CEH01_E you to provide end-of-life care to this person in your home? Would it be:

… some other condition?

(80 spaces)

DK, RF

Compassionate care leave (CCL)

CCL_Q10

Have you ever taken "Compassionate Care Leave" to care for a terminally ill family member or friend?

  1. Yes
  2. No
  3. DK, RF

CCL_Q20

Did you take this leave during the past 12 months?

  1. Yes
  2. No
  3. DK, RF

Family life (ICL)

ICL_R100

Now some questions about how all your caregiving responsabilities during the past 12 months may have affected your life?

Some questions may not apply to you but we have to ask the same questions of everyone.

ICL_Q100

In general, how have you been coping with your caregiving responsibilities? Would you say:

  1. very well?
  2. generally well?
  3. not very well?
  4. not well at all?
  5. DK, RF

ICL_Q110

In the past 12 months, have your caregiving responsibilities caused you to:

… spend less time with your spouse or partner?

  1. Yes
  2. No
  3. DK, RF

ICL_Q120

In the past 12 months, have your caregiving responsibilities caused you to:

… spend less time with your children?

  1. Yes
  2. No
  3. DK, RF

ICL_Q130

In the past 12 months, have your caregiving responsibilities caused you to:

… spend less time with ^DT_OTHER family members?

  1. Yes
  2. No
  3. DK, RF

ICL_Q135

In the past 12 months, have your caregiving responsibilities caused you to:

… spend less time with friends?

  1. Yes
  2. No
  3. DK, RF

ICL_Q140

In the past 12 months, have your caregiving responsibilities caused you to:

… spend less time on social activities or hobbies?

  1. Yes
  2. No
  3. DK, RF

ICL_Q150

In the past 12 months, have your caregiving responsibilities caused you to:

… spend less time on relaxing or taking care of yourself?

  1. Yes
  2. No
  3. DK, RF

ICL_Q152

In the past 12 months, have your caregiving responsibilities caused you to:

… spend less time volunteering for an organization?

  1. Yes
  2. No
  3. DK, RF

ICL_Q154

In the past 12 months, have your caregiving responsibilities caused you to:

… spend less time participating in political, social or cultural groups?

  1. Yes
  2. No
  3. DK, RF

ICL_Q160

In the past 12 months, have your caregiving responsibilities caused you to:

… make holiday plans and change or cancel them?

  1. Yes
  2. No
  3. DK, RF

ICL_Q170

In the past 12 months, have your caregiving responsibilities caused you to:

… not make holiday plans at all?

  1. Yes
  2. No
  3. DK, RF

ICL_Q180

In the past 12 months, have your caregiving responsibilities caused you to:

… move residences?

  1. Yes
  2. No
  3. DK, RF

ICL_Q210

In the past 12 months, have your caregiving responsibilities caused strain in your relationship with family members or friends?

  1. Yes
  2. No
  3. DK, RF

Healthy behaviour (ICB)

ICB_Q10

In the past 12 months, have your caregiving responsibilities affected the amount of exercise that you usually get?

  1. Yes
  2. No
  3. Ne fait pas d'exercice
  4. DK, RF

ICB_Q15

Did the amount of exercise increase or decrease?

  1. Increased
  2. Decreased
  3. DK, RF

ICB_Q20

In the past 12 months, have your eating habits changed as a result of your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

ICB_Q25

Have your eating habits become more healthy or less healthy?

  1. More healthy
  2. Less healthy
  3. DK, RF

ICB_Q30

During the past 12 months, have your caregiving responsibilities affected the amount of alcohol you consume?

  1. Yes
  2. No
  3. Don't drink alcohol
  4. DK, RF

ICB_Q35

Did you:

  1. … increase your drinking?
  2. … decrease your drinking?
  3. … stop drinking?
  4. … start drinking?
  5. DK, RF

ICB_Q40

In the past 12 months, have your smoking habits changed because of your caregiving responsibilities?

  1. Yes
  2. No
  3. Don't smoke
  4. DK, RF

ICB_Q45

Did you:

  1. … increase the number of cigarettes you smoke?
  2. … decrease the number of cigarettes you smoke?
  3. … stop smoking?
  4. … start smoking?
  5. DK, RF

Physical health (ICP)

ICP_Q10

During the past 12 months, has your overall health suffered because of your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

ICP_Q15

During the past 12 months, how physically strenuous were your caregiving responsibilities? Were they:

  1. … very strenuous?
  2. … strenuous?
  3. … somewhat strenuous?
  4. … not at all strenuous?
  5. DK, RF

ICP_Q20

During the past 12 months, how often did you see a medical professional for your own health problems which resulted from your caregiving responsibilities?

  1. Never
  2. Once
  3. 2 to 3 times
  4. 4 or more times
  5. DK, RF

ICP_Q25

Have your caregiving responsibilities prevented you from seeing a medical professional for health problems of your own?

  1. Yes
  2. No
  3. DK, RF

ICP_Q30

During the past 12 months, have you suffered any injuries while peRForming your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

ICP_Q35

Did you suffer one injury or more than one injury?

  1. One injury
  2. More than one injury
  3. DK, RF

ICP_Q40

Did your most serious injury cause you to:

… limit your daily activities for at least one day?

  1. Yes
  2. No
  3. DK, RF

ICP_Q50

Did your most serious injury cause you to:

… seek treatment from a medical professional?

  1. Yes
  2. No
  3. DK, RF

ICP_Q60

Did your most serious injury cause you to:

… take time off from caregiving duties?

  1. Yes
  2. No
  3. DK, RF

ICP_Q70

Did your most serious injury cause you to:

… take time off from your job or business?

  1. Yes
  2. No
  3. DK, RF

Emotional health/Stress (ICS)

ICS_Q10

Do you feel you had a choice in taking on your caregiving responsibilities during the past 12 months?

  1. Yes
  2. No
  3. DK, RF

ICS_Q20

Has your relationship with the person or persons you have been caring for strengthened during this time?

  1. Yes
  2. No
  3. Stayed the same
  4. DK, RF

ICS_Q30

How rewarding have your caregiving experiences been during the past 12 months? Were they:

  1. … very rewarding?
  2. … rewarding?
  3. … somewhat rewarding?
  4. … not at all rewarding?
  5. DK, RF

ICS_Q40

How stressful have your caregiving responsibilities been during the past 12 months? Were they:

  1. … very stressful?
  2. … stressful?
  3. … somewhat stressful?
  4. … not at all stressful?
  5. DK, RF

Find it stressful - Related to caregiving (FIS)

FIS_Q10

What specifically did you find stressful about caregiving?

  1. 11. Managing own emotions
  2. 12. Meeting needs of care receiver
  3. 13. Making decisions for care receiver(s)
  4. 14. Dealing with care receiver’s declining health
  5. 15. Managing family conflict about caregiving
  6. 16. Finding services for care receiver(s)
  7. 17. Getting along with care receiver / managing care receiver’s mood
  8. 18. Balancing caregiving and other responsibilities
  9. 19. Other - Specify
  10. DK, RF

FIS_S10

(What specifically did you find stressful about caregiving?)

(80 spaces)

DK, RF

Caregiving responsibilities and the respondent's health (CRH)

CRH_Q10

During the past 12 months, have your caregiving responsibilities caused you to feel:

… tired?

  1. Yes
  2. No
  3. DK, RF

CRH_Q20

During the past 12 months, have your caregiving responsibilities caused you to feel:

… worried or anxious?

  1. Yes
  2. No
  3. DK, RF

CRH_Q30

During the past 12 months, have your caregiving responsibilities caused you to feel:

… overwhelmed?

  1. Yes
  2. No
  3. DK, RF

CRH_Q35

During the past 12 months, have your caregiving responsibilities caused you to feel:

… lonely or isolated?

  1. Yes
  2. No
  3. DK, RF

CRH_Q40

During the past 12 months, have your caregiving responsibilities caused you to feel:

… short-tempered or irritable?

  1. Yes
  2. No
  3. DK, RF

CRH_Q50

During the past 12 months, have your caregiving responsibilities caused you to feel:

… resentful?

  1. Yes
  2. No
  3. DK, RF

CRH_Q60

During the past 12 months, have your caregiving responsibilities caused you to feel:

… depressed?

  1. Yes
  2. No
  3. DK, RF

CRH_Q70

During the past 12 months, have your caregiving responsibilities caused you to feel:

… experience loss of appetite?

  1. Yes
  2. No
  3. DK, RF

CRH_Q80

During the past 12 months, have your caregiving responsibilities caused you to feel:

… experience disturbed sleep?

  1. Yes
  2. No
  3. DK, RF

CRH_Q90

During the past 12 months, have your caregiving responsibilities caused you to feel:

… experience any other symptoms?

  1. Yes
  2. No
  3. DK, RF

CRH_S90

What were these symptoms?

(80 spaces)

DK, RF

Coping methods to help the respondent deal with caregiving responsibilities (CMC)

CMC_Q10

There are many ways of handling difficult situations. In the past 12 months, have you used any specific coping methods to help you deal with your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

CMC_Q20

What were these coping methods?

  1. 11. Exercising / Walking / Yoga
  2. 12. Professional counselling / Therapy
  3. 13. Socializing or talking to friends or other caregivers
  4. 14. Religious or spiritual practices / Meditation
  5. 15. Reading / TV / Music
  6. 16. Eating / Drinking / Smoking
  7. 17. Other - Specify
  8. DK, RF

CMC_S20

(What were these coping methods?)

(80 spaces)

DK, RF

CMC_Q30

In the past 12 months, have you used prescription drugs to help you cope with your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

Finances (ICF)

ICF_R210

The next questions ask about expenses you may have incurred in the past 12 months as a result of all your caregiving responsibilities. We are talking about out-of-pocket expenses that are not reimbursed.

ICF_Q210

In the past 12 months, have you had any out-of-pocket expenses for home modifications to accommodate your ^DT_CARERECEIVER needs?

  1. Yes
  2. No
  3. DK, RF

ICF_Q220

In the past 12 months, have you had any out-of-pocket expenses for professional services for your ^DT_CARERECEIVER healthcare or rehabilitation?

  1. Yes
  2. No
  3. DK, RF

ICF_Q230

In the past 12 months, have you had any out-of-pocket expenses for hiring people to help with your ^DT_CARERECEIVER daily activities?

  1. Yes
  2. No
  3. DK, RF

ICF_Q240

In the past 12 months, have you had any out-of-pocket expenses for transportation, travel or accommodation because of your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

ICF_Q250

During the past 12 months, have you had any out-of-pocket expenses for specialized aids or devices for your ^DT_CARERECEIVER use?

  1. Yes
  2. No
  3. DK, RF

ICF_Q260

In the past 12 months, have you had any out-of-pocket expenses for prescription or non-prescription drugs for your ^DT_CARERECEIVER use?

  1. Yes
  2. No
  3. DK, RF

ICF_Q270

During the past 12 months, have you had any other out-of-pocket expenses because of your caregiving responsibilities that we haven't covered so far?

  1. Yes
  2. No
  3. DK, RF

ICF_Q271

What were these expenses for?

(200 spaces)

DK, RF

ICF_Q280

During the past 12 months, have you experienced financial hardship because of your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

ICF_Q290

Have you had to:

… borrow money from family or friends?

  1. Yes
  2. No
  3. DK, RF

ICF_Q300

Have you had to:

… take loans from a bank or financial institution?

  1. Yes
  2. No
  3. DK, RF

ICF_Q310

Have you had to:

… use or defer savings?

  1. Yes
  2. No
  3. DK, RF

ICF_Q320

Have you had to:

… modify your spending?

  1. Yes
  2. No
  3. DK, RF

ICF_Q330

Have you had to:

… sell off assets?

  1. Yes
  2. No
  3. DK, RF

ICF_Q340

Have you had to:

… file for bankruptcy?

  1. Yes
  2. No
  3. DK, RF

ICF_Q350

Have you had to do anything else?

  1. Yes
  2. No
  3. DK, RF

ICF_S350

Have you had to do anything else?

(80 spaces)

DK, RF

Best estimate of expenses (BEE)

BEE_Q10

What is your best estimate of these expenses ^PHRASE_E?

(MIN: 1) (MAX: 50000)

DK, RF

BEE_Q20

Which of the following categories did these expenses ^PHRASE_E fall into? Was it:

  1. … less than $200?
  2. … $200 to less than $500?
  3. … $500 to less than $1,000?
  4. … $1,000 to less than $2,000?
  5. … $2,000 to less than $5,000?
  6. … $5,000 or more?
  7. DK, RF

Education of respondent (EOR)

EOR_R01

Now some questions about your education and employment.

EOR_Q01

Are you currently attending school, college, CEGEP or university?

  1. Yes
  2. No
  3. DK, RF

EOR_Q02

What type of educational institution ^DT_EOR02_E you attend?

  1. Elementary, junior high school or high school
  2. Trade school, college, CEGEP or other non-university institution
  3. University
  4. DK, RF

EOR_Q03

^DT_EOR03_E you:

  1. a full-time student?
  2. a full-time student?
  3. both a full-time and part-time student?
  4. DK, RF

EOR_Q04

What is the highest level of education that you have completed?

  1. Less than high school diploma or its equivalent
  2. High school diploma or a high school equivalency certificate
  3. Trade certificate or diploma
  4. College, CEGEP or other non-university certificate or diploma (other than trades certificates or diplomas)
  5. University certificate or diploma below the bachelor's level
  6. Bachelor's degree (e.g. B.A., B.Sc., LL.B.)
  7. University certificate, diploma, degree above the bachelor's level
  8. DK, RF

Consequences of caregiving on education (ICE)

ICE_Q20

In the past 12 months, have you postponed enrolling in an education or training program because of your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

ICE_Q30

Did you postpone plans:

  1. … indefinitely?
  2. … to the next available starting date?
  3. To some other date
  4. DK, RF

ICE_Q50

In the past 12 months, have your studies been affected because of your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

Work activities - Employment type (WET)

WET_Q110

For how many weeks during the past 12 months were you employed?

(MIN: 1) (MAX: 52)

DK, RF

WET_Q120

Were you mainly:

  1. a paid worker?
  2. self-employed?
  3. an unpaid family worker?
  4. DK, RF

Work activities - Last year employer information (WLY)

WLY_Q110

What is the name of your business?

(80 spaces)

DK, RF

WLY_Q120

What kind of business, industry or service ^DT_WLY120_E this?

(80 spaces)

DK, RF

WLY_Q130

What kind of work ^DT_WLY130_E you doing?

(80 spaces)

DK, RF

WLY_Q140

What ^DT_WLY140_E your most important activities or duties?

(80 spaces)

DK, RF

WLY_Q145

Are you still working ^DT_WLY145_E?

  1. Yes
  2. No
  3. DK, RF

WLY_Q150

Which of the following best describes your terms of employment in this job? ^DT_WLY150_E you a:

  1. regular employee (no contractual or anticipated termination date)?
  2. seasonal employee (employment on this job is intermittent according to the seasons of the year)?
  3. term employee (term of employment has a set termination date)?
  4. casual or on-call employee?
  5. DK, RF

WLY_Q160

^DT_WLY150_E you a union member or covered by a union contract or collective agreement in this job?

  1. Yes
  2. No
  3. DK, RF

Work activities - Hours worked (WHW)

WHW_Q110

Did you have more than one paid job last week?

  1. Yes
  2. No
  3. DK, RF

WHW_Q120

How many hours a week ^DT_WHW120_E you usually work at your job?

(MIN: 0.1) (MAX: 168.0)

DK, RF

WHW_Q130

How many hours a week do you usually work at your main job?

(MIN: 0.1) (MAX: 168.0)

DK, RF

WHW_Q140

How many hours a week do you usually work at your main job(s)?

(MIN: 0.1) (MAX: 168.0)

DK, RF

WHW_Q160

Why ^DT_WHW160_E you usually work less than 30 hours a week?

  1. 11. Own illness or disability
  2. 12. Child care responsibilities
  3. 13. Care responsibilities for an adult
  4. 14. Other personal or family responsibilities
  5. 15. Going to school
  6. 16. Could only find part-time work
  7. 17. Did not want full-time work
  8. 18. Requirement of the work
  9. 19. Full-time work is defined under 30 hours per week
  10. 20. Other - Specify
  11. DK, RF

WHW_S160

(Why ^DT_WHW160_E you usually work less than 30 hours a week?)

(80 spaces)

DK, RF

WHW_Q210

How many days a week ^DT_WHW210_E you usually work (including all jobs)?

(MIN: 1) (MAX: 7)

DK, RF

WHW_Q230

Which of the following best describes your usual work schedule at your ^DT_WHW230_E1? ^DT_WHW230_E2 it:

  1. a regular daytime schedule or shift?
  2. a regular evening shift?
  3. a regular night shift?
  4. a rotating shift? (one that changes periodically from days to evenings or to nights)
  5. a split shift? (one consisting of two or more distinct periods each day)
  6. a compressed work week?
  7. on call or casual?
  8. an irregular schedule?
  9. Other - Specify
  10. DK, RF

WHW_S230

(Which of the following best describes your usual work schedule at your ^DT_WHW230_E1? ^DT_WHW230_E2 it:)

(80 spaces)

DK, RF

Work activities - Telework information (WTI)

WTI_Q110

Excluding overtime, ^DT_WTI110_E you usually work any of your scheduled hours at home?

  1. Yes
  2. No
  3. Not applicable
  4. DK, RF

WTI_Q120

How many paid hours per week ^DT_WTI120_E you usually work at home?

(MIN: 1) (MAX: 168)

DK, RF

WTI_Q130

What is the main reason you ^DT_WTI130_E some of your work at home?

  1. Taking care of children
  2. Provide care to family or friends for long term health problem
  3. Other personal or family responsibilities
  4. Requirements of the job, no choice
  5. Home is usual place of work
  6. Better conditions of work
  7. Saves time, money
  8. Live too far from work to commute
  9. Other - Specify
  10. DK, RF

WTI_S130

(What is the main reason you ^DT_WTI130_E some of your work at home?)

(80 spaces)

(DK, RF not allowed)

Work activities - Flexible work arrangements (FWA)

FWA_Q120

^DT_FWA120_E you have a flexible schedule that ^DT_ALLOW_E you to choose the time begin and end your work day?

  1. Yes
  2. No
  3. DK, RF

FWA_Q132

^DT_FWA130_E your employer:

… provide you with the option to work part-time?

  1. Yes
  2. No
  3. DK, RF

FWA_Q133

^DT_FWA130_E your employer:

… provide you with the ability to take leave, paid or unpaid, to take care of your child(ren)?

  1. Yes
  2. No
  3. DK, RF

FWA_Q134

^DT_FWA130_E your employer:

… provide you with the ability to take leave, paid or unpaid, to take care of your spouse, partner or other family members?

  1. Yes
  2. No
  3. DK, RF

FWA_Q136

^DT_FWA130_E your employer:

… provide you with the ability to take extended leave without pay for personal reasons?

  1. Yes
  2. No
  3. DK, RF

FWA_Q137

^DT_FWA130_E your employer:

… provide you with the option to telework?

  1. Yes
  2. No
  3. DK, RF

FWA_Q150

Do you think you could ^DT_FWA150_E these flexible work arrangements without a negative impact on your career?

  1. Yes
  2. No
  3. DK, RF

Work-life balance (WLB)

WLB_Q10

In the past 12 months, how often has it been difficult to fulfill family responsibilities because of the amount of time you spent on your job? Was it:

  1. all of the time?
  2. most of the time?
  3. sometimes?
  4. never?
  5. DK, RF

WLB_Q20

In the past 12 months, how often has it been difficult to concentrate or fulfill your work responsibilities because of your family responsibilities? Was it:

  1. all of the time?
  2. most of the time?
  3. sometimes?
  4. never?
  5. DK, RF

Satisfaction of respondent with current balance between job and home life (SRC)

SRC_Q10

How satisfied are you with the current balance between your job and home life? Are you:

  1. very satisfied?
  2. satisfied?
  3. neither satisfied nor dissatisfied?
  4. dissatisfied?
  5. very dissatisfied?
  6. DK, RF

SRC_Q20

Why are you dissatisfied?

  1. 11. Not enough time for family (include spouse/partner and children)
  2. 12. Spends too much time on job/main activity
  3. 13. Not enough time for other activities (exclude work or family related activities)
  4. 14. Cannot find suitable employment
  5. 15. Employment related reason(s) (exclude spending too much time on job)
  6. 16. Health reasons (include sleep disorders)
  7. 17. Family related reason(s) (exclude not enough time for family)
  8. 18. Other - Specify
  9. DK, RF

SRC_S20

(Why are you dissatisfied?)

(80 spaces)

DK, RF

Impact of caregiving on employment in the last 12 months - Work leave (ITL)

ITL_R10

The next questions ask about the impact that caregiving may have had on your employment during the past 12 months.

ITL_Q10

How many times during the past 12 months did you go to work late, leave early or take time off during the day because of your caregiving responsibilities?

(MIN: 0) (MAX: 95)

DK, RF

ITL_Q20

Were you paid for this time off?

  1. Yes
  2. No
  3. Some paid, some unpaid
  4. DK, RF

ITL_Q30

Did you reduce your regular weekly hours of work because of your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

ITL_Q40

How many fewer hours per week did you work because of your caregiving responsibilities?

(MIN: 0.5) (MAX: 60.0)

DK, RF

ITL_Q50

Did you lose some or all of your employment benefits because of this reduction in hours?

  1. Yes - Some
  2. Yes - All
  3. No
  4. DK, RF

ITL_Q51

Did you lose your:

… extended health benefits?

  1. Yes
  2. No
  3. DK, RF

ITL_Q52

Did you lose your:

… dental benefits?

  1. Yes
  2. No
  3. DK, RF

ITL_Q53

Did you lose your:

… employer-provided pension?

  1. Yes
  2. No
  3. DK, RF

ITL_Q54

Did you lose your:

… life insurance?

  1. Yes
  2. No
  3. DK, RF

ITL_Q55

Did you lose your:

… prescription medication coverage?

  1. Yes
  2. No
  3. DK, RF

ITL_Q56

Did you lose your:

… any other type of benefit?

  1. Yes
  2. No
  3. DK, RF

ITL_S56

(Did you lose your:

… any other type of benefit?))

(80 spaces)

DK, RF

Impact of caregiving on employment in the last 12 months - Full days off work (ITA)

ITA_Q10

How many times during the past 12 months did you take one or more days off from your job because of your caregiving responsibilities?

(MIN: 0) (MAX: 95)

DK, RF

ITA_Q20

How long was your longest time off?

  1. Days
  2. Weeks
  3. Months
  4. DK, RF

ITA_Q21

How long was your longest time off?

(MIN: 1) (MAX: 365)

DK, RF

ITA_Q22

How long was your longest time off?

(MIN: 1) (MAX: 52)

DK, RF

ITA_Q23

How long was your longest time off?

(MIN: 1) (MAX: 12)

DK, RF

ITA_Q30

Was this time off paid or unpaid?

  1. Paid
  2. Unpaid
  3. Partly paid
  4. DK, RF

ITA_Q35

What were your annual earnings before taxes from this job?

(MIN: -9000000) (MAX: 90000000)

DK, RF

Impact of caregiving on employment in the last 12 months - Gave up employment entirely (ITE)

ITE_Q10

During the past 12 months, did you quit a job because of your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

ITE_Q20

For how long were you unemployed after you quit your job?

  1. Weeks
  2. Months
  3. DK, RF

ITE_Q22

For how long were you unemployed after you quit your job?

(MIN: 1) (MAX: 52)

DK, RF

ITE_Q23

For how long were you unemployed after you quit your job?

(MIN: 1) (MAX: 12)

DK, RF

ITE_Q30

What circumstances would have enabled you to keep working while providing care at the same time?

  1. 11. Availability of acceptable alternative care
  2. 12. Affordable alternative care
  3. 13. Ability to work flexible hours
  4. 14. Ability to work fewer hours
  5. 15. Help from family
  6. 16. Did not want to keep working - preferred to care full time
  7. 17. Other - Specify
  8. DK, RF

ITE_S30

(What circumstances would have enabled you to keep working while providing care at the same time?)

(80 spaces)

DK, RF

ITE_Q35

What were your annual earnings before taxes from this job?

(MIN: -9000000) (MAX: 90000000)

DK, RF

Impact of caregiving on employment in the last 12 months - Loss of Job (ITJ)

ITJ_Q10

During the past 12 months, were you fired, laid off, or asked to resign from a job because of your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

ITJ_Q20

How long were you unemployed after you lost your job?

  1. Weeks
  2. Months
  3. DK, RF

ITJ_Q22

How long were you unemployed after you lost your job?

(MIN: 1) (MAX: 52)

DK, RF

ITJ_Q23

How long were you unemployed after you lost your job?

(MIN: 1) (MAX: 12)

DK, RF

ITJ_Q35

What were your annual earnings before taxes from this job?

(MIN: -9000000) (MAX: 9000000)

DK, RF

Impact of caregiving on employment in the last 12 months - Other impacts (ITO)

ITO_Q10

During the past 12 months, did you turn down a job offer or promotion, or decide not to apply for a job, because of your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

ITO_Q20

Did you take a less demanding job because of your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

ITO_Q25

Did this less demanding job pay less or more than your previous job?

  1. Paid less
  2. Paid more
  3. Paid the same
  4. DK, RF

ITO_Q26

Did this less demanding job provide fewer or more benefits than your previous job?

  1. Fewer benefits
  2. More benefits
  3. Same benefits
  4. DK, RF

Interest in employment (INE)

INE_Q10

Have your caregiving responsibilities prevented you from working at a paid job?

  1. Yes
  2. No
  3. DK, RF

INE_Q20

Are you interested in finding paid employment?

  1. Yes
  2. No
  3. DK, RF

INE_Q30

Would you like a full or part-time job?

  1. Full time
  2. Part time
  3. DK, RF

INE_Q41

What would enable you to work at a paid job?

  1. 11. Ability to work from home
  2. 12. Flexible hours
  3. 13. Affordable care for care receiver
  4. 14. Possibility of working fewer hours
  5. 15. Better public transport
  6. 16. Access to affordable childcare
  7. 17. Other - Specify
  8. DK, RF

INE_S41

(What would enable you to work at a paid job?)

(80 spaces)

DK, RF

Impact of caregiving on employment prior to the last 12 months - Reducing hours (IPL)

IPL_R05

The next questions ask about the impact that caregiving may have had on your employment over the years prior to the past 12 months.

IPL_Q05

Excluding the past 12 months, have you ever worked at a paid job while providing care?

  1. Yes
  2. No
  3. DK, RF

IPL_Q10

Excluding the past 12 months, did you ever reduce your regular weekly hours of employment because of your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

IPL_Q20

Did you lose some or all of your employment benefits because you reduced your weekly hours?

  1. Yes - Some
  2. Yes - All
  3. No
  4. DK, RF

Impact of caregiving on employment prior to the last 12 months - Leave (days off) (IPA)

IPA_Q10

Excluding the past 12 months, did you ever have to take a leave from a job because of your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

IPA_Q20

How long was your longest leave?

  1. Days
  2. Weeks
  3. Months
  4. Years
  5. DK, RF

IPA_Q21

How long was your longest leave?

(MIN: 1) (MAX: 365)

DK, RF

IPA_Q22

How long was your longest leave?

(MIN: 1) (MAX: 52)

DK, RF

IPA_Q23

How long was your longest leave?

(MIN: 1) (MAX: 12)

DK, RF

IPA_Q24

How long was your longest leave?

(MIN: 1.0) (MAX: 25.0)

DK, RF

IPA_Q30

Was this leave paid or unpaid?

  1. Paid
  2. Unpaid
  3. Partly paid
  4. DK, RF

IPA_Q35

What were your annual earnings before taxes from this job?

(MIN: -9000000) (MAX: 90000000)

DK, RF

Impact of caregiving on employment prior to the last 12 months - Gave up employment entirely (IPE)

IPE_Q10

Excluding the past 12 months, how many times did you have to quit a job because of your caregiving responsibilities?

(MIN: 0) (MAX: 995)

DK, RF

IPE_Q30

What circumstances would have enabled you to keep working while providing care at the same time?

  1. 11. Availability of acceptable alternative care
  2. 12. Affordable alternative care
  3. 13. Ability to work flexible hours
  4. 14. Ability to work fewer hours
  5. 15. Help from family
  6. 16. Did not want to keep working - preferred to care full time
  7. 17. Other - Specify
  8. DK, RF

IPE_S30

(What circumstances would have enabled you to keep working while providing care at the same time?)

(80 spaces)

DK, RF

Impact of caregiving on employment prior to the last 12 months - Other impacts (IPO)

IPO_Q10

Excluding the past 12 months, how many times were you ever fired, asked to resign or laid off from a job because of your caregiving responsibilities?

(MIN: 0) (MAX: 995)

DK, RF

IPO_Q20

Excluding the past 12 months, how many times did you turn down a job offer or promotion, or take a less demanding job because of your caregiving responsibilities?

(MIN: 0) (MAX: 995)

DK, RF

Impact of caregiving on employment - Plans for retirement (IPR)

IPR_Q10

Have you ever retired from a job or business?

  1. Yes
  2. No
  3. DK, RF

IPR_Q20

^DT_TIMING_E affected because of your caregiving responsibilities?

  1. Yes
  2. No
  3. DK, RF

IPR_Q30

Did you retire earlier or later than you would have preferred to?

  1. Earlier
  2. Later
  3. Neither earlier nor later
  4. DK, RF

IPR_Q40

How much ^DT_TIME_E?

  1. Months
  2. Years
  3. DK, RF

IPR_Q43

How much ^DT_TIME_E?

(MIN: 1) (MAX: 12)

DK, RF

IPR_Q44

How much ^DT_TIME_E?

(MIN: 1) (MAX: 20)

DK, RF

IPR_Q50

What were your annual earnings before taxes from the last job you held before retiring?

(MIN: -9000000) (MAX: 90000000)

DK, RF

Dwelling of respondent (DOR)

DOR_R110

The following questions are about your housing characteristics.

DOR_Q110

In what type of dwelling are you now living? Is it a:

  1. single detached house?
  2. semi-detached or double (side by side)?
  3. garden home, town-house or row house?
  4. duplex (one above the other)?
  5. low-rise apartment (less than 5 stories)?
  6. high-rise apartment (5 or more stories)?
  7. mobile home or trailer?
  8. Other - Specify
  9. DK, RF

DOR_S110

(In what type of dwelling are you now living? Is it a:)

(80 spaces)

DK, RF

DOR_Q119

Is this dwelling:

  1. … owned by you or a member of this household, even if it is still being paid for?
  2. … rented, even if no cash rent is paid?
  3. DK, RF

DOR_Q130

Is there a mortgage on this dwelling?

  1. Yes
  2. No
  3. DK, RF

DOR_Q210

How long have you lived in this dwelling?

  1. Less than 6 months
  2. 6 months to less than 1 year
  3. 1 year to less than 3 years
  4. 3 years to less than 5 years
  5. 5 years to less than 10 years
  6. 10 years and over
  7. DK, RF

DOR_Q215

How long have you lived in this neighbourhood?

  1. Less than 6 months
  2. 6 months to less than 1 year
  3. 1 year to less than 3 years
  4. 3 years to less than 5 years
  5. 5 years to less than 10 years
  6. 10 years and over
  7. DK, RF

DOR_Q216

How long have you lived in this city or local community?

  1. Less than 6 months
  2. 6 months to less than 1 year
  3. 1 year to less than 3 years
  4. 3 years to less than 5 years
  5. 5 years to less than 10 years
  6. 10 years and over
  7. DK, RF

DOR_Q220

Would you say that you know:

  1. … most of the people in your neighbourhood?
  2. … many of the people in your neighbourhood?
  3. … a few of the people in your neighbourhood?
  4. … none of the people in your neighbourhood?
  5. DK, RF

DOR_Q221

Would you say this neighbourhood is a place where neighbours help each other?

  1. Yes
  2. No
  3. DK, RF

DOR_Q222

In the past month, have you done a favour for a neighbour?

  1. Yes
  2. No
  3. Just moved into the area
  4. DK, RF

DOR_Q223

In the past month, have any of your neighbours done a favour for you?

  1. Yes
  2. No
  3. Just moved into the area
  4. DK, RF

DOR_Q224

In your neighbourhood, is public transportation available (for example, bus, rapid transit or subway)?

  1. Yes
  2. No
  3. DK, RF

Accessible housing of respondent (AHR)

AHR_R100

The next questions ask about how accessible your home may be to someone using a wheelchair.

AHR_Q100

Does your home have:

… a street level entrance with no steps?

  1. Yes
  2. No
  3. DK, RF

AHR_Q110

Does your home have:

… a ramp at the entrance?

  1. Yes
  2. No
  3. DK, RF

AHR_Q120

Does your home have:

… doorways that are wide enough for a wheelchair?

  1. Yes
  2. No
  3. DK, RF

AHR_Q130

Does your home have:

… lowered counters in the kitchen or bathroom?

  1. Yes
  2. No
  3. DK, RF

AHR_Q140

Does your home have:

… grab bars in the bathroom?

  1. Yes
  2. No
  3. DK, RF

AHR_Q150

Does your home have:

… easy to open doors, including lever handles?

  1. Yes
  2. No
  3. DK, RF

AHR_Q160

Does your home have:

… an elevator or lift device?

  1. Yes
  2. No
  3. DK, RF

AHR_Q200

Are you aware of any government grants to make homes more accessible to persons with disabilities?

  1. Yes
  2. No
  3. DK, RF

Self-rated health - Physical health (SHP)

SHP_R10

The following questions ask about your day-to-day health.

SHP_Q10

In general, would you say your health is:

  1. excellent?
  2. very good?
  3. good?
  4. fair?
  5. poor?
  6. DK, RF

Self-rated health - Mental health (SHM)

SHM_Q10

In general, would you say your mental health is:

  1. excellent?
  2. very good?
  3. good?
  4. fair?
  5. poor?
  6. DK, RF

Healthy Eating Habits (HEH)

HEH_Q100

In general, would you say that your eating habits are:

  1. excellent?
  2. very good?
  3. good?
  4. fair?
  5. poor?
  6. DK, RF

Physical activity (PHS)

PHS_Q10

In the past week, how many times did you participate in moderate or vigorous physical activity for leisure, work, housework or transportation?

(MIN: 0) (MAX: 50)

DK, RF

PHS_Q20

About how much time did you spend on each occasion?

  1. Less than 15 minutes
  2. 16 to 30 minutes
  3. 31 to 60 minutes
  4. More than 1 hour
  5. DK, RF

Life satisfaction of respondent (LSR)

LSR_Q110

Using a scale of 0 to 10, where 0 means "Very dissatisfied" and 10 means "Very satisfied", how do you feel about your life as a whole right now?

  1. 0. Very dissatisfied
  2. 1.   |
  3. 2.   |
  4. 3.   |
  5. 4.   |
  6. 5.   |
  7. 6.   |
  8. 7.   |
  9. 8.   |
  10. 9.   V
  11. 10. Very satisfied
  12. DK, RF

Self-rated stress (SRS)

SRS_Q10

Thinking of the amount of stress in your life, would you say that most days are:

  1. … not at all stressful?
  2. … not very stressful?
  3. … a bit stressful?
  4. … quite a bit stressful?
  5. … extremely stressful?
  6. DK, RF

Sleep (SLP)

SLP_Q110

Do you regularly have trouble going to sleep or staying asleep?

  1. Yes
  2. No
  3. DK, RF

SLP_Q120

Do you take any medication to help you sleep?

  1. Yes
  2. No
  3. DK, RF

Feelings (FLG)

FLG_R310

For each of the following six questions, please indicate whether the statement describes your feelings, using the categories: yes, more or less, or no.

FLG_Q310

I experience a general sense of emptiness.

  1. Yes
  2. More or less
  3. No
  4. DK, RF

FLG_Q320

There are plenty of people I can rely on when I have problems.

  1. Yes
  2. More or less
  3. No
  4. DK, RF

FLG_Q330

There are many people I can trust completely.

  1. Yes
  2. More or less
  3. No
  4. DK, RF

FLG_Q340

There are enough people I feel close to.

  1. Yes
  2. More or less
  3. No
  4. DK, RF

FLG_Q350

I miss having people around.

  1. Yes
  2. More or less
  3. No
  4. DK, RF

FLG_Q360

I often feel rejected.

  1. Yes
  2. More or less
  3. No
  4. DK, RF

Vision (VIS)

VIS_R110

The next set of questions ask about your day-to-day abilities.

VIS_Q110

Are you usually able to see well enough to read ordinary newsprint without glasses or contact lenses?

  1. Yes
  2. No
  3. DK, RF

VIS_Q120

Are you usually able to see well enough to read ordinary newsprint with glasses or contact lenses?

  1. Yes
  2. No
  3. DK, RF

VIS_Q130

Are you able to see at all?

  1. Yes
  2. No
  3. DK, RF

VIS_Q140

Are you able to see well enough to recognize a friend on the other side of the street without glasses or contact lenses?

  1. Yes
  2. No
  3. DK, RF

VIS_Q150

Are you usually able to see well enough to recognize a friend on the other side of the street with glasses or contact lenses?

  1. Yes
  2. No
  3. DK, RF

Hearing (HRG)

HRG_Q110

Are you usually able to hear what is said in a group conversation with at least three other people without a hearing aid?

  1. Yes
  2. No
  3. DK, RF

HRG_Q120

Are you usually able to hear what is said in a group conversation with at least three other people with a hearing aid?

  1. Yes
  2. No
  3. DK, RF

HRG_Q125

Are you able to hear at all?

  1. Yes
  2. No
  3. DK, RF

HRG_Q130

Are you usually able to hear what is said in a conversation with one other person in a quiet room without a hearing aid?

  1. Yes
  2. No
  3. DK, RF

HRG_Q140

Are you usually able to hear what is said in a conversation with one other person in a quiet room with a hearing aid?

  1. Yes
  2. No
  3. DK, RF

Speech (SPC)

SPC_Q110

Are you usually able to be understood completely when speaking with strangers in your own language?

  1. Yes
  2. No
  3. DK, RF

SPC_Q120

Are you able to be understood partially when speaking with strangers?

  1. Yes
  2. No
  3. DK, RF

SPC_Q130

Are you able to be understood completely when speaking with those who know you well?

  1. Yes
  2. No
  3. DK, RF

SPC_Q140

Are you able to be understood partially when speaking with those who know you well?

  1. Yes
  2. No
  3. DK, RF

Mobility (GTA)

GTA_Q110

Are you usually able to walk around the neighbourhood without difficulty and without mechanical support such as braces, a cane or crutches?

  1. Yes
  2. No
  3. DK, RF

GTA_Q120

Are you able to walk at all?

  1. Yes
  2. No
  3. DK, RF

GTA_Q130

Do you require mechanical support such as braces, a cane or crutches to be able to walk around the neighbourhood?

  1. Yes
  2. No
  3. DK, RF

GTA_Q140

Do you require the help of another person to be able to walk?

  1. Yes
  2. No
  3. DK, RF

GTA_Q150

Do you require a wheelchair to get around?

  1. Yes
  2. No
  3. DK, RF

GTA_Q160

How often do you use a wheelchair?

  1. Always
  2. Often
  3. Sometimes
  4. Never
  5. DK, RF

GTA_Q170

Do you need the help of another person to get around in a wheelchair?

  1. Yes
  2. No
  3. DK, RF

Dexterity (HAF)

HAF_Q110

Are you usually able to grasp and handle small objects such as a pencil or scissors?

  1. Yes
  2. No
  3. DK, RF

HAF_Q120

Do you require the help of another person because of limitations in the use of hands or fingers?

  1. Yes
  2. No
  3. DK, RF

HAF_Q130

Do you require the help of another person with:

  1. … some tasks?
  2. … most tasks?
  3. … almost all tasks?
  4. … all tasks?
  5. DK, RF

HAF_Q140

Do you require special equipment, for example, devices to assist in dressing, because of limitations in the use of hands or fingers?

  1. Yes
  2. No
  3. DK, RF

Emotion (EMO)

EMO_Q10

Would you describe yourself as being usually:

  1. … happy and interested in life?
  2. … somewhat happy?
  3. … somewhat unhappy?
  4. … unhappy with little interest in life?
  5. … so unhappy that life is not worthwhile?
  6. DK, RF

Memory (MEM)

MEM_Q110

How would you describe your usual ability to remember things? Are you:

  1. … able to remember most things?
  2. … somewhat forgetful?
  3. … very forgetful?
  4. … unable to remember anything at all?
  5. DK, RF

Cognition (TKG)

TKG_Q110

How would you describe your usual ability to think and solve day-to-day problems? Are you:

  1. … able to think clearly and solve problems?
  2. … having a little difficulty?
  3. … having some difficulty?
  4. … having a great deal of difficulty?
  5. … unable to think or solve problems?
  6. DK, RF

Pain and discomfort (PAD)

PAD_Q110

Are you usually free of pain or discomfort?

  1. Yes
  2. No
  3. DK, RF

PAD_Q120

How would you describe the usual intensity of your pain or discomfort?

  1. Mild
  2. Moderate
  3. Strong
  4. DK, RF

PAD_Q130

How many activities does your pain or discomfort prevent?

  1. None
  2. A few
  3. Some
  4. Most
  5. DK, RF

Long-term Health Conditions (CHC)

CHC_Q100

Do you have any long-term health conditions, or physical or mental disabilities ^DT_CONDITION_E?

  1. Yes
  2. No
  3. DK, RF

CHC_Q110

What is this condition?

  1. 11. Arthritis (e.g., rheumatoid arthritis, osteoarthritis, lupus or gout)
  2. 12. Osteoporosis
  3. 13. Maladie cardiovasculaire (incluant angine, crise cardiaque, infarctus et hypertension)
  4. 14. Kidney disease
  5. 15. Asthma
  6. 16. Chronic bronchitis, emphysema or chronic obstructive pulmonary disease (COPD)
  7. 17. Diabetes
  8. 18. Migraine
  9. 19. Back problems
  10. 20. Cancer
  11. 21. Mental illness (e.g., depression, bipolar disorder, mania or schizophrenia)
  12. 22. Alzheimer's disease or dementia
  13. 23. All other neurological diseases (e.g., Parkinson's disease, multiple sclerosis, spina bifida, cerebral palsy)
  14. 24. Urinary or bowel incontinence
  15. 25. Digestive disease (e.g., celiac disease, irritable bowel syndrome, stomach ulcers, Crohn's disease)
  16. 26. Fibromyalgia, chronic fatigue syndrome or multiple chemical sensitivities
  17. 27. Developmental disability or disorder
  18. 28. Injury resulting from an accident
  19. 29. Aging / old age / frailty
  20. 30. Other - Specify
  21. DK, RF

CHC_S110

(What is this condition?)

(80 spaces)

DK, RF

Birthplace of respondent (BPR)

BPR_R10

Now, I'd like to ask a few general questions.

BPR_Q10

In what country were you born?

(50 spaces)

DK, RF

BPR_S10

(In what country were you born?)

(80 spaces)

DK, RF

BPR_Q20

In which province or territory?

  1. 10. Newfoundland and Labrador
  2. 11. Prince Edward Island
  3. 12. Nova Scotia
  4. 13. New Brunswick
  5. 24. Quebec
  6. 35. Ontario
  7. 46. Manitoba
  8. 47. Saskatchewan
  9. 48. Alberta
  10. 59. British Columbia
  11. 60. Yukon
  12. 61. Northwest Territories
  13. 62. Nunavut
  14. DK, RF

Immigration status (RIM)

RIM_Q10

In what year did you first come to Canada to live?

(MIN: 1900) (MAX: 9995)

DK, RF

RIM_Q20

Are you now, or have you ever been, a landed immigrant in Canada?

  1. Yes
  2. No
  3. DK, RF

RIM_Q30

In what year did you first become a landed immigrant in Canada?

(MIN: 1900) (MAX: 2011)

DK, RF

Ethnic ancestry (ETH)

ETH_Q110

What were the ethnic or cultural origins of your ancestors?

  1. Canadian
  2. English
  3. French
  4. Scottish
  5. Irish
  6. German
  7. Italian
  8. Aboriginal (North American Indian, Métis or Inuit)
  9. Ukrainian
  10. Chinese
  11. Dutch (Netherlands)
  12. Polish
  13. South Asian (East Indian, Sri Lankan, Pakistani, Punjabi, etc.)
  14. Jewish
  15. Portuguese
  16. Other - Specify
  17. DK, RF

ETH_S110

(What were the ethnic or cultural origins of your ancestors?)

(80 spaces)

DK, RF

Religion (RLR)

RLR_Q100

What is your religion?

(50 spaces)

DK, RF

RLR_S100

(What is your religion?)

(80 spaces)

DK, RF

RLR_Q105

Not counting events such as weddings or funerals, during the past 12 months, how often did you participate in religious activities or attend religious services or meetings?

  1. At least once a week
  2. At least once a month
  3. At least 3 times a year
  4. Once or twice a year
  5. Not at all
  6. DK, RF

RLR_Q110

How important are your religious or spiritual beliefs to the way you live your life? Would you say they are:

  1. very important?
  2. somewhat important?
  3. not very important?
  4. not important at all?
  5. DK, RF

RLR_Q120

In the past 12 months, how often did you engage in religious or spiritual activities on your own? This may include prayer, meditation and other forms of worship taking place at home or in any other location.

  1. At least once a day
  2. At least once a week
  3. At least once a month
  4. At least 3 times a year
  5. Once or twice a year
  6. Not at all
  7. DK, RF

Language of respondent (LNR)

LNR_Q100

What language did you first speak in childhood?

  1. 11. English
  2. 12. French
  3. 13. Italian
  4. 14. Chinese
  5. 15. German
  6. 16. Portuguese
  7. 17. Polish
  8. 18. Ukrainian
  9. 19. Spanish
  10. 20. Vietnamese
  11. 21. Greek
  12. 22. Punjabi
  13. 23. Arabic
  14. 24. Tagalog (Filipino)
  15. 25. Hungarian
  16. 26. Other - Specify
  17. DK, RF

LNR_S100

(What language did you first speak in childhood?)

(80 spaces)

(DK, RF not allowed)

LNR_Q111

Do you still understand English?

  1. Yes
  2. No
  3. DK, RF

LNR_Q112

Do you still understand French?

  1. Yes
  2. No
  3. DK, RF

LNR_Q113

Do you still understand Italian?

  1. Yes
  2. No
  3. DK, RF

LNR_Q114

Do you still understand Chinese?

  1. Yes
  2. No
  3. DK, RF

LNR_Q115

Do you still understand German?

  1. Yes
  2. No
  3. DK, RF

LNR_Q116

Do you still understand Portuguese?

  1. Yes
  2. No
  3. DK, RF

LNR_Q117

Do you still understand Polish?

  1. Yes
  2. No
  3. DK, RF

LNR_Q118

Do you still understand Ukrainian?

  1. Yes
  2. No
  3. DK, RF

LNR_Q119

Do you still understand Spanish?

  1. Yes
  2. No
  3. DK, RF

LNR_Q120

Do you still understand Vietnamese?

  1. Yes
  2. No
  3. DK, RF

LNR_Q121

Do you still understand Greek?

  1. Yes
  2. No
  3. DK, RF

LNR_Q122

Do you still understand Punjabi?

  1. Yes
  2. No
  3. DK, RF

LNR_Q123

Do you still understand Arabic?

  1. Yes
  2. No
  3. DK, RF

LNR_Q124

Do you still understand Tagalog?

  1. Yes
  2. No
  3. DK, RF

LNR_Q125

Do you still understand Hungarian?

  1. Yes
  2. No
  3. DK, RF

LNR_Q126

Do you still understand ^LNR_S100?

  1. Yes
  2. No
  3. DK, RF

LNR_Q140

What language do you speak most often at home?

  1. 11. English
  2. 12. French
  3. 13. Italian
  4. 14. Chinese
  5. 15. German
  6. 16. Portuguese
  7. 17. Polish
  8. 18. Ukrainian
  9. 19. Spanish
  10. 20. Vietnamese
  11. 21. Greek
  12. 22. Punjabi
  13. 23. Arabic
  14. 24. Tagalog (Filipino)
  15. 25. Hungarian
  16. 26. Other - Specify
  17. DK, RF

LNR_S140

(What language do you speak most often at home?)

(80 spaces)

(DK, RF not allowed)

LNR_Q210

Can you speak English well enough to conduct a conversation?

  1. Yes
  2. No
  3. DK, RF

LNR_Q220

Can you speak French well enough to conduct a conversation?

  1. Yes
  2. No
  3. DK, RF

Income (INR)

INR_R025

Now, the last set of questions.

INR_Q025

What was your main source of income during the year ending December 31, ^DV_PASTYEAR?

  1. 0. No income
  2. 1. Employment including wages, salaries, commissions and tips
  3. 2. Self-employment such as unincorporated business, professional practice or farm
  4. 3. Investment income (dividends, interest or net rents from real estate)
  5. 4. RRSPs or RRIFs (registered retirement income funds)
  6. 5. Employment Insurance (or Quebec Parental Insurance Plan)
  7. 6. Workers' Compensation
  8. 7. Benefits from Canada or Quebec Pension Plan
  9. 8. Retirement Pensions, Superannuation and Annuities
  10. 9. Basic Old Age Security
  11. 10. Guaranteed Income Supplement or Survivor's Allowance (from federal government only)
  12. 11. Child Tax Benefit or family allowances
  13. 12. Provincial, Territorial or Municipal Social Assistance or Welfare
  14. 13. Child Support/Alimony
  15. 14. Autre revenu - Précisez
  16. DK, RF

INR_S025

(What was your main source of income during the year ending December 31, ^DV_PASTYEAR?)

(80 spaces)

DK, RF

INR_Q032

What is your best estimate of your total personal income, before taxes and deductions, from all sources during the year ending December 31, ^DV_PASTYEAR?

(MIN: -9000000) (MAX: 90000000)

DK, RF

INR_Q033

Can you estimate in which of the following groups your total personal income falls for the year ending December 31, ^DV_PASTYEAR? Was it:

  1. … less than $30,000 (including income loss)?
  2. … $30,000 or more?
  3. DK, RF

INR_Q034

Please stop me when I have read the category which applies to you. Was it:

  1. … less than $5,000?
  2. … $5,000 to less than $10,000?
  3. … $10,000 to less than $15,000?
  4. … $15,000 to less than $20,000?
  5. … $20,000 to less than $25,000?
  6. … $25,000 to less than $30,000?
  7. DK, RF

INR_Q035

Please stop me when I have read the category which applies to you. Was it:

  1. … $30,000 to less than $40,000?
  2. … $40,000 to less than $50,000?
  3. … $50,000 to less than $60,000?
  4. … $60,000 to less than $80,000?
  5. … $80,000 to less than $100,000?
  6. … $100,000 to less than $150,000?
  7. … $150,000 or more?
  8. DK, RF

INR_Q040

Not including you, how many other household members received income from any source during that period (the year ending December 31, ^DV_PASTYEAR)?

(MIN: 0) (MAX: 19)

DK, RF

INR_Q110

What is your best estimate of your total household income, received by all household members, from all sources, before taxes and deductions, during the year ending December 31, ^DV_PASTYEAR?

(MIN: -9000000) (MAX: 90000000)

DK, RF

INR_Q120

Can you estimate in which of the following groups your total household income falls for the year ending December 31, ^DV_PASTYEAR? Was it:

  1. … less than $50,000 (including income loss)?
  2. … $50,000 or more?
  3. DK, RF

INR_Q130

Can you estimate in which of the following groups your total household income falls for the year ending December 31, ^DV_PASTYEAR?

Please stop me when I have read the category which applies to your household. Was it:

  1. less than $5,000?
  2. $5,000 to less than $10,000?
  3. $10,000 to less than $15,000?
  4. $15,000 to less than $20,000?
  5. $20,000 to less than $30,000?
  6. $30,000 to less than $40,000?
  7. $40,000 to less than $50,000?
  8. DK, RF

INR_Q140

Can you estimate in which of the following groups your total household income falls for the year ending December 31, ^DV_PASTYEAR?

Please stop me when I have read the category which applies to your household. Was it:

  1. $50,000 to less than $60,000?
  2. $60,000 to less than $70,000?
  3. $70,000 to less than $80,000?
  4. $80,000 to less than $90,000?
  5. $90,000 to less than $100,000?
  6. $100,000 to less than $150,000?
  7. $150,000 or more?
  8. DK, RF

The LFS application consists of several questionnaire components (Contact, Household, Demographics, Rent, Labour Force Information and Exit), each of which is summarized below, followed by the lists of codesets. Each of the questionnaire components is comprised of a number of question blocks.

For simplicity, as a result of the complexity of the logic within the application, not all possible questions and flows are presented. This is especially the case within the Contact Component where the scope of possible questions and flows is somewhat greater than that summarized below.

Selected dwellings are in the survey for six consecutive months. A birth interview corresponds to the first interview for a new household, and is usually conducted in person. Some birth interviews are now also conducted by telephone from centralized CATI work sites.

Subsequent interviews are conducted in the following months, and are usually done by telephone. Starting in 2015, LFS respondents who met certain criteria were also offered the option of completing the survey on-line for subsequent interviews.

Contact component

The following information is collected at the start of each contact attempt.

II_R01A — Hello, I'm calling from Statistics Canada. My name is …
If interview in person, go to IC_R01
If birth interview by telephone, go to AR_Q01
If subsequent interview by telephone, go to SR_Q01

SR_Q01 — May I speak with …?
If "Speaking", go to IC_R01
If "Available", go to II_R01B
If "Not available" or "No longer a household member", go to AR_Q01
If "Wrong number", go to TC_Q01

II_R01B — Hello, I'm calling from Statistics Canada. My name is …
Go to IC_R01

TC_Q01 — I would like to make sure I've dialed the right number. Is this: [telephone number]?
If yes, go to AR_Q01
If no, thank person and end call

AR_Q01 — May I speak with an adult member of the household?
If "Speaking" and CATI birth interview, go to TFCC_Q01
If "Speaking" and not CATI birth interview, go to IC_R01
If "Available", go to II_R01C
If "Not available" and birth interview, go to ARA_Q01
If "Not available" and subsequent interview and SR_Q01 = "Not available", go to SRA_Q01
If "Not available" and subsequent interview and SR_Q01 = "No longer a household member" or "Wrong number", go to ARA_Q01

II_R01C — Hello, I'm calling from Statistics Canada. My name is …
If CATI birth interview, go to TFCC_Q01
If not CATI birth interview, go to IC_R01

SRA_Q01 — I would like to contact … When would he/she be available?
If "Available", make appointment and then thank person and end call
If "Not available", go to ARA_Q01

ARA_Q01 — When would an adult member of the household be available?
If "Available", make appointment and then thank person and end call
If "Not available", thank person and end call

TFCC_Q01 — In order to make sure I've reached the correct household, I need to confirm your address. Is it: [listing address]?
If yes, go to IC_R01
If no, go to TFCC_Q02

TFCC_Q02 — I would like to make sure I've dialed the right number. Is this [telephone number]?
Thank person and end call

IC_R01
I'm calling regarding the Labour Force Survey.

LP_Q01 — Would you prefer to be interviewed in English or in French?
If CATI interview, go to MON_R01
If not CATI interview, go to Household Component

MON_R01
My supervisor may listen to this call for the purpose of quality control.

Household and demographics component

Household blocks

LA_N01
If CATI birth interview, go to MA_Q01
If subsequent interview in person, go to CMA_Q01
If subsequent interview by telephone, go to SD_Q01

Confirm the listing address.
Go to MA_Q01

SD_Q01 — I would like to confirm your address. Are you still living at [listing address]?
If yes and listing address is the same as mailing address, go to CHM_Q01
If yes and listing address is different from mailing address, go to CMA_Q01
If no, go to SD_Q02
If "Respondent never lived there", go to SD_Q05

SD_Q02 — Does anyone who was living with you at that address still live there?
If yes, go to SD_Q03
If no, thank person and end call

SD_Q03 — Can you provide me with the current telephone number for that address?
If yes, go to SD_Q04
If no, thank person and end call

SD_Q04 — What is that telephone number, including the area code?
Thank person and end call

SD_Q05 — I would like to make sure I've dialed the right number. Is this [telephone number]?
Thank person and end call

CHM_Q01 — Is this also your mailing address?
If yes, go to TN_Q01
If no, go to MA_Q01

CMA_Q01 — I would like to confirm your mailing address. Is it: [mailing address]?
If yes, go to TN_Q01
If no, go to MA_Q01

MA_Q01 — What is your correct mailing address?
If birth interview in person, go to DW_N02
If birth interview by telephone, go to DW_Q01
If subsequent interview, go to TN_Q01

DW_Q01 — What type of dwelling do you live in? Is it a:
Read categories to respondent.
Go to TN_Q01

DW_N02
Select the dwelling type.

TN_Q01 — Is this dwelling owned by a member of this household?

RS_R01
The next few questions ask for important basic information on the people in your household.

If birth interview, go to USU_Q01
If subsequent interview, go to PV2_Q01

USU_Q01 — What are the names of all persons who usually live here?
Begin with adults who have responsibility for the care or support of the family.

RS_Q02 — Is anyone staying here temporarily?
If yes, go to TEM_Q01
If no, go to RS_Q04

TEM_Q01 — What are the names of all persons who are staying here temporarily?
Add a person only if he/she has no other usual residence elsewhere.

RS_Q04 — Are there any other persons who usually live here but are now away at school, in hospital, or somewhere else?
If yes, go to OTH1_Q01
If no, go to Individual Demographics

OTH1_Q01 — What are the names of the other people who live or stay here?
Add a person only if he/she has no other usual residence elsewhere.
Go to Individual Demographics

PV2_Q01 — Do the following people still live or stay in this dwelling?
If yes, go to RS_Q05
If no, go to PV2_Q01_RES_Q02

PV2_Q01_RES_Q02 — Is … no longer a member of the household or deceased?

RS_Q05 — Does anyone else now live or stay here?
If yes, go to OTH2_Q01
If no, go to Individual Demographics

OTH2_Q01 — What are the names of the other people who live or stay here?
Add a person only if he/she has no other usual residence elsewhere.

Demographics blocks

The following demographic information is collected for each household member.

ANC_Q01 — What is …'s date of birth?

ANC_Q02 — So …'s age on [date of last day of reference week] was [calculated age]. Is that correct?
If yes, go to SEX_Q01
If no, go to ANC_Q03

ANC_Q03 — What is …'s age?

SEX_Q01
Enter …'s sex.

MSNC_Q01
If age < 16, go to FI_N01
What is …'s marital status? Is he/she:
Read categories to respondent.

FI_N01
Enter …'s family identifier: A to Z.
Assign the same letter to all persons related by blood, marriage or adoption.

RR_N01
Determine a reference person for the family and select …'s relationship to that reference person. The reference person should be an adult involved in the care or support of the family.

IMM_Q01 — In what country was … born?
If age < 14, go to CAF_Q01
Specify country of birth according to current boundaries.
If 01-Canada, go to ABO_Q01

IMM_Q02 — Is ... now, or has he/she ever been, a landed immigrant in Canada?
A landed immigrant (permanent resident) is a person who has been granted the right to live in Canada permanently by immigration authorities.
If yes, go to IMM_Q03
If no, go to ABO_Q01

IMM_Q03 — In what year did … first become a landed immigrant?
Year:

IMM_Q04
If IMM_Q03 is more than five years ago go to ABO_Q01
In what month?
Month:

ABO_Q01
If Country of Birth is not Canada, USA or Greenland go to ED_Q01
Is ... an Aboriginal person, that is, North American Indian, Métis or Inuit?
If yes, go to ABO_Q02
If no, go to ED_Q01

ABO_Q02
If respondent has already specified the Aboriginal group(s), select the group(s) from list below; if not, ask: Is ... a North American Indian, Métis or Inuit?
Mark all that apply.

ED_Q01
What is the highest grade of elementary or high school … ever completed?

If "Grade 8 or lower" or "Grade 9 – 10", go to ED_Q03
If "Grade 11 – 13", go to ED_Q02

ED_Q02 — Did … graduate from high school (secondary school)?

ED_Q03 — Has … received any other education that could be counted towards a degree, certificate or diploma from an educational institution?
If yes, go to ED_Q04
If no, go to CAF_Q01

ED_Q04 — What is the highest degree, certificate or diploma … has obtained?

CHE_Q01
If (Country of Birth is Canada) or (IMM_Q02 is No) or (respondent has not received a post-secondary degree, certificate or diploma) go to CAF_Q01
In what country did … complete his/her highest degree, certificate or diploma?
Specify country of highest education according to current boundaries.

CAF_Q01
If age < 16 or age > 65, go to ANC_Q01 for next household member
Is … a full-time member of the regular Canadian Armed Forces?

For each person aged 15 or over who is not a full-time member of the regular armed forces complete the Labour force information component.

Rent component

The Rent Component is generated only for cases where the answer to TN_Q01 ("Is this dwelling owned by a member of this household?") in the Household Component is "No", and province/territory is not Yukon, the Northwest Territories or Nunavut.

RRF_R01
The next few questions are about your rent. The information collected is used to calculate the rent portion of the Consumer Price Index.

RM_Q01
If rent information exists from the previous month, go to RM_Q04
If dwelling type is not "Low-rise apartment" and not "High-rise apartment", go to RM_Q02

On which floor do you live?

RM_Q02 — To the best of your knowledge, how old is your building?

RM_Q03 — How many bedrooms are there in your dwelling?

RM_Q04 — This month, is the rent for your dwelling subsidized by government or an employer, or a relative?
If yes, go to RM_Q04A
If no, go to RM_Q05

RM_Q04A — In what manner is the rent for your dwelling subsidized?

RM_Q05 — This month, are you operating a business from your dwelling?
If yes, go to RM_Q05A
If no, go to RM_Q06

RM_Q05A — Does the business affect the amount of rent paid?

RM_Q06 — How much is the total monthly rent for your dwelling?
If $0, go to RM_Q07
If > $0, go to RM_Q08

RM_Q07 — What is the reason that the rent is $0?
If RM_Q04 = yes, go to end of Rent Component

RM_Q08
If rent information does not exist from the previous month, go to RM_Q09B
If there has been a complete change in household membership, go to RM_Q09B
If RM_Q04 = yes, go to RM_Q09B

Since last month, have there been any changes in the amount of rent paid?
If yes, go to RM_Q08A
If no, go to RM_Q09B

RM_Q08A — What is the reason for the change in rent since last month?
Mark all that apply.

RM_Q09B
If dwelling type is not "Low-rise apartment" and not "High-rise apartment", go to RM_Q14
If rent information exists from the previous month and there has not been a complete change in household membership, go to RM_Q09S

Does this month's rent include parking facilities?
If yes, go to RM_Q10
If no, go to RM_Q14

RM_Q09S — Since last month, have there been any changes in the parking facilities?
If yes, go to RM_Q10
If no, go to RM_Q14

RM_Q10 — What types of parking facilities are included in your rent?
Mark all that apply.

RM_Q11
If "Closed garage or indoor parking" is not marked in RM_Q10, go to RM_Q12
How many closed garage or indoor parking spaces are included in your rent?

RM_Q12
If "Outside parking with plug-in" is not marked in RM_Q10, go to RM_Q13
How many outside parking spaces with plug-in are included in your rent?

RM_Q13
If "Outside parking without plug-in" is not marked in RM_Q10, go to RM_Q14
How many outside parking spaces without plug-in are included in your rent?

RM_Q14
If rent information does not exist from the previous month, go to RM_Q15
If there has been a complete change in household membership, go to RM_Q15
If "Change in utilities, services, appliances, or furnishings" is marked in RM_Q08A, go to RM_Q15

Since last month, have there been any changes in the utilities, services, household appliances, or furnishings included in the rent?
If yes, go to RM_Q15
If no, go to end of Rent Component

RM_Q15 — Which of the following utilities, services, household appliances, or furnishings are included as part of the monthly rent?
Read list to respondent. Mark all that apply.

Labour force information component

In this component, a path is assigned according to the answers provided. This path is used to control the flow through the component. For paths 1, 2, 6, and 7 the path determines the labour force status, but for paths 3, 4 and 5 other conditions (for example, availability for work) must be considered to distinguish between those who are unemployed and those who are not in the labour force.

Paths

1
Employed, at work
2
Employed, absent from work
3
Temporary layoff
4
Job seeker
5
Future start
6
Not in labour force, able to work
7
Not in labour force, permanently unable to work

Job attachment block

LFI_Q100 — Many of the following questions concern ...'s activities last week. By last week, I mean the week beginning on Sunday, [date of first day of reference week], and ending last Saturday, [date of last day of reference week].
Last week, did ... work at a job or business? (regardless of the number of hours)

If yes, then PATH = 1 and go to 102
If no, go to 101
If "Permanently unable to work", then PATH = 7 and go to 104

LFI_Q101 — Last week, did ... have a job or business from which he/she was absent?
If no, go to 104

LFI_Q102 — Did he/she have more than one job or business last week?
If no, go to 110

LFI_Q103 — Was this a result of changing employers?
Go to 110

Past job attachment block

LFI_Q104 — Has he/she ever worked at a job or business?
If no, go to 170

LFI_Q105 — When did he/she last work?
If subsequent interview and no change in 105 and last month's PATH = 3, go to 131
Else if subsequent interview and no change in 105 and last month's PATH = 4 to 7, go to 170
Else if not within past year, go to 170
Else if PATH = 7, go to 131
Else if PATH not 7, go to 110

Job description block

LFI_Q110 — If 103 = yes, I am now going to ask some questions about …'s new job or business. Was he/she
an employee or self-employed?

If 103 = no, I am now going to ask some questions about the job or business at which he/she usually works the most hours. Was he/she an employee or self-employed?
Otherwise, Was he/she an employee or self-employed?
If not "Self-employed", go to 114

LFI_Q111 — Did he/she have an incorporated business?

LFI_Q112 — Did he/she have any employees?

LFI_Q113 — What was the name of his/her business?
Go to 115

LFI_Q114 — For whom did he/she work?
(name of business, government department or agency, or person)

LFI_Q115 — What kind of business, industry or service was this?
(e.g., cardboard box manufacturing, road maintenance, retail shoe store, secondary school, dairy farm, municipal government)

LFI_Q116 — What kind of work was he/she doing?
(e.g., babysitting in own home, factory worker, forestry technician)

LFI_Q117 — What were his/her most important activities or duties?
(e.g., caring for children, stamp press machine operator, forest examiner)

LFI_Q118 — When did he/she start working for/at [name of employer/name of business]?

Absence – Separation block

LFI_Q130
If PATH = 1, go to 150
If 101 = no, go to 131

What was the main reason ... was absent from work last week?
If "Temporary layoff due to business conditions", go to 134
If "Seasonal layoff", go to 136
If "Casual job, no work available", go to 137
Otherwise, PATH = 2 and go to 150

LFI_Q131 — What was the main reason ... stopped working at that [job/business]?
If not "Lost job, laid off or job ended", go to 137

LFI_Q132 — Can you be more specific about the main reason for his/her job loss?
If PATH = 7, go to 137
Else if "Business conditions", go to 133
Otherwise, go to 137

LFI_Q133 — Does he/she expect to return to that job?
If no or "Not sure", go to 137

LFI_Q134 — Has ...'s employer given him/her a date to return?
If yes, go to 136

LFI_Q135 — Has he/she been given any indication that he/she will be recalled within the next 6 months?

LFI_Q136 — As of last week, how many weeks had ... been on layoff?
If 130 = "Seasonal layoff", go to 137
Else if 134 = no and 135 = no, go to 137
Else if on layoff more than 52 weeks, go to 137
Otherwise, PATH = 3 and go to 137

LFI_Q137 — Did he/she usually work more or less than 30 hours per week?
If PATH = 3, go to 190
Otherwise, go to 170

Work hours (Main job) block

LFI_Q150
The following questions refer to ...'s work hours at his/her [new] [job/business] [at name of employer].

If 110 = "Employee", Excluding overtime, does the number of paid hours ... works vary from week to week?
Otherwise, Does the number of hours ... works vary from week to week?
If yes, go to 152

LFI_Q151
If 110 = "Employee", Excluding overtime, how many paid hours does ... work per week?
Otherwise, How many hours does ... work per week?
If PATH = 2, go to 158
If 110 = "Employee", go to 153
Otherwise, go to 157

LFI_Q152
If 110 = "Employee", Excluding overtime, on average, how many paid hours does ... usually work per week?
Otherwise, On average, how many hours does ... usually work per week?
If PATH = 2, go to 158
If 110 = "Employee", go to 153
Otherwise, go to 157

LFI_Q153 — Last week, how many hours was he/she away from this job because of vacation, illness, or any other reason?
If 0 hours, go to 155

LFI_Q154 — What was the main reason for that absence?

LFI_Q155 — Last week, how many hours of paid overtime did he/she work at this job?

LFI_Q156 — Last week, how many extra hours without pay did he/she work at this job?
If 150 = no, then actual hours = 151 - 153 + 155 + 156 and go to 158

LFI_Q157 — Last week, how many hours did he/she actually work at his/her [new] [job/business] [at name of employer]?

LFI_Q158
If 151 >= 29.5 or 152 >= 29.5, and PATH = 2, go to 162
If 151 >= 29.5 or 152 >= 29.5, and PATH = 1, go to 200

Does he/she want to work 30 or more hours per week [at a single job]?
If yes, go to 160

LFI_Q159 — What is the main reason ... does not want to work 30 or more hours per week [at a single job]?
If PATH = 2, go to 162
Otherwise, go to 200

LFI_Q160 — What is the main reason ... usually works less than 30 hours per week [at his/her main job]?
If not ("Business conditions" or "Could not find work with 30 or more hours per week") and PATH = 2, go to 162
If not ("Business conditions" or "Could not find work with 30 or more hours per week") and PATH = 1, go to 200

LFI_Q161 — At any time in the 4 weeks ending last Saturday, [date of last day of reference week], did he/she look for full-time work?
If PATH = 2, go to 162
Otherwise, go to 200

Absence block

LFI_Q162 — As of last week, how many weeks had ... been continuously absent from work?
If (110 is "Employee") or (110 is "Self-employed" and 111 is yes), go to 163
Otherwise, go to 200

LFI_Q163 — Is he/she getting any wages or salary from his/her [employer/business] for any time off last week?
Go to 200

Job search - Future start block

LFI_Q170
If PATH = 7, go to 500
In the 4 weeks ending last Saturday, [date of last day of reference week], did ... do anything to find work?
If no and age >= 65, then PATH = 6 and go to 500
If no and age <= 64, go to 174
If yes, then PATH = 4 and go to 171

LFI_Q171 — What did he/she do to find work in those 4 weeks? Did he/she do anything else to find work?

LFI_Q172 — As of last week, how many weeks had he/she been looking for work?
[since the date last worked]

LFI_Q173 — What was his/her main activity before he/she started looking for work?
Go to 177

LFI_Q174 — Last week, did ... have a job to start at a definite date in the future?
If no, then PATH = 6 and go to 176

LFI_Q175 — Will he/she start that job before or after Sunday, [date of the first day after four weeks from the last day of reference week]?
If "Before the date above", then PATH = 5 and go to 190
If "On or after the date above", then PATH = 6 and go to 500

LFI_Q176 — Did he/she want a job last week?
If no, go to 500

LFI_Q177 — Did he/she want a job with more or less than 30 hours per week?

LFI_Q178
If PATH = 4, go to 190
What was the main reason he/she did not look for work last week?
If "Believes no work available", go to 190
Otherwise, go to 500

Availability block

LFI_Q190 — Could he/she have worked last week [if he/she had been recalled/if a suitable job had been offered]?
If yes, go to 400

LFI_Q191 — What was the main reason ... was not available to work last week?
Go to 400

Earnings block

LFI_Q200
If 110 is not "Employee", go to 300
If subsequent interview and no change in 110, 114, 115, 116, 117, 118, go to 300

Now I'd like to ask a few short questions about ...'s earnings from his/her [new] job [at name of employer].
Is he/she paid by the hour?

LFI_Q201 — Does he/she usually receive tips or commissions?
If 200 = no, go to 204

LFI_Q202 — [Including tips and commissions,] what is his/her hourly rate of pay?
Go to 220

LFI_Q204 — What is the easiest way for you to tell us his/her wage or salary, [including tips and commissions,] before taxes and other deductions?
Would it be yearly, monthly, weekly, or on some other basis?

If "Yearly", go to 209
If "Monthly", go to 208
If "Semi-monthly", go to 207
If "Bi-weekly", go to 206
If "Weekly" or "Other", go to 205

LFI_Q205 — [Including tips and commissions,] what is his/her weekly wage or salary, before taxes and other deductions?
Go to 220

LFI_Q206 — [Including tips and commissions,] what is his/her bi-weekly wage or salary, before taxes and other deductions?
Go to 220

LFI_Q207 — [Including tips and commissions,] what is his/her semi-monthly wage or salary, before taxes and other deductions?
Go to 220

LFI_Q208 — [Including tips and commissions,] what is his/her monthly wage or salary, before taxes and other deductions?
Go to 220

LFI_Q209 — [Including tips and commissions,] what is his/her yearly wage or salary, before taxes and other deductions?
Go to 220

Union block

LFI_Q220 — Is he/she a union member at his/her [new] job [at name of employer]?
If yes, go to 240

LFI_Q221 — Is he/she covered by a union contract or collective agreement?

Permanence block

LFI_Q240 — Is ...'s [new] job [at name of employer] permanent, or is there some way that it is not permanent?
(e.g., seasonal, temporary, term or casual)

If "Permanent", go to 260

LFI_Q241 — In what way is his/her job not permanent?
Go to 260

Firm size block

LFI_Q260 — About how many persons are employed at the location where ... works for [name of employer]?
Would it be: [Less than 20, 20 to 99, 100 to 500, or over 500]?

Read categories to respondent.

LFI_Q261 — Does [name of employer] operate at more than one location?
If no, or 260 = "Over 500", go to 300

LFI_Q262 — In total, about how many persons are employed at all locations?
Would it be: [Less than 20, 20 to 99, 100 to 500, or over 500]?

Read categories to respondent.
Go to 300

Class of worker – Hours at other job block

LFI_Q300
If 102 = no, go to 400
Now I have a couple of questions about ...'s [other/old] job or business. Was he/she an employee or self- employed?
If not "Self-employed", go to 320

LFI_Q301 — Did he/she have an incorporated business?

LFI_Q302 — Did he/she have any employees?

LFI_Q320
If 300 = "Employee", Excluding overtime, how many paid hours [does/did] ... usually work per week at this job?
Otherwise, How many hours [does/did] ... usually work per week at this [business/family business]?
If PATH = 2, go to 400

LFI_Q321 — Last week, how many hours did ... actually work at this [job/business/family business]?
Go to 400

Temporary layoff job search block

LFI_Q400
If PATH not 3, go to 500
In the 4 weeks ending last Saturday, [date of last day of reference week], did ... look for a job with a different employer?
Go to 500

School attendance block

LFI_Q500
If age >= 65, go to END
Last week, was ... attending a school, college or university?
If no, go to 520

LFI_Q501 — Was he/she enrolled as a full-time or part-time student?

LFI_Q502 — What kind of school was this?
Go to 520

Returning students block

LFI_Q520
If survey month not May through August, go to END
Else if age not 15 to 24, go to END
Else if subsequent interview and 520 in previous month was "no", go to END
Else if subsequent interview and 520 in previous month was "yes", go to 521

Was he/she a full-time student in March of this year?
If no, go to END

LFI_Q521 — Does he/she expect to be a full-time student this fall?

Exit component

The following information is collected at the end of the LFS interview each month to gather information for future contacts and to thank respondents for their participation. In many cases, this information will be pre-filled for confirmation in subsequent interviews.

EI_R01
If rotate-out (for example, last month for interview), go to TY_R02
Before we finish, I would like to ask you a few other questions.

FC_R01
As part of the Labour Force Survey, we will contact your household next month during the week of [date of first day of next month survey week].
After this month, this dwelling has [calculated number of remaining interviews] LFS interview(s) left.

HC_Q01 – Who would be the best person to contact?
If non-household member, go to TEL_Q01

IRO2_N03
Are you currently speaking with [household contact]?
If no, go to TEL_Q01

IRO2_N04
Did you complete the entire survey from beginning to end with [household contact]?
If no or not sure, go to TEL_Q01

IRO2_N05
Do any of the household members have fictitious names?

TEL_Q01
If no telephone number exists, go to TEL_Q02
I would like to confirm your telephone number. Is it [telephone number]?
If yes, go to EQOF_Q01
If no, go to TEL_Q02

TEL_Q02 — What is your telephone number, including the area code?

EQOF_Q01
If IRO2_N03 = No, go to PC_Q01
If IRO2_N04 = No or Not sure, go to PC_Q01
If IRO2_N05 = Yes, go to PC_Q01
If invalid telephone number, go to PV_R01

Next month, you will have the option of completing this survey on the Internet.

Would you prefer to complete the survey on the Internet or have a Statistics Canada interviewer contact you directly?
If Statistics Canada interviewer is selected, go to PC_Q01

EQOF_R02
Statistics Canada will send you an email on [date of first day of next month survey week] with instructions for accessing the questionnaire on the Internet. You will have five days to complete the questionnaire. Otherwise, an interviewer will telephone you.
Parts of the Internet questionnaire will be pre-filled with some information that you have provided during this interview such as the ages of members of your household and descriptions of their jobs.

EA_Q01
If no email address exists, go to EA_Q02
I would like to confirm your email address. Is it [email address]?
If yes, go to LQ_Q01

EA_Q02 – What is your email address?
If email address is invalid, go to EQQ4_R04B

EA_Q03 – I would like to confirm your email address. Is it [EA_Q02]?
If yes, go to LQ_Q01
If no, go to EA_Q02

EQQ4_R04B – An email address is required in order to access the questionnaire on the Internet. Therefore, an interviewer will contact you next month to complete the survey.

PC_Q01
If CATI interview, go to PTC_Q01
May we conduct the next interview by telephone?
If yes, go to PTC_Q01
If no, go to PV_R01

PV_R01
In this case we will make a personal visit next month during the week of [date of first day of next month survey week].

PTC_Q01
If preferred time to call information does not exist from the previous month, go to PTC_Q02
I would like to confirm the time of day you would prefer that we call. Is it [preferred time to call]?
If yes, go to PTC_N03
If no, go to PTC_Q02

PTC_Q02 — What time of day would you prefer that we call? Would it be the morning, the afternoon, the evening, or any time?
Mark all that apply.

PTC_N03
Enter any other information about the preferred time to call.

LQ_Q01
If CATI interview, go to TY_R01
If subsequent interview, go to TY_R01
If dwelling type is not "Single detached" and not "Double" and not "Row or terrace" and not "Duplex", go to TY_ R01

Is there another set of living quarters within this structure?
If yes, go to LQ_N02
If no, go to TY_R01

LQ_N02
Remember to verify the cluster list and add one or more multiples if necessary.

TY_R01
Thank you very much for your participation in this month's Labour Force Survey. Have a nice [day/evening].

Go to END

TY_R02
Thank you very much for your participation in the Labour Force Survey. Although your six months in this Survey are over, your household may be contacted by Statistics Canada some time in the future for another survey. Have a nice [day/evening].

List of codesets

Codes for Contact component

SR_Q01

1
Yes, speaking to respondent
2
Yes, respondent available
3
No, respondent not available
4
No, respondent no longer a household member
5
Wrong number

AR_Q01

1
Yes, speaking to an adult member
2
Yes, an adult member is available
3
No, an adult member is not available

SRA_Q01 / ARA_Q01

1
Make hard appointment
2
Make soft appointment
3
Not available

LP_Q01

1
English
2
French
3
Other

Codes for Household component

SD_Q01

1
Yes
2
No
3
No, respondent never lived there

DW_Q01 / DW_N02

01
Single detached
02
Double
03
Row or terrace
04
Duplex
05
Low rise apartment of fewer than 5 stories or a flat
06
High rise apartment of 5 stories or more
07
Institution
08
Hotel; rooming/lodging house; camp
09
Mobile home
10
Other – Specify

PV2_Q01_RES_Q02

1
No longer a member
2
Deceased

Codes for Individual demographics

SEX_Q01

1
Male
2
Female

MSNC_Q01

1
Married
2
Living common-law
3
Widowed
4
Separated
5
Divorced
6
Single, never married

RR_N01

1
Reference person
2
Spouse
3
Son or daughter (birth, adopted or step)
4
Grandchild
5
Son-in-law or daughter-in-law
6
Foster child (less than 18 years of age)
7
Parent
8
Parent-in-law
9
Brother or sister
10
Other relative – Specify

IMM_Q01

Responses that do not correspond to one of the twelve countries explicitly listed are recorded as "Other – Search" and invoke a country search file containing a list of all current countries.

01
Canada
02
United States
03
United Kingdom
04
Germany
05
Italy
06
Poland
07
Portugal
08
China (People's Republic of)
09
Hong Kong
10
India
11
Philippines
12
Vietnam
13
Other – Search

IMM_Q02

1
Yes
2
No

ABO_Q01

1
Yes
2
No

ABO_Q02

Mark all that apply.

1
North American Indian
2
Métis
3
Inuit (Eskimo)

ED_Q01

1
Grade 8 or lower (Quebec: Secondary II or lower)
2
Grade 9 - 10 (Quebec: Secondary III or IV, Newfoundland and Labrador: 1st  year of secondary)
3
Grade 11 - 13 (Quebec: Secondary V, Newfoundland and Labrador: 2nd  to 4th  year of secondary)

ED_Q04

1
No postsecondary degree, certificate or diploma
2
Trade certificate or diploma from a vocational school or apprenticeship training
3
Non-university certificate or diploma from a community college, CEGEP, school of nursing, etc.
4
University certificate below bachelor's level
5
Bachelor's degree
6
University degree or certificate above bachelor's degree

CHE_Q01

Responses that do not correspond to one of the twelve countries explicitly listed are recorded as "Other – Search" and invoke a country search file containing a list of all current countries.

01
Canada
02
United States
03
United Kingdom
04
Germany
05
Italy
06
Poland
07
Portugal
08
China (People's Republic of)
09
Hong Kong
10
India
11
Philippines
12
Vietnam
13
Other – Search

Codes for Rent component

RM_Q02

1
No more than 5 years old
2
More than 5 but no more than 10 years old
3
More than 10 but no more than 20 years old
4
More than 20 but no more than 40 years old
5
More than 40 years old

RM_Q04A

1
Income-related/Government agencies
2
Employer
3
Owned by a relative
4
Other – Specify

RM_Q08A

1
Change in utilities, services, appliances, or furnishings
2
Change in parking facilities
3
New Lease
4
Other – Specify

RM_Q10

1
Closed garage or indoor parking
2
Outside parking with plug-in
3
Outside parking without plug-in

RM_Q15

1
Heat – Electric
2
Heat – Natural Gas
3
Heat – Other Specify
4
Electricity
5
Cablevision
6
Refrigerator
7
Range
8
Washer
9
Dryer
10
Other major appliance – Specify
11
Furniture
12
None of the above

Codes for Labour force information

LFI_Q100

1
Yes
2
No
3
Permanently unable to work

LFI_Q110 / LFI_Q300

1
Employee
2
Self-employed
3
Working in a family business without pay

LFI_Q130

01
Own illness or disability
02
Caring for own children
03
Caring for elder relative (60 years of age or older)
04
Maternity or parental leave
05
Other personal or family responsibilities
06
Vacation
07
Labour dispute (strike or lockout) (Employees only)
08
Temporary layoff due to business conditions (Employees only)
09
Seasonal layoff (Employees only)
10
Casual job, no work available (Employees only)
11
Work schedule (e.g., shift work) (Employees only)
12
Self-employed, no work available (Self-employed only)
13
Seasonal business (excluding employees)
14
Other – Specify

LFI_Q131

01
Own illness or disability
02
Caring for own children
03
Caring for elder relative (60 years of age or older)
04
Pregnancy (Females only)
05
Other personal or family responsibilities
06
Going to school
07
Lost job, laid off or job ended (Employees only)
08
Business sold or closed down (excluding employees)
09
Changed residence
10
Dissatisfied with job
11
Retired
12
Other – Specify

LFI_Q132

1
End of seasonal job
2
End of temporary, term or contract job (non-seasonal)
3
Casual job
4
Company moved
5
Company went out of business
6
Business conditions (e.g., not enough work, drop in orders, retooling)
7
Dismissal by employer (e.g., fired)
8
Other – Specify

LFI_Q133 / LFI_Q521

1
Yes
2
No
3
Not sure

LFI_Q137 / LFI_Q177

1
30 or more hours per week
2
Less than 30 hours per week

LFI_Q154

01
Own illness or disability
02
Caring for own children
03
Caring for elder relative (60 years of age or older)
04
Maternity or parental leave
05
Other personal or family responsibilities
06
Vacation
07
Labour dispute (strike or lockout)
08
Temporary layoff due to business conditions
09
Holiday (legal or religious)
10
Weather
11
Job started or ended during week
12
Working short-time (e.g., due to material shortages, plant maintenance or repair, etc.)
13
Other – Specify

LFI_Q159

1
Own illness or disability
2
Caring for own children
3
Caring for elder relative (60 years of age or older)
4
Other personal or family responsibilities
5
Going to school
6
Personal preference
7
Other – Specify

LFI_Q160

1
Own illness or disability
2
Caring for own children
3
Caring for elder relative (60 years of age or older)
4
Other personal or family responsibilities
5
Going to school
6
Business conditions
7
Could not find work with 30 or more hours per week
8
Other – Specify

LFI_Q171

1
Public employment agency
2
Private employment agency
3
Union
4
Employers directly
5
Friends or relatives
6
Placed or answered ads
7
Looked at job ads
8
Other – Specify

LFI_Q173

1
Working
2
Managing a home
3
Going to school
4
Other – Specify

LFI_Q175

1
Before the date above
2
On or after the date above

LFI_Q178

1
Own illness or disability
2
Caring for own children
3
Caring for elder relative (60 years of age or older)
4
Other personal or family responsibilities
5
Going to school
6
Waiting for recall (to former job)
7
Waiting for replies from employers
8
Believes no work available (in area, or suited to skills)
9
No reason given
10
Other – Specify

LFI_Q191

1
Own illness or disability
2
Caring for own children
3
Caring for elder relative (60 years of age or older)
4
Other personal or family responsibilities
5
Going to school
6
Vacation
7
Already has a job
8
Other – Specify

LFI_Q204

1
Yearly
2
Monthly
3
Semi-monthly
4
Bi-weekly
5
Weekly
6
Other – Specify

LFI_Q241

1
Seasonal job
2
Temporary, term or contract job (non-seasonal)
3
Casual job
5
Other – Specify

LFI_Q260 / LFI_Q262

1
Less than 20
2
20 to 99
3
100 to 500
4
Over 500

LFI_Q501

1
Full-time
2
Part-time

LFI_Q502

1
Elementary, junior high school, high school or equivalent
2
Community college, junior college, or CEGEP
3
University
4
Other – Specify

Codes for Exit component

IRO2_N03

1
Yes
2
No

IRO2_N04

1
Yes
2
No
3
Not sure

IRO2_N05 / TEL_Q01

1
Yes
2
No

EQOF_Q01

1
Internet
2
Statistics Canada interviewer

EA_Q01 / EA_Q03

1
Yes
2
No

PC_Q01 / PTC_Q01

1
Yes
2
No

PTC_Q02

1
ANY TIME
2
Morning
3
Afternoon
4
Evening
5
NOT morning
6
NOT afternoon
7
NOT evening

LQ_Q01

1
Yes
2
No

2016 Census of Agriculture

COMPLETE ONLINE AT: www.census.gc.ca

SECURE ACCESS CODE

Ce questionnaire est disponible en français 1-855-859-6273

  • Complete one questionnaire for each agricultural operation online or on paper (and return by mail).
  • If an extra questionnaire is received for the same agricultural operation or if additional questionnaires are required, contact us at 1-855-859-6273.

For assistance:
Visit www.census.gc.ca or call 1-855-859-6273
Monday to Friday from 8 a.m. to 8:00 p.m.
Saturday and Sunday from 8:30 a.m. to 4:30 p.m.

TTY users call 1-866-753-7083.

STEP 1

  1. Enter the Business Number (GST/HST) issued by Canada Revenue Agency for this agricultural operation.
  2. Enter the farm name (if applicable).
  3. Enter the corporation name (if different from the farm name).
  4. Enter the name and address of the person completing this questionnaire.

Family name
Given name and initial(s)
Telephone number
Alternate telephone number
Mailing address
Name of village, town or city
Province
Postal code
E-mail

CONFIDENTIAL WHEN COMPLETED

This information is collected under the authority of the Statistics Act, R.S.C. 1985, c. S-19. Completion of this questionnaire is required under this Act. Your information may be used by Statistics Canada in support of our other surveys or for analysis.

STEP 2

Answer the following questions about each person responsible for the MANAGEMENT DECISIONS made for this agricultural operation as of May 10, 2016.

  • Operator 1
    • SURNAME OR FAMILY NAME
    • GIVEN NAME and INITIAL(S)
  • Operator 2
    • SURNAME OR FAMILY NAME
    • GIVEN NAME and INITIAL(S)
  • Operator 3
    • SURNAME OR FAMILY NAME
    • GIVEN NAME and INITIAL(S)

If there are more than three operators, provide names and telephone numbers in the COMMENTS section on page 16.

OPERATOR 1

  • Sex
    • Male
    • Female
  • Date of birth
  • Telephone number
  • Postal code
  1. Farm work

In 2015, what was each operator's average time contribution to this agricultural operation? (Include custom work done for others.) (Fill in one circle only per operator.)

On average:

  • more than 40 hours per week
  • 30 to 40 hours per week
  • 20 to 29 hours per week
  • fewer than 20 hours per week
  1. Other work

In 2015, did this operator receive a wage or salary from another job or operate another business not involved with this agricultural operation? (Do not include custom work done for others.) (Fill in one circle only per operator.)

  • No
  • Yes

If Yes, indicate the average time contribution to all other work.
On average:

  • more than 40 hours per week
  • 30 to 40 hours per week
  • 20 to 29 hours per week
  • fewer than 20 hours per week

OPERATOR 2

  • Sex
    • Male
    • Female
  • Date of birth
  • Telephone number
  • Postal code
  1. Farm work

In 2015, what was each operator's average time contribution to this agricultural operation? (Include custom work done for others.) (Fill in one circle only per operator.)
On average:

  • more than 40 hours per week
  • 30 to 40 hours per week
  • 20 to 29 hours per week
  • fewer than 20 hours per week
  1. Other work

In 2015, did this operator receive a wage or salary from another job or operate another business not involved with this agricultural operation? (Do not include custom work done for others.) (Fill in one circle only per operator.)

  • No
  • Yes

If Yes, indicate the average time contribution to all other work.
On average:

  • more than 40 hours per week
  • 30 to 40 hours per week
  • 20 to 29 hours per week
  • fewer than 20 hours per week

OPERATOR 3

  • Sex
    • Male
    • Female
  • Date of birth
  • Telephone number
  • Postal code
  1. Farm work

In 2015, what was each operator's average time contribution to this agricultural operation? (Include custom work done for others.) (Fill in one circle only per operator.)
On average:

  • more than 40 hours per week
  • 30 to 40 hours per week
  • 20 to 29 hours per week
  • fewer than 20 hours per week
  1. Other work

In 2015, did this operator receive a wage or salary from another job or operate another business not involved with this agricultural operation? (Do not include custom work done for others.) (Fill in one circle only per operator.)

  • No
  • Yes

If Yes, indicate the average time contribution to all other work.
On average:

  • more than 40 hours per week
  • 30 to 40 hours per week
  • 20 to 29 hours per week
  • fewer than 20 hours per week

STEP 3

Enter the MAIN FARM LOCATION of this operation.

  1. Enter the civic address. For the Prairies and parts of British Columbia, report in question 8.
    • Number
    • Road or street
    • Name of village, town, city or municipality
    • Province
    • Postal code
  2. In the Prairies and parts of British Columbia, enter:
    • Quarter
    • Section
    • Township
    • Range
    • Meridian

STEP 4

What UNIT OF MEASURE will be used to report land areas? Use this unit to report all areas throughout the questionnaire unless otherwise specified. (Fill in one circle only.)

    • Acres
    • Hectares
    • Arpents (Quebec only)
      1 acre = 0.40 hectare = 1.18 arpent
      1 hectare = 2.47 acres = 2.92 arpents
      1 arpent = 0.85 acre = 0.34 hectare

STEP 5

Answer the following questions about the TOTAL AREA OF WORKABLE and NON-WORKABLE LAND of this operation in 2016.

  • Workable land includes all cropland, nursery, sod, summerfallow, pasture, etc.
  • Non-workable land includes:
    • All idle land: woodlots, bush, ponds, bogs, marshes, buffer zones, etc.
    • All land buildings are located on: greenhouses, mushroom houses, farmhouse, barns, etc.

Area in 2016

  1. Total area owned (Include all workable and non-workable land.)
  2. Leased FROM governments (land operated under licence, permit or lease, etc.)
  3. Rented or leased FROM others
  4. Crop-shared land USED by this operation
  5. Other areas USED by this operation (land trading, rent-free, etc.)
  6. TOTAL of questions 10 to 14

LAND AREA used by others

  1. Area of land USED BY OTHERS (rented, leased or crop-shared TO others, land trading, rent-free, etc.)

NET AREA of this operation

  1. Question 15 minus question 16. This is the NET AREA.
    Report on this area throughout the questionnaire.

STEP 6

Answer the following questions about HAY or FIELD CROPS grown on this operation.

  • Include
    • all hay and field crops to be harvested or used as green manure in 2016, even if they were sown or planted in an earlier year;
    • all land to be seeded, even if not yet seeded.
  • Do not include land used by others.
  • Report the areas only once, even if more than one crop will be harvested in 2016.
  • Report vegetables in STEP 7 and fruits, berries and nuts in STEP 8.

Area in 2016

  1. Wheat
    • Spring wheat(Report durum wheat below.)
    • Durum wheat
    • Winter wheat (to be harvested in 2016)
  2. Oats
  3. Barley
  4. Mixed grains
  5. Corn
    • Corn for grain
      (Report sweet corn in STEP 7.)
    • Corn for silage, etc.
  6. Rye
    • Fall rye (to be harvested in 2016)
    • Spring rye
  7. Canola (rapeseed)
  8. Soybeans
  9. Flaxseed
  10. Dry field peas (Report fresh green peas in STEP 7.)
  11. Chick peas (including garbanzo beans)
  12. Lentils
  13. Dry white beans(navy and pea beans)
  14. Other dry beans (pinto, kidney, cranberry beans, lima, great northern, etc.)
  15. Alfalfa and alfalfa mixtures forhay, silage, green feed,dehydrated alfalfa, etc.
  16. All other tame hay and foddercrops for hay or silage (clover,sorghum, millet, etc.) (Report pasture inSTEP 10.)
  17. Forage seed to be harvestedin 2016 for seed (including turfgrass seed) (Report sod inSTEP 9.)
  18. Potatoes
  19. Mustard seed
  20. Sunflowers(standard and dwarf varieties)
  21. Canary seed
  22. Ginseng
  23. Buckwheat
  24. Sugar beets
  25. Triticale
  26. Other field crops (caraway seed, hemp, tobacco, spelt, coriander and other spices, etc.) — Specify:
  27. TOTAL area of hay and field crops (Total of questions 18 to 43)

STEP 7

Are any VEGETABLES grown on this operation for sale?

  • Do not include land used by others.
  • For potatoes, dry field peas and all dry beans, report in STEP 6.
  • For greenhouse vegetables, report in STEP 19.
    • No Go to STEP 8
    • Yes
      • Report the total area planted or to be planted in 2016.
      • Report in the same unit of measure as in STEP 4.

Example: An operation grows 7 1/3 acres of sweet corn for sale. This area would be reported as: 7 1/3

Area in 2016 (Fraction)

  1. Sweet corn
  2. Tomatoes
  3. Cucumbers (all varieties)
  4. Green peas (Report dry field peas in question 27, on page 4.)
  5. Green and wax beans
  6. Cabbage (Report Chinese cabbage below.)
  7. Chinese cabbage
  8. Cauliflower
  9. Broccoli
  10. Brussels sprouts
  11. Carrots (including baby carrots)
  12. Rutabagas and turnips
  13. Beets
  14. Radishes
  15. Shallots and green onions
  16. Dry onions, yellow, Spanish, cooking, etc.
  17. Celery
  18. Lettuce (all head and leaf varieties)
  19. Spinach
  20. Peppers
  21. Pumpkins
  22. Squash and zucchini
  23. Asparagus, producing
  24. Asparagus, non-producing
  25. Other vegetables (herbs, rhubarb, melons, garlic, gourds, etc.) — Specify:
  26. TOTAL area of vegetables (Total of questions 45 to 69)

STEP 8

Are any FRUITS, BERRIES or NUTS grown on this operation for sale?

  • Do not include land used by others.
    • No Go to STEP 9
    • Yes Report in the same unit of measure as in STEP 4.

Area in 2016 (producing and non-producing) (Fraction)

  1. Apples
  2. Pears
  3. Plums and prunes
  4. Cherries (sweet)
  5. Cherries (sour)
  6. Peaches
  7. Apricots
  8. Grapes
  9. Strawberries
  10. Raspberries
  11. Cranberries
  12. Blueberries (highbush blueberries and wild blueberries grown on managed land)
  13. Saskatoons
  14. Other fruits, berries or nuts (nectarines, currants, blackberries, hazelnuts, etc.) Specify:
  15. TOTAL area of fruits, berries and nuts
    (Total of questions 71 to 84)

STEP 9

Are any SOD, NURSERY PRODUCTS or CHRISTMAS TREES grown on this operation for sale?

  • For greenhouse products, report in STEP 19.
    • No Go to STEP 10
    • Yes Report the total area under cultivation in 2016.

Area in 2016

  1. TOTAL area of SOD under cultivation for sale
  2. TOTAL area of NURSERY products grown for sale (shrubs, trees, vines, ornamentals, bulbs, etc., grown out-of-doors, or in cold frames or tunnels)
  3. TOTAL area of CHRISTMAS TREES grown for sale (Include naturally established or planted areas, regardless of stage of growth. Only include areas that are pruned or managed with the use of fertilizer or pesticides.)

STEP 10

LAND USE

  • Do not include land used by others.

Area in 2016

  1. Enter the NET AREA from question 17 on page 3

Report below how the area in question 89 is used.

Area in 2016

  1. Sum of all areas reported for field crops and hay, vegetables, fruits, berries, nuts, sod, nursery products and Christmas trees (Total of questions 44, 70, 85, 86, 87 and 88)
  2. Summerfallow (Include cropland on which no crops will be grown during the year but that will have weeds controlled by tillage or chemical application.)
  3. Tame or seeded pasture (Do not include areas to be harvested for hay, silage or seed.)
  4. Natural land for pasture (Include woodland used as pasture.)
  5. Woodlands and wetlands (woodlots, sugarbush, tree windbreaks, bush, ponds, bogs, marshes, sloughs, etc.)
  6. All other land (idle land, land on which farm buildings, barnyards, lanes, home gardens, greenhouses and mushroom houses are located)
  7. TOTAL of questions 90 to 95 (This total should equal the NET AREA reported in question 89.)

STEP 11

If SUMMERFALLOW was reported in question 91, what is the area on which each of the following forms of weed control will be used in 2016:

Area in 2016

    • Chemfallow only
    • Summerfallow, tilled only
    • Chemical and tillage weed control on the same land (Do not include area already reported as "Chemfallow only" or "Summerfallow, tilled only".)

STEP 12

For the LAND SEEDED or TO BE SEEDED, report the area of each of the following practices:

Area

  • Include the area that was prepared last fall or this spring.
  • Do not include land in summerfallow this year.
    • No-till seeding or zero-till seeding (Include direct seeding into undisturbed stubble or sod.)
    • Tillage that retains most of the crop residue on the surface (Include minimum tillage.)
    • Tillage that incorporates most of the crop residue into the soil

STEP 13

In 2015, did this operation

  1. practice in-field winter grazing or feeding?
    • No
    • Yes
  2. practice rotational grazing?
    • No
    • Yes
  3. plow down green crops?
    • No
    • Yes
  4. have winter cover crops (including fall rye, winter wheat, red clover, etc.)?
    • No
    • Yes
  5. have windbreaks or shelterbelts (natural or planted)?
    • No
    • Yes

STEP 14

In 2015, what was the area of this operation from which CROP RESIDUE (straw, stover, stalks) was BALED for bedding or sale?

  • Include residue from small grains and oilseeds, and corn stalks.
  • Do not include hay, corn silage or other forages.

Area in 2015

  1. Report the area from which crop residue was baled in 2015

STEP 15

In 2015, were HERBICIDES, INSECTICIDES, FUNGICIDES, COMMERCIAL FERTILIZER, LIME, TRACE MINERALS or NUTRIENTS used on this operation?

  • Do not include
    • greenhouse or mushroom areas;
    • treated seed.
  • No Go to STEP 16
  • Yes Report land areas only once for each input, even if there was more than one application in 2015.
  1. Report the area of land on which each of the following inputs was used on this operation in 2015:

Area in 2015

  • Herbicides
  • Insecticides
  • Fungicides
  • Commercial fertilizer
  • Lime
  • Trace minerals and nutrients (copper, manganese, etc.)

STEP 16

In 2015, was MANURE applied on this operation?

  • No Go to STEP 17
  • Yes
  1. Report the area of land for each method of application:

Area in 2015

  • Solid or composted manure, incorporated into soil
  • Solid or composted manure, not incorporated
  • Liquid manure, injected or incorporated into soil
  • Liquid manure, not incorporated

STEP 17

In 2015, was an IRRIGATION system used on this operation to APPLY WATER ON LAND?

  • Include all methods of irrigation (pivot, sprinklers, surface, side or wheel rolls, drip, etc.)
  • Do not include greenhouse or mushroom areas.
    • No Go to STEP 18
    • Yes

Area irrigated in 2015

  1. Report the total area of land irrigated in 2015

STEP 18

Does this operation produce any ORGANIC products for sale?

  • Include certified products or those in the process of becoming certified.
    • No Go to STEP 19
    • Yes
  1. What is the status of the organic products in 2016? (Fill in all applicable circles.)
    • Certified by an organic certifying body
    • Transitional (in the process of becoming certified)
  2. Enter the name of the certifying body.

STEP 19

Are any GREENHOUSE PRODUCTS grown on this operation for sale?

  • For sod, nursery products and Christmas trees, report in STEP 9.
  • For unheated cold frames or tunnels, report these areas in STEP 7 or STEP 8.
    • No Go to STEP 20
    • Yes
  1. Will the area be reported in square feet or square metres?
    • square feet OR
    • square metres

Area in 2016

  1. TOTAL area under glass, plastic or other protection used for growing plants

Area on May 10, 2016
Of this total, report the area on May 10, 2016, for each of the following:

  1. Flowers (cut flowers, ornamental bedding and potted plants, etc.)
  2. Greenhouse vegetables
  3. Other greenhouse products (vegetable bedding plants, cuttings, tree seedlings, etc.) Specify:

STEP 20

Are any MUSHROOMS grown on this operation for sale?

  • No Go to STEP 21
  • Yes
  1. Will the area be reported in square feet or square metres?
    • square feet OR
    • square metres

Area on May 10, 2016

  1. TOTAL growing area (standing footage) for mushrooms on May 10, 2016

STEP 21

Were any MAPLE TREES TAPPED on this operation in 2016?

  • No Go to STEP 22
  • Yes

Number of taps in 2016

  1. TOTAL number of taps made on maple trees in the spring of 2016

STEP 22

Does this operation own any BEES for honey production or BEES for pollination?

  • No Go to STEP 23
  • Yes Report bees owned, regardless of location.

Number of colonies on May 10, 2016

  1. On May 10, 2016, how many live colonies of honeybees (used for honey production or pollination) are owned by this operation?
  2. On May 10, 2016, how many other pollinating bees (leafcutter, blue orchard, bumble, etc.) are owned by this operation?

Number on May 10, 2016

  • Select one unit of measure:
    • Gallons or
    • Number of bees or
    • Colonies

STEP 23

In 2015, which of the following TECHNOLOGIES were used on this operation?

  • Include work done by others on this operation. (Fill in all applicable circles.)
    • Computers/laptops for farm management
    • Smartphones/tablets for farm management
    • Automated steering (auto-steer)
    • GPS technology
    • GIS mapping (e.g., soil mapping)
    • Greenhouse automation
    • Robotic milking
    • Automated environmental controls for animal housing
    • Automated animal feeding
    • Other technology — Specify:
    • None of the above

STEP 24

On May 10, 2016, are there any POULTRY on this operation?

  • No Go to STEP 25
  • Yes
  • Report all poultry on this operation, regardless of ownership, including those grown under contract.
  • Include poultry for sale and poultry for personal use.
  • Do not include poultry owned but kept on an operation operated by someone else.

Number of birds on May 10, 2016

Chickens for eggs

  1. Pullets intended for laying table eggs, under 19 weeks
  2. Laying hens that produce table eggs, 19 weeks and over
  3. Layer and broiler breeders (pullets and hens)

Chickens for meat

  1. Broilers, roasters and Cornish (Report breeders in question 123.)
  2. TOTAL hens and chickens (Total of questions 121 to 124)

Other poultry

  1. Turkeys (all ages)
  2. Other poultry (geese, ducks, roosters, ostriches, emus, pheasants, quail, pigeons, etc.) Specify:

STEP 25

In 2015, were any CHICKENS or TURKEYS produced on this operation for sale?

  • No Go to STEP 26
  • Yes Report the production on a live weight basis
  1. Will production be reported in kilograms or pounds?
    • kilograms OR
    • pounds

Production in 2015 (live weight)

  1. Broilers, roasters and Cornish
  2. Turkeys

STEP 26

In 2015, were any EGGS produced on this operation for sale?

  • No Go to STEP 27
  • Yes Report the number of dozens in 2015.

Dozens of eggs in 2015

  1. Table eggs (dozens)
  2. Hatching eggs (dozens)

STEP 27

In 2015, was there a COMMERCIAL POULTRY HATCHERY located on this operation?

  • No Go to STEP 28
  • Yes

Number of birds hatched in 2015

  1. In 2015, how many chicks or other poultry were hatched?

STEP 28

On May 10, 2016, are there any LIVESTOCK on this operation?

  • No Go to STEP 29
  • Yes
  • Report all animals on this operation, regardless of ownership, including those that are boarded, custom-fed or fed under contract.
  • Include all animals kept by this operation, regardless of ownership, that are pastured on a community pasture, grazing co-op or public land.
  • Do not include animals owned but kept on a farm, ranch or feedlot operated by someone else.

CATTLE OR CALVES

  1. Are there any cattle or calves on this operation?
    • No Go to question 141
    • Yes

Number on May 10, 2016

  1. Calves, under 1 year
  2. Steers, 1 year and over
  3. Heifers, 1 year and over:
    • for slaughter or feeding
    • for beef herd replacement
    • for dairy herd replacement
  1. Cows:
    • mainly for beef purposes
    • mainly for dairy purposes
  2. Bulls, 1 year and over
  3. TOTAL cattle and calves (Total of questions 135 to 139)

PIGS

  1. Are there any pigs on this operation?
    • No Go to question 148
    • Yes

Number on May 10, 2016

  1. Boars
  2. Sows and gilts for breeding
  3. Nursing pigs
  4. Weaner pigs
  5. Grower and finishing pigs
  6. TOTAL pigs (Total of questions 142 to 146)

SHEEP OR LAMBS

  1. Are there any sheep or lambs on this operation?
    • No Go to question 153
    • Yes

Number on May 10, 2016

  1. Rams
  2. Ewes
  3. Lambs
  4. TOTAL sheep and lambs (Total of questions 149 to 151)

OTHER LIVESTOCK

  1. Are there any sheep or lambs on this operation?
    • No Go to STEP 29
    • Yes Report animals of all ages unless otherwise specified

Number on May 10, 2016

  1. Horses and ponies
  2. Goats
  3. Llamas and alpacas
  4. Bison (buffalo)
  5. Elk (wapiti)
  6. Deer (Do not include wild deer.)
  7. Rabbits
  8. Mink (Report breeding stock only.)
  9. Other livestock (fox, wild boars, donkeys, mules, chinchillas, etc.) — Specify:

STEP 29

Answer the following questions about the MARKET VALUE of land and buildings on this operation.

  • Include
    • the value of all land and all structures such as houses, farm buildings, silos, etc., that are part of this operation;
    • the value of all fixed equipment such as bulk tanks, farrowing pens, etc., in farm buildings on this operation.
  • Do not include the value of any land and buildings rented or leased TO others.

Present market value (dollars only)

  1. Estimate the present market value of land and buildings that are:
    • owned
    • rented or leased FROM others or governments

STEP 30

Answer the following questions about FARM MACHINERY and EQUIPMENT that are owned or leased by this operation as of May 10, 2016.

  • Include all farm machinery and equipment owned or leased by this operation or jointly with a different operation.
  • Do not include machinery that is rented on a short-term basis (hourly or daily rentals).
  • Report fixed equipment in STEP 29.

Example: An operation owns one combine, valued at $100,000, and shares ownership of another combine, valued at $60,000, equally with another operation. These two combines would be reported as:
1 1/2
130,000

Number owned and leased (Fraction)
Present market value (owned and leased) (dollars only)

  1. Tractors:
    • under 60 p.t.o. hp. (including garden tractors, ATVs, etc.)
    • 60 - 149 p.t.o. hp
    • over 149 p.t.o. hp.
  2. Pick-ups, cargo vans, cars and other passenger vehicles used in the farm business
  3. Other farm trucks
  4. Grain combines and swathers
  5. Forage harvesters, balers, mower-conditioners, etc.
  6. Tillage, cultivation, seeding and planting equipment
  7. Irrigation equipment
  8. All other farm machinery and equipment not reported above, such as sprayers, elevators, wagons, manure spreaders, dryers, portable grinder-mixers, other harvesting equipment, Christmas tree balers, etc.
  9. TOTAL present market value of all farm machinery and equipment (Total of questions 164 to 171)

STEP 31

GROSS FARM RECEIPTS and OPERATING EXPENSES in 2015

  • Report for the 2015 calendar year OR for the last complete accounting (fiscal) year.

GROSS FARM RECEIPTS (before deducting expenses)

  • Include
    • receipts from all agricultural and forest products sold;
    • program and insurance payments and custom work receipts.
  • Do not include
    • sales of capital items (quota, land, machinery, etc.);
    • the sale of any goods purchased only for resale.

Amount (dollars only)

  1. In 2015, what were the TOTAL gross farm receipts?
  2. Of the above, what were the sales of firewood, pulpwood, logs, fence posts and pilings?

TOTAL FARM OPERATING EXPENSES

  • Include only the farm business share of amounts paid.
  • Do not include
    • costs of any goods purchased only for resale;
    • depreciation or capital cost allowance.

Amount (dollars only)

  1. In 2015, what were the TOTAL farm operating expenses?

STEP 32

In 2015, did this operation pay any wages or salaries to employees?

  • Include family and non-family.
  • Do not include custom or contract workers.
    • No Go to STEP 33
    • Yes
  1. In 2015, how many employees were paid on:
    1. a year-round full-time basis (30 or more hours per week)
    2. a year-round part-time basis (less than 30 hours per week)
    3. a seasonal or temporary basis
  2. TOTAL number of employees receiving a wage or salary in 2015
  3. In 2015, how many of the total number of employees receiving a wage or salary (question 177) were family members?

STEP 33

In 2015, did this operation SELL any agricultural products DIRECTLY TO CONSUMERS for human consumption?

  • Do not include the sale of any goods purchased only for resale.
    • No Go to STEP 34
    • Yes
  1. In 2015, which of the following products were sold directly to consumers for human consumption? (Fill in all applicable circles.)
    • Unprocessed agricultural products (such as fruits, vegetables, meat cuts, poultry, eggs, maple syrup, honey, etc.)
    • Value-added products (such as jellies, sausages, wine, cheese, etc.)
  2. In 2015, which of the following methods were used to sell directly to consumers for human consumption? (Fill in all applicable circles.)
    • Farm gate sales, stands, kiosks, U-pick
    • Farmers' markets
    • Community Supported Agriculture (CSA)
    • Other methods — Specify:

STEP 34

Answer the following questions about the OPERATING ARRANGEMENT of this agricultural operation in 2016.

  1. What is the operating arrangement of this operation? (Fill in one circle only.)
    • Sole proprietorship
    • Partnership without a written agreement
    • Partnership with a written agreement
    • Family corporation (including corporations with one or more shareholders)
    • Non-family corporation

If question 181 does not describe the operating arrangement of this operation, report in the COMMENTS section on page 16.

STEP 35

As of May 10, 2016, did this operation have a WRITTEN SUCCESSION PLAN?

A succession plan is more extensive than a will. It is a formalized plan that ensures the future continuity of the farm business. It contains three elements: transfer of management and control; transfer of assets and ownership; and transfer of labour.

  • No Go to STEP 36
  • Yes
  1. In your written succession plan, will the successor(s) for this operation be: (Fill in all applicable circles.)
    • Family member(s)
    • Non-family member(s)

STEP 36

In 2015, were there any renewable energy producing systems, regardless of ownership, on this operation?

  • Include systems that produce energy for this operation or for sale.
    • No End of questionnaire, thank you.
    • Yes
  1. In 2015, which of the following renewable energy producing systems were on this operation? (Fill in all applicable circles.)
    • Solar panels
    • Wind turbines
    • Anaerobic biodigester (biogas or methane)
    • Biodiesel production systems
    • Geothermal electric power generator
    • Hydro electric power generator
    • Other renewable energy producing systems — Specify:

Purpose of the Census of Agriculture and users of the data

The Census of Agriculture provides the only comprehensive and integrated profile of the physical, economic, social and environmental aspects of Canada's agriculture industry. It is conducted every five years. The data are needed to make informed decisions about business management strategies, agricultural policies, programs and services that directly affect farmers and rural communities.

Census data provide a reliable source of information to farm organizations, government departments, agriculture suppliers and service providers, and researchers that help them to understand and respond to changes in agriculture.

But why in May?

Statistics Canada recognizes that mid-May is one of the busiest times of the year for farmers. However, collecting the data at the same time as the Census of Population streamlines procedures and saves millions of dollars.

Use of record linkages

To enhance the data from this census and to minimize the reporting burden, Statistics Canada may combine it with information from other surveys or from administrative sources.

The law protects what you tell us

The confidentiality of your census responses is protected by law. All Statistics Canada employees have taken an oath of secrecy. Your personal census information cannot be given to anyone outside Statistics Canada without your consent. This is your right.

Fax or e-mail transmission disclosure

Statistics Canada advises you that there could be a risk of disclosure during facsimile or e-mail transmission. However, upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

COMMENTS

If you have any questions on the Census of Agriculture, call us free of charge, 1-855-859-6273. Please mail your questionnaire today.

Census of Agriculture results will be available in May 2017: www.statcan.gc.ca.

Thank you for your co-operation.

General Information

This information is collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

COMPLETION OF THIS QUESTIONNAIRE IS A LEGAL REQUIREMENT UNDER THIS ACT.

Purpose of this survey

The purpose of this survey is to collect reliable and up-to-date information on grains and oilseeds in New Brunswick, Nova Scotia, and Prince Edward Island. These data are used to calculate farm cash receipts and are used by producers, organizations, government departments, and others for policy and decision making. Your information may also be used by Statistics Canada for other statistical and research purposes.

Please provide the quantity and the amount you paid to producers for any grains and oilseeds you purchased during the above month. Only report grains that you purchased directly from farmers. Do not report any grains that you purchased from other brokers or mills. Please report your purchases as to the province that the grain was grown in. If you did not purchase any grain from Atlantic sources in the month, would you kindly note that on the form.

In compiling average provincial prices to producers, your data will be aggregated with data received from other companies to protect confidentiality.

Record linkages

To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

Confidentiality

The Statistics Act protects the confidentiality of information collected by Statistics Canada.

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes.

Information on data-sharing agreements can be found on the last page of this questionnaire.

Fax or e-mail transmission disclosure

Statistics Canada advises you that there could be a risk of disclosure during the transmission of information by facsimile or e-mail. However, upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Data-sharing agreements

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

For this survey, there are Section 11 agreements with the provincial statistical agencies of Nova Scotia and New Brunswick.

The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province.

Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician, specifying the name of the survey and the organizations with which you do not want Statistics Canada to share your data, and mailing it to the following address:

Chief Statistician of Canada
Statistics Canada
Care of the Director, Agriculture Division
150 Tunney’s Pasture Driveway
Ottawa, Ontario
K1A 0T6

You may also contact us by fax at: 1-613-951-3868.

For this survey, there are Section 12 agreements with the statistical agency of Prince Edward Island, as well as with the New Brunswick Department of Agriculture, Aquaculture and Fisheries.

For agreements with provincial organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province.

Instructions

Please return your completed questionnaire by facsimile to 1-888-883-7999.

Need help? Call us at 1-866-445-4323.

Tonnes Purchased and Dollars Paid to Producers

1. Purchased from Nova Scotia
2. Purchased from New Brunswick
3. Purchased from Prince Edward Island

  1. Feed wheat
  2. Milling wheat
  3. Oats
  4. Barley
  5. Mixed grain
  6. Corn for grain
  7. Raw soybeans
  8. Roasted soybeans
  9. Canola
  10. Other (please specify)

COMMENTS

Thank you for completing this questionnaire.

Statistics Canada

General Information

This information is collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

COMPLETION OF THIS QUESTIONNAIRE IS A LEGAL REQUIREMENT UNDER THIS ACT.

Purpose of this survey
The purpose of this survey is to collect reliable and up-to-date information on non-board grains and specialty crops in the provinces of Manitoba, Saskatchewan and Alberta. These data are used to calculate farm cash receipts which measure agriculture contribution to the Canadian economy. The data are also used by producer organizations, government departments and others for policy and decision-making. Your information may also be used by Statistics Canada for other statistical and research purposes.

Reporting Instructions
Please provide the information requested on non-board grains and specialty crops for the month specified.

  • tonnes purchased (dockage and shrinkage deducted)
  • gross receipts (only rail freight and elevation deducted)

In compiling average provincial prices to producers, your data will be aggregated with data received from other companies to protect the confidentiality.

Please return your completed questionnaire by facsimile to 1-888-883-7999.
Need help? Call us at 1-866-445-4323.

Confidentiality
The Statistics Act protects the confidentiality of information collected by Statistics Canada.

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes.

Information on data-sharing agreements and record linkages can be found on the last page of this questionnaire.

Record linkages
To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

Data-sharing agreements
To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Section 11 of the Statistics Act provides for the sharing of information with provincial statistical and territorial agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of their data.

For this survey, there are Section 11 agreements with the provincial statistical agencies of Manitoba, Saskatchewan and Alberta.

The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province.

Fax or e-mail transmission disclosure
Statistics Canada advises you that there could be a risk of disclosure during the transmission of information by facsimile or e-mail. However, upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Tonnes Purchased and Dollars Paid to Producers

  1. Purchased from Manitoba
  2. Purchased from Saskatchewan
  3. Purchased from Alberta
  1. Wheat-excluding-durum milling
  2. Wheat-excluding-durum nonmilling
  3. Durum
  4. Oats
  5. Barley for feed
  6. Barley for malting
  7. Rye
  8. Flaxseed
  9. Canola
  10. Dry Field Peas
  11. Sunflower Seeds
  12. Corn for grain
  13. Canary Seed
  14. Lentils
  15. Dry Beans
  16. Mustard Seed
  17. Chickpeas
  18. Soybeans

COMMENTS
Thank you for completing this questionnaire.
Statistics Canada

GENERAL INFORMATION

This information is collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19. COMPLETION OF THIS QUESTIONNAIRE IS A LEGAL REQUIREMENT UNDER THIS ACT.

Survey purpose
The objective of this survey is to produce monthly estimates of stocks. Your information may also be used by Statistics Canada for other statistical and research purposes.

Confidentiality
Your answers are confidential.
The Statistics Act protects the confidentiality of information collected by Statistics Canada. Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes.

Record linkages
To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

Data-sharing agreements
To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

For this survey, there are Section 11 agreements with the provincial statistical agencies of New Brunswick, Quebec, Ontario, Manitoba, Alberta and British Columbia.

The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician and returning it with the completed questionnaire. Please specify the organizations with which you do not want to share your data.

For this survey, there are Section 12 agreements with the New Brunswick Department of Agriculture, Aquaculture and Fisheries, the Ontario Ministry of Agriculture, Food and Rural Affairs, the Manitoba Department of Agriculture, Food and Rural Initiatives and the British Columbia Ministry of Agriculture and Lands.

For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Fax or e-mail transmission disclosure
Statistics Canada advises you that there could be a risk of disclosure during the transmission of information by facsimile or e-mail. However, upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

1. Holders of the commodities listed on this form, whether owned by themselves, or by others, are required to report the products on hand in their establishments or stored elsewhere in specially rented rooms to which only they have access, except in emergency. Products held in public storage, common or cold, will be reported by operators of those establishments.

2. The inventory should be taken at the opening of business, on the first business day of the month and the report should be mailed promptly, so that it will reach Ottawa no later than the morning of the tenth of the month. The figures reported are used to produce statistics on inventories of butter and cheese.

Include stocks held on government accounts.

Dairy Products (domestic and imported) (Kilograms)

Butter and Butter Oil (include unsalted butter)

  • Creamery butter
    • held under Plan A
    • held under Plan B
    • held privately
    • Total
  • Whey butter
  • Butter oil

Cheese

  • Cheddar (all sizes, curds included)
  • Other factory cheese (all varieties except cheddar and process)
  • Processed cheese

Dairy Processors Stocks
Of products listed above identify the quantities owned by dairy processors.

  1. no quantity
  2. Name of processor
  3. Product

Name of person responsible for this report
Telephone
Date

COMMENTS

Please return the completed questionnaire to Statistics Canada by the 10th day of the month by mail using the return envelope.

You can also fax it to us at 1-888-883-7999.

Lost the return envelope or need help? Call us at 1-800-565-1685 or mail to:

Statistics Canada Operations and Integration Division Distribution Center � SC-0505 150 Tunney’s Pasture Driveway Ottawa, Ontario K1A 0T6

For more information on this survey, please access Information for survey participants

Thank you for completing this questionnaire.

GENERAL INFORMATION

This information is collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

COMPLETION OF THIS QUESTIONNAIRE IS A LEGAL REQUIREMENT UNDER THIS ACT.

Survey purpose
The survey collects the data needed to produce statistics on the stocks of frozen and chilled meat held at establishments registered with the Canadian Food Inspection Agency. These data will be aggregated with data from other sources to produce estimates of national and provincial stocks. These estimates are used by government and the private sector to make policy and investment decisions. Your information may also be used by Statistics Canada for other statistical and research purposes.

Confidentiality
Your answers are confidential.
The Statistics Act protects the confidentiality of information collected by Statistics Canada. Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes.

Record linkages
To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

Data-sharing agreements
To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes.

Information on data-sharing agreements can be found on the last page of this questionnaire.

Fax or e-mail transmission disclosure
Statistics Canada advises you that there could be a risk of disclosure during the transmission of information by facsimile or e-mail. However, upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Your participation is important
Your participation is vital to ensuring that the information collected in this survey is accurate and comprehensive.

Please return the completed questionnaire to Statistics Canada before the 10th of the month of receipt by mail using the return envelope.

You can also fax it to us at 1-888-883-7999.

Lost the return envelope or need help? Call us at 1-800-565-1685 or mail to:

Statistics Canada, Operations and Integration Division, Distribution Center � SC-0505
150 Tunney’s Pasture Driveway, Ottawa, Ontario, K1A 0T6

First name of person responsible for this report
First name of person responsible for this report
Location of stocks (City or town)
Telephone number (+extension)
Date

  1. INCLUDE stocks held at this site only, regardless of ownership (do not report stocks held at another site).
  2. DO NOT INCLUDE meat that has been further processed (i.e. sausages, meat in soups or prepared dinners).
  3. DO NOT INCLUDE back fat or rendered fat.
  4. Inventory reported should be for the opening of the first business day of the month (or the last business day of the previous month).

Please use the following unit of measure for each question: Kilograms

UNIT OF MEASURE

1 Kilogram = 2.2046 Pounds
1 Pound = 0.4536 Kilograms

FROZEN AND CHILLED MEAT IN COLD STORAGE

Please report in Kilograms

PORK (Domestic and imported - include smoked pork products)

  1. Hams
  2. Loins
  3. Bellies
  4. Butts
  5. Picnics
  6. Ribs
  7. Backs and shoulders
  8. Trimmings
  9. Unclassified - and all other pork cuts and sundries not elsewhere listed

BEEF

  1. Bone-in domestic
  2. Bone-in imported
  3. Boneless domestic
  4. Boneless imported

VEAL

  1. Bone-in domestic
  2. Bone-in imported
  3. Boneless domestic
  4. Boneless imported

MUTTON AND LAMB

  1. Domestic
  2. Mutton - Imported
  3. Lamb - Imported

FANCY MEATS

  1. Pork
  2. Beef
  3. Veal
  4. Lamb

NOTE - FANCY MEATS

All items - Include brains, livers, sweetbreads, tongues, stomachs, kidneys, lungs, other glands for pharmaceuticals etc.

Item 1 - Pork: Do not include headmeat, weasand meat, include these under PORK - Unclassified.

Items 2,3,4 - Beef, Veal, Lamb: Include tails, headmeat, weasand meat, gullets, neck trim and blood plasma.

GENERAL INFORMATION

Data-sharing agreements
To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

For this survey, there are Section 11 agreements with the provincial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta and British Columbia.

The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician and returning it with the completed questionnaire. Please specify the organizations with which you do not want to share your data.

For this survey, there are Section 12 agreements with the statistical agency of Prince Edward Island as well as with the New Brunswick Department of Agriculture, Aquaculture and Fisheries, the Ontario Ministry of Agriculture, Food and Rural Affairs, the Manitoba Department of Agriculture, Food and Rural Initiatives and the British Columbia Ministry of Agriculture and Lands.

For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

COMMENTS

For more information on this survey, please access Information for survey participants (ISP)

Thank you for completing this questionnaire.

Federal Government Expenditures in Support of Education – Statistical Data

Introduction

This information is collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.
Although your participation in this survey is voluntary, your cooperation is important so that the information collected will be as accurate and complete as possible.

Purpose of this survey
This survey collects the financial data needed to develop national and regional educational policies and programs. Your information may also be used by Statistics Canada for other statistical and research purposes.

Confidentiality
Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act.  Statistics Canada will use the information from this survey for statistical purposes.

You may choose to share individual data from this survey with all users by signing the following:

AUTHORIZATION TO RELEASE DATA

I hereby grant permission to Statistics Canada to release individual data from this survey to all data users.

  • Name (please print)
  • Title
  • Signature
  • Date

Return procedures
Please return the completed questionnaire to Statistics Canada within 30 days of receipt by mail using the return envelope or mail to:

Statistics Canada
Operations and Integration Division
170 Tunney's Pasture Driveway
Ottawa ON K1A 0T6

Need help?
Contact us at 1-877-540-3973.
www.statcan.gc.ca

Section I – Descriptive information

  1. Department or agency
  2. Program/activity/sub-activity
  3. Administered by
  4. Purpose
  5. Authority
  6. Time Frame
  7. Financing and Operation
  8. Contact Name
    • Address
    • Telephone Number
    • Fax Number
    • Email Address
    • Language Preference
      • English
      • French

Section II – Statistical data

Indicate Program Name:

Fiscal Year:

  • from
  • to
  • Type of Recipient
  • Expenditure Item
  • Type of Expenditure
  • Level of Education
  • Provinces (in thousands of dollars)
    • Newfoundland and Labrador
    • Prince Edward Island
    • Nova Scotia
    • New Brunswick
    • Quebec
    • Ontario
    • Manitoba
    • Saskatchewan
    • Alberta
    • British Columbia
    • Yukon Territories
    • Northwest Territories
    • Nunavut
  • Undistributed
  • Foreign
  • Total

Section III – Comments

Section IV – Coding structure guidelines

Section IV – Coding structure guidelines
Table summary
This table gives information on the coding structure guidelines.
Variable Name
Coding Description
Code
Type of Recipient  
Governments  
Municipal 211
Provincial 212
Federal – internal expenditures 214
Foreign 215
Educational Institutions  
Public 221
Private 222
Private Enterprises 230
Individuals  
Students 241
Parents 242
Staff of educational institutions 243
Other 245
Associations, Groups 250
Expenditure Item  
Bursary 321
Scholarship 322
Fellowship 323
Tuition Fees 325
Allowance 326
Cost of Loan 331
Value of Loan 332
Administration 350
Federal Schools  
Teachers' salaries 361
Other salaries and wages 362
Fringe benefits 363
Other 364
Recoveries – local school boards 365
Recoveries – provincial 366
Recoveries – other 367
Grant (excluding research) 371
Contribution (excluding research) 372
Type of Expenditure  
Operating 401
Capital 402
Level of Education  
Elementary – Secondary 501
Post-secondary/Non-University 502
Post-secondary/University 503
Vocational 505

Canadian Association of University Business Officers (CAUBO)

Financial Information of Universities and Colleges – 2013/2014

General information

  • Name of University (or College)
  • Address of preparer
    • Street
    • City
    • Province
    • Postal Code
  • Fiscal year ending: Day Month Year
  • Name and title of preparer
  • Telephone
    • Area code
    • Number
    • Local
  • Fax
    • Area code
    • Number
  • E-mail address
  • Name of Senior Administrative Officer (if different from above)

Instructions

  1. Please read carefully the accompanying Guidelines.
  2. All amounts should be expressed in thousands of dollars ($'000).
  3. In the "Observations and Comments" section, please explain financial data that may not be comparable with the prior year.
  4. Please do not fill in shaded areas. All non-shaded cells should be completed.
    A nil entry should be indicated with a zero.
  5. Please complete and return the Transmittal Letter.

Reserved for Statistics Canada

  • Full-time equivalent
  • Report Status
  • Institution Code: cbeYYIII
  • Comments

 

Table 1
Income by fund
Table summary
This is an empty data table used by respondents to provide data to Statistics Canada. This table contains no data.
Types of income Funds
General operating Special purpose and trust Sponsored research Ancillary Capital Endowment Total funds
Entities consolidated Entities not consolidated Sub-total
(thousands of dollars)
Government departments and agencies - grants and contracts  
Federal  
1. Social Sciences and Humanities Research Council                  
2. Health Canada                  
3. Natural Sciences and Engineering Research Council                  
4. Canadian Institutes of Health Research (CIHR)                  
5. Canada Foundation for Innovation (CFI)                  
6. Canada Research Chairs                  
7. Other federal (see Table 6)                  
Other  
8. Provincial (see Table 7)                  
9. Municipal                  
10. Other provinces                  
11. Foreign                  
Tuition and other fees  
12. Credit course tuition                  
13. Non-credit tuition                  
14. Other fees                  
Donations, including bequests  
15. Individuals                  
16. Business enterprises                  
17. Not-for-profit organizations                  
Non-government grants and contracts  
18. Individuals                  
19. Business enterprises                  
20. Not-for-profit organizations                  
Investment  
21. Endowment                  
22. Other investment                  
Other  
23. Sale of services and products                  
24. Miscellaneous                  
25. TotalNote 1                  

  Observations and comments

  • Description (Fund and type of income)
  • Comments

 

Table 2
Expenditures by fund
Table summary
This is an empty data table used by respondents to provide data to Statistics Canada. This table contains no data.
Types of expenditures Funds
General operating Special purpose and trust Sponsored research Ancillary Capital Endowment Total funds
Entities consolidated Entities not consolidated Sub-total
(thousands of dollars)
Academic salaries  
1. Academic ranks                  
2. Other instruction and research                  
3. Other salaries and wages                  
4. Benefits                  
5. Travel                  
6. Library acquisitions                  
7. Printing and duplicating                  
8. Materials and supplies                  
9. Communications                  
10. Other operational expenditures                  
11. Utilities                  
12. Renovations and alterations                  
13. Scholarships, bursaries and prizes                  
14. Externally contracted services                  
15. Professional fees                  
16. Cost of goods sold                  
17. Interest                  
18. Furniture and equipment purchase                  
19. Equipment rental and maintenance                  
20. Internal sales and cost recoveriesNote 1                  
21. Sub-total                  
22. Buildings, land and land improvements                  
23. Lump sum payments                  
24. TotalNote 2                  

Observations and comments

  • Description (Fund and type of expenditure)
  • Comments

 

Table 3
Statement of changes in net assets by fund
Table summary
This is an empty data table used by respondents to provide data to Statistics Canada. This table contains no data.
Objects Funds
General operating Special purpose and trust Sponsored research Ancillary Capital Endowment Total funds
Entities consolidated Entities not consolidated Sub-total
(thousands of dollars)
1. Net asset balances, beginning of year                  
2. Income (Table 1, line Total)                  
3. Expenditures (Table 2, line Total)                  
4. Prior year adjustments                  
5. Interfund transfersNote 1                  
6. Add: borrowings                  
7. Deduct: principal portion of debt repayments                  
8. Interfund reallocationsNote 1                  
9. Add: capital expenditures                  
10. Deduct: amortization                  
11. Add or deduct: deferred income                  
12. Add or deduct: pension costs and vacation pay accrual                  
13. Add or deduct: future cost of employee benefits                  
14. Add or deduct: related or affilitated entities                  
15. Add or deduct: other (provide details in space below)                  
16. Net asset balances, end of yearNote 2                  
Net asset balances are comprised of:                  
17. Unrestricted net assets                  
18. Investment in capital assets                  
19. Internally restricted net assets                  
20. Externally restricted net assets                  
21. Net asset balances, end of yearNote 2                  

Observations and comments

  • Description (Fund and object)
  • Comments

 

Table 4
General operating expenditures by function
Table summary
This is an empty data table used by respondents to provide data to Statistics Canada. This table contains no data.
Types of expenditures Functions
Instruction and non-sponsored research Non-credit instruction Library Computing and communications Administration and general Student services Physical plant External Relations Total functionsNote 1
(thousands of dollars)
Academic salaries  
1. Academic ranks                  
2. Other instruction and research                  
3. Other salaries and wages                  
4. Benefits                  
5. Travel                  
6. Library acquisitions                  
7. Printing and duplicating                  
8. Materials and supplies                  
9. Communications                  
10. Other operational expenditures                  
11. Utilities                  
12. Renovations and alterations                  
13. Scholarships, bursaries and prizes                  
14. Externally contracted services                  
15. Professional fees                  
16. Cost of goods sold                  
17. Interest                  
18. Furniture and equipment purchase                  
19. Equipment rental and maintenance                  
20. Internal sales and cost recoveries                  
21. Sub-total                  
22. Buildings, land and land improvements                  
23. Lump sum payments                  
24. Total                  

Observations and comments

  • Description (Function and type of expenditure)
  • Comments

 

Table 5
Affiliation report
Table summary
This is an empty data table used by respondents to provide data to Statistics Canada. This table contains no data.
Code Legal Name of Affiliated Institution Category of Affiliation
Health Research Institute Other Research Institute Affiliated Hospital Other Affiliated Institution Associated Hospital Other Associated Institution Federated Institution Basis of Reporting Amount Included in Annual Return ($'000)
Included Excluded
For columns 1 to 9, indicate with an "x" in the appropriate column.  
Part I: Separate legal entities consolidated  
1                    
2                    
3                    
4                    
5                    
6                    
7                    
8                    
9                    
10                    
For columns 1 to 7, indicate with an "x" in the appropriate column.  
Part II: Separate legal entities not consolidated  
List each separate legal entity over $100,000  
11                    
12                    
13                    
14                    
15                    
16                    
17                    
18                    
19. Total of all other legal entities under $100,000                    
20. TotalNote 1                    

Observations and comments

  • Description (Function and type of expenditure)
  • Comments

 

Table 6
Other federal government departments and agencies – Grants and contracts
Table summary
This is an empty data table used by respondents to provide data to Statistics Canada. This table contains no data.
Source of grant/contract Funds
General operating Special purpose and trust Sponsored research Ancillary Capital Endowment Total funds
Entities consolidated Entities not consolidated Sub-total
(thousands of dollars)
1. A. Indirect costs of research                  
B. Separately list each department and agency over $100,000:  
2                  
3                  
4                  
5                  
6                  
7                  
8                  
9                  
10                  
11                  
12                  
13                  
14                  
15                  
16                  
17                  
18                  
19                  
20                  
21                  
22                  
23                  
24                  
25. C. Total of all departments and agencies under $100,000                  
26. TotalNote 1                  

Observations and comments

  • Description
  • Comments

 

Table 7
Provincial government departments and agencies – Grants and contracts
Table summary
This is an empty data table used by respondents to provide data to Statistics Canada. This table contains no data.
Source of grant/contract Funds
General operating Special purpose and trust Sponsored research Ancillary Capital Endowment Total funds
Entities consolidated Entities not consolidated Sub-total
(thousands of dollars)
A. Ministry responsible (total grants and contracts):  
1                  
2. CFI matching funds                  
B. Other (list each department and agency over $100,000):  
3                  
4                  
5                  
6                  
7                  
8                  
9                  
10                  
11                  
12                  
13                  
14                  
15                  
16                  
17                  
18                  
19                  
20                  
21                  
22                  
23                  
24. C. Total of all departments and agencies under $100,000                  
25. TotalNote 1                  

Observations and comments

  • Description
  • Comments

Canadian Association of University Business Officers (CAUBO)

Financial Information of Universities and Colleges – 2012/2013

General information

  • Name of University (or College)
  • Address
    • Street
    • City
    • Province
    • Postal Code
  • Fiscal year ending: Day Month Year
  • Name and title of respondent
  • Telephone
    • Area code
    • Number
    • Local
  • Fax
    • Area code
    • Number
  • E-mail address
  • Name of Senior Administrative Officer (if different from above)

Instructions

  1. Please read carefully the accompanying Guidelines.
  2. All amounts should be expressed in thousands of dollars ($'000s).
  3. In the "Observations and Comments" section, please explain financial data that may not be comparable with the prior year.
  4. Please do not fill in shaded areas. All non-shaded cells should be completed.
    A nil entry should be indicated with a zero.
  5. Please complete and return the Transmittal Letter.

Reserved for Statistics Canada

  • Full-time equivalent
  • Report Status
  • Institution Code: cbeYYIII
  • Comments

 

Table 1
Income by fund
Table summary
This is an empty data table used by respondents to provide data to Statistics Canada. This table contains no data.
Types of income Funds
General operating Special purpose and trust Sponsored research Ancillary Capital Endowment Total funds
Entities consolidated Entities not consolidated Sub-total
(thousands of dollars)
Government departments and agencies - grants and contracts  
Federal  
1. Social Sciences and Humanities Research Council                  
2. Health Canada                  
3. Natural Sciences and Engineering Research Council                  
4. Canadian Institutes of Health Research (CIHR)                  
5. Canada Foundation for Innovation (CFI)                  
6. Canada Research Chairs                  
7. Other federal (see Table 6)                  
Other  
8. Provincial (see Table 7)                  
9. Municipal                  
10. Other provinces                  
11. Foreign                  
Tuition and other fees  
12. Credit course tuition                  
13. Non-credit tuition                  
14. Other fees                  
Donations, including bequests  
15. Individuals                  
16. Business enterprises                  
17. Not-for-profit organizations                  
Non-government grants and contracts  
18. Individuals                  
19. Business enterprises                  
20. Not-for-profit organizations                  
Investment  
21. Endowment                  
22. Other investment                  
Other  
23. Sale of services and products                  
24. Miscellaneous                  
25. TotalNote 1                  

  Observations and comments

  • Description (Fund and type of income)
  • Comments

 

Table 2
Expenditures by fund
Table summary
This is an empty data table used by respondents to provide data to Statistics Canada. This table contains no data.
Types of expenditures Funds
General operating Special purpose and trust Sponsored research Ancillary Capital Endowment Total funds
Entities consolidated Entities not consolidated Sub-total
(thousands of dollars)
Academic salaries  
1. Academic ranks                  
2. Other instruction and research                  
3. Other salaries and wages                  
4. Benefits                  
5. Travel                  
6. Library acquisitions                  
7. Printing and duplicating                  
8. Materials and supplies                  
9. Communications                  
10. Other operational expenditures                  
11. Utilities                  
12. Renovations and alterations                  
13. Scholarships, bursaries and prizes                  
14. Externally contracted services                  
15. Professional fees                  
16. Cost of goods sold                  
17. Interest                  
18. Furniture and equipment purchase                  
19. Equipment rental and maintenance                  
20. Internal sales and cost recoveries                  
21. Sub-total                  
22. Buildings, land and land improvements                  
23. Lump sum payments                  
24. TotalNote 1                  

Observations and comments

  • Description (Fund and type of expenditure)
  • Comments

 

Table 3
Statement of changes in net assets by fund
Table summary
This is an empty data table used by respondents to provide data to Statistics Canada. This table contains no data.
Objects Funds
General operating Special purpose and trust Sponsored research Ancillary Capital Endowment Total funds
Entities consolidated Entities not consolidated Sub-total
(thousands of dollars)
1. Net asset balances, beginning of year                  
2. Income (Table 1, line Total)                  
3. Expenditures (Table 2, line Total)                  
4. Prior year adjustments                  
5. Interfund transfersNote 1                  
6. Add: borrowings                  
7. Deduct: principal portion of debt repayments                  
8. Interfund reallocationsNote 1                  
9. Add: capital expenditures                  
10. Deduct: amortization                  
11. Add or deduct: deferred income                  
12. Add or deduct: pension costs and vacation pay accrual                  
13. Add or deduct: future cost of employee benefits                  
14. Add or deduct: related or affilitated entities                  
15. Add or deduct: other (provide details in space below)                  
16. Net asset balances, end of yearNote 2                  
Net asset balances are comprised of:                  
17. Unrestricted net assets                  
18. Investment in capital assets                  
19. Internally restricted net assets                  
20. Externally restricted net assets                  
21. Net asset balances, end of yearNote 2                  

Observations and comments

  • Description (Fund and object)
  • Comments

 

Table 4
General operating expenditures by function
Table summary
This is an empty data table used by respondents to provide data to Statistics Canada. This table contains no data.
Types of expenditures Functions
Instruction and non-sponsored research Non-credit instruction Library Computing and communications Administration and general Student services Physical plant External Relations Total functionsNote 1
(thousands of dollars)
Academic salaries  
1. Academic ranks                  
2. Other instruction and research                  
3. Other salaries and wages                  
4. Benefits                  
5. Travel                  
6. Library acquisitions                  
7. Printing and duplicating                  
8. Materials and supplies                  
9. Communications                  
10. Other operational expenditures                  
11. Utilities                  
12. Renovations and alterations                  
13. Scholarships, bursaries and prizes                  
14. Externally contracted services                  
15. Professional fees                  
16. Cost of goods sold                  
17. Interest                  
18. Furniture and equipment purchase                  
19. Equipment rental and maintenance                  
20. Internal sales and cost recoveries                  
21. Sub-total                  
22. Buildings, land and land improvements                  
23. Lump sum payments                  
24. Total                  

Observations and comments

  • Description (Function and type of expenditure)
  • Comments

 

Table 5
Affiliation report
Table summary
This is an empty data table used by respondents to provide data to Statistics Canada. This table contains no data.
Code Legal Name of Affiliated Institution Category of Affiliation
Health Research Institute Other Research Institute Affiliated Hospital Other Affiliated Institution Associated Hospital Other Associated Institution Federated Institution Basis of Reporting Amount Included in Annual Return ($'000s)
Included Excluded
For columns 1 to 9, indicate with an "x" in the appropriate column.  
Part I: Separate legal entities consolidated  
1                    
2                    
3                    
4                    
5                    
6                    
7                    
8                    
9                    
10                    
For columns 1 to 7, indicate with an "x" in the appropriate column.  
Part II: Separate legal entities not consolidated  
List each separate legal entity over $100,000  
11                    
12                    
13                    
14                    
15                    
16                    
17                    
18                    
19. Total of all other legal entities under $100,000                    
20. TotalNote 1                    

Observations and comments

  • Description (Function and type of expenditure)
  • Comments

 

Table 6
Other federal government departments and agencies – Grants and contracts
Table summary
This is an empty data table used by respondents to provide data to Statistics Canada. This table contains no data.
Source of grant/contract Funds
General operating Special purpose and trust Sponsored research Ancillary Capital Endowment Total funds
Entities consolidated Entities not consolidated Sub-total
(thousands of dollars)
1. A. Indirect costs of research                  
B. Separately list each department and agency over $100,000:  
2                  
3                  
4                  
5                  
6                  
7                  
8                  
9                  
10                  
11                  
12                  
13                  
14                  
15                  
16                  
17                  
18                  
19                  
20                  
21                  
22                  
23                  
24                  
25. C. Total of all departments and agencies under $100,000                  
26. TotalNote 1                  

Observations and comments

  • Description
  • Comments

 

Table 7
Provincial government departments and agencies – Grants and contracts
Table summary
This is an empty data table used by respondents to provide data to Statistics Canada. This table contains no data.
Source of grant/contract Funds
General operating Special purpose and trust Sponsored research Ancillary Capital Endowment Total funds
Entities consolidated Entities not consolidated Sub-total
(thousands of dollars)
A. Ministry responsible (total grants and contracts):  
1                  
2. CFI matching funds                  
B. Other (list each department and agency over $100,000):  
3                  
4                  
5                  
6                  
7                  
8                  
9                  
10                  
11                  
12                  
13                  
14                  
15                  
16                  
17                  
18                  
19                  
20                  
21                  
22                  
23                  
24. C. Total of all departments and agencies under $100,000                  
25. TotalNote 1                  

Observations and comments

  • Description
  • Comments