2019 Census Test: Form 2A-L.1

Complete online: 2019 Census Test

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Message from the Chief Statistician of Canada

The census paints a portrait of Canada's population and the places where we live. It provides high-quality information for communities across the country and is used to plan services that support employment, education and health care.

Preparations for the next census have begun, and Statistics Canada is seeking your participation in this important test.

By law, your household must complete a 2019 Census Test questionnaire. Your answers are collected under the authority of the Statistics Act and will be kept strictly confidential.

Statistics Canada employs a number of mechanisms to manage the response burden on Canadians by using existing administrative data sources such as immigration records and personal income tax and benefit data. For more information, please visit 2019 Census Test.

The information that you provide will be used by Statistics Canada for statistical purposes.

Be part of this new portrait of Canada and complete your census questionnaire today.

Thank you for your co-operation.

Anil Arora
Chief Statistician of Canada

Complete your census questionnaire:

  • Online 2019 Census Test by using the secure access code printed above.
  • On paper: please print using capital letters.

Any questions?

Confidential when completed

This information is collected under the authority of the Statistics Act, R.S.C. 1985, c. S-19.

Step A

1. What is your telephone number?

2. What is the address of this dwelling?

  • Number (and suffix, if applicable) (e.g., 302, 151 B, 16 1/2)
  • Street name, street type (e.g., DR = Drive), direction (e.g., N = North)
  • Apartment/unit
  • City, municipality, town, village, Indian reserve
  • Province/territory
  • Postal code

3. What is the mailing address of this dwelling, if different from above?

(e.g., Rural Route, PO Box, General Delivery)

Step B

1. Including yourself, how many persons usually live at this address on May 14, 2019?

Include: all persons who have their main residence at this address, even if they are temporarily away.

See the instructions on page 3 (joint custody, students, landed immigrants, secondary residence, etc.).

  • Number of persons

2. Including yourself, list all persons who usually live here on May 14, 2019.

Important: Begin the list with an adult followed, if applicable, by that person's spouse or common-law partner and by their children. Continue with all other persons who usually live at this address.

  • Person 1: Family name(s), Given name(s)
  • Person 2: Family name(s), Given name(s)
  • Person 3: Family name(s), Given name(s)
  • Person 4: Family name(s), Given name(s)
  • Person 5: Family name(s), Given name(s)
  • Person 6: Family name(s), Given name(s)
  • Person 7: Family name(s), Given name(s)
  • Person 8: Family name(s), Given name(s)
  • Person 9: Family name(s), Given name(s)
  • Person 10: Family name(s), Given name(s)

Step C

Did you leave anyone out of step B because you were not sure the person should be listed?

For example, a student, a child in joint custody, a person temporarily away, a person who lives here temporarily, a resident from another country with a work or study permit, a refugee claimant, etc.

  • No
  • Yes
    • Specify the name and the relationship.
    • Specify the reason.

Step D

Copy the names in step B to question 1, at the top of page 4.

Keep the same order.

If more than five persons live here, you will need an extra questionnaire; call 1-855-850-2019.

1. Whom to include in Step B

  • All persons who have their main residence at this address on May 14, 2019, including newborn babies, roommates and persons who are temporarily away,
  • Canadian citizens, landed immigrants (permanent residents), persons who have claimed refugee status (asylum seekers), persons from another country with a work or study permit and family members living here with them,
  • Persons staying at this address temporarily on May 14, 2019 who have no main residence elsewhere.

2. Where to include persons with more than one residence

  • Children in joint custody should be included in the home of the parent where they live most of the time. Children who spend equal time with each parent should be included in the home of the parent with whom they are staying on May 14, 2019.
  • Students who return to live with their parents during the year should be included at their parents' address, even if they live elsewhere while attending school or working at a summer job.
  • Spouses or common-law partners temporarily away who stay elsewhere while working or studying should be listed at the main residence of their family, if they return periodically.
  • Persons in an institution for less than six months (for example, in a home for the aged, a hospital or a prison) should be listed at their usual residence.

If this address is:

  • A secondary residence (for example, a cottage) for all persons who stayed here on May 14, 2019 (all these persons have their main residence elsewhere in canada), mark this circle. Print your name, your telephone number and your main residence address at the bottom of this page. Do not answer other questions.
  • A dwelling occupied only by residents of another country visiting canada (for example, on vacation or on a business trip), mark this circle. Print your name, your telephone number and your country of residence at the bottom of this page. Do not answer other questions.
  • The home of a government representative of another country (for example, an embassy or a high commission) and family members, mark this circle. Print your name, your telephone number and the country that you represent at the bottom of this page. Do not answer other questions.
  • Name
  • Telephone number
  • Number (and suffix, if applicable) (e.g., 302, 151 B, 16 1/2)
  • Street name, street type (e.g., DR = Drive), direction (e.g., N = North)
  • Apartment/unit
  • City, municipality, town, village, Indian reserve
  • Province/territory
  • Postal code
  • Country

Mail this questionnaire in the enclosed envelope today.

In the spaces provided, copy the names in the same order as in Step B. Then answer the following questions for each person.

The following questions refer to each person's situation on May 14, 2019, unless otherwise specified.

1. Name

  • Family name
  • Given name

2. What was this person's sex at birth?

Sex refers to sex assigned at birth.

  • Male
  • Female

3. What is this person's gender?

Refers to current gender which may be different from sex assigned at birth and may be different from what is indicated on legal documents.

  • Male
  • Female
  • Or please specify your gender

4. What are this person's date of birth and age?

If the exact date of birth is not known, enter the best estimate. For children less than 1 year old, enter 0 for age.

  • Day/Month/Year
  • Age

5. What is this person's marital status?

Mark " X " one circle only.

  • Never legally married
  • Legally married (and not separated)
  • Separated, but still legally married
  • Divorced
  • Widowed

6. Is this person living with a common-law partner?

Common-law refers to two people who live together as a couple but who are not married, regardless of the duration of the relationship.

  • Yes
  • No

7. What is the relationship of this person to Person 1?

If none of the responses in the list describe this person's relationship to Person 1, then specify a response under "Other relationship".

Person 1

  • Person 1

Person 2

  • Husband or wife of Person 1
  • Common-law partner of Person 1
  • Son or daughter of Person 1 only
  • Grandchild of Person 1
  • Son-in-law or daughter-in-law of Person 1
  • Father or mother of Person 1
  • Father-in-law or mother-in-law of Person 1
  • Brother or sister of Person 1
  • Foster child
  • Roommate, lodger or boarder
  • Other relationship — specify:

    Person 3-5

    • Son or daughter of both Persons 1 and 2
    • Son or daughter of Person 1 only
    • Son or daughter of Person 2 only
    • Grandchild of Person 1
    • Son-in-law or daughter-in-law of Person 1
    • Father or mother of Person 1
    • Father-in-law or mother-in-law of Person 1
    • Brother or sister of Person 1
    • Foster child
    • Roommate, lodger or boarder
    • Other relationship — specify:

    8. Can this person speak English or French well enough to conduct a conversation?

    Mark " X " one circle only.

    • Yes, English only
    • Yes, French only
    • Yes, both English and French
    • No (neither English nor French)

    9. a) What language(s) does this person speak on a regular basis at home?

    • English
    • French
    • Other language — specify:

    If this person indicates only one language in question 9 a), go to question 10.

    9. b) Of these languages, which one does this person speak most often at home?

    Indicate more than one language only if they are spoken equally at home.

    • English
    • French
    • Other language — specify:

    10. What is the language that this person first learned at home in childhood and still understands?

    Please report two languages or more only if those languages were learned at the same time at home before the person started school.

    If this person no longer understands the first language learned, indicate the second language learned.

    • English
    • French
    • Other language — specify:

    11. Has this person ever served in the Canadian military?

    Canadian military service includes service with the Regular Force or Primary Reserve Force as an Officer or Non-Commissioned Member. It does not include service with the Cadets (COATS), the Supplementary Reserve or the Canadian Rangers.

    Mark " X " one circle only.

    • Yes, currently serving in the Regular Force or the Primary Reserve Force
    • Yes, but no longer serving in the Regular Force or the Primary Reserve Force
    • No

    The following questions collect information in accordance with the Canadian Charter of Rights and Freedoms to support education programs in English and French in Canada.

    12. Is this dwelling located in Quebec?

    • No - Continue with question 13
    • Yes - Go to question 16

    13. Did this person do any of their primary or secondary schooling in French in Canada (including immersion)?

    Mark " X " one circle only.

    • Yes (previously or currently attending)
    • No
      • Go to question 18

      14. In which type of program was this schooling in French done?

      • A regular French program in a French-language school
      • A French immersion program in an English-language school (including intensive and extended French programs)
        • Go to question 18
      • Both types of programs
      • Other program — specify:

      15. For how many years did this person attend a regular French program in a French-language school?

      • Number of years in primary schooling (including kindergarten and middle school)
        • Number of years
          • Go to question 18
      • Number of years in secondary schooling
        • Number of years
          • Go to question 18

      16. Did this person do any of their primary or secondary schooling in an English-language school in Canada (including immersion)?

      Mark " X " one circle only.

      • Yes (previously or currently attending)
      • No
        • Go to question 18

      17. For how many years did this person do their schooling in an English-language school in Canada (including immersion)?

      • Number of years in primary schooling (including kindergarten)
        • Number of years
      • Number of years in secondary schooling
        • Number of years

      Health

      The following question is about the general health status of members of this household.

      18. In general, would you say this person's health is:

      Health means not only the absence of disease or injury but also physical, mental and social well-being.

      Mark " X " one circle only.

      • Excellent
      • Very good
      • Good
      • Fair
      • Poor

      Activities of Daily Living

      The following question is about difficulties a person may have doing certain activities. Only difficulties or long-term conditions that have lasted or are expected to last for six months or more should be considered.

      19. a) Does this person have any difficulty seeing (even when wearing glasses or contact lenses)?

      • No
      • Sometimes
      • Often
      • Always

      19. b) Does this person have any difficulty hearing (even when using a hearing aid)?

      • No
      • Sometimes
      • Often
      • Always

      19. c) Does this person have any difficulty walking, using stairs, using his/her hands or fingers or doing other physical activities?

      • No
      • Sometimes
      • Often
      • Always

      19. d) Does this person have any difficulty learning, remembering or concentrating?

      • No
      • Sometimes
      • Often
      • Always

      19. e) Does this person have any emotional, psychological or mental health conditions (e.g., anxiety, depression, bipolar disorder, substance abuse, anorexia, etc.)?

      • No
      • Sometimes
      • Often
      • Always

      19. f) Does this person have any other health problem or long-term condition that has lasted or is expected to last for six months or more?

      Exclude: any health problems already reported in question 19.

      • No
      • Sometimes
      • Often
      • Always

      Sociocultural Information

      20. Where was this person born?

      Specify one response only, according to present boundaries.

      • Born in Canada
        • N.L.
        • P.E.I.
        • N.S.
        • N.B.
        • Quebec
        • Ontario
        • Manitoba
        • Sask.
        • Alberta
        • B.C.
        • Yukon
        • N.W.T.
        • Nunavut
      • Born outside Canada — specify country:

      21. Where were this person's parents born?

      Specify the country or countries according to present boundaries.

      • All parents born in Canada
      • All parents born outside Canada
        • Specify the country or countries of birth.
      • One parent born in Canada AND one parent born outside Canada
        • Specify the country of birth outside Canada.

      22. a) Is this person a Canadian citizen?

      "Canadian citizen by naturalization" refers to an immigrant who was granted citizenship of Canada under the Citizenship Act.

      • Yes, a Canadian citizen by birth
      • Yes, a Canadian citizen by naturalization
      • No, not a Canadian citizen

      22. b) Is this person a citizen of a country other than Canada?

      Indicate more than one country of citizenship, if applicable.

      • No
      • Yes
        • Specify the country or countries of citizenship.

      23. What language(s), other than English or French, can this person speak well enough to conduct a conversation?

      • None
      • OR
        Other language(s) — specify:

      24. What were the ethnic or cultural origins of this person's ancestors?

      Ancestors may have Indigenous origins, or origins that refer to different countries, or other origins that may not refer to different countries.

      For examples of ethnic or cultural origins, visit Ancestry: Examples of ethnic or cultural origins.

      • Specify as many origins as applicable using capital letters.

      25. Is this person First Nations, Métis or Inuk (Inuit)?

      Note: First Nations (North American Indian) includes Status and Non-Status Indians.

      If "Yes", mark " X " the circle(s) that best describe(s) this person now.

      • No, not First Nations, Métis or Inuk (Inuit)
        • Continue with the next question
      • OR
        • Yes, First Nations (North American Indian)
          • Go to question 27
        • Yes, Métis
          • Go to question 27
        • Yes, Inuk (Inuit)
          • Go to question 27

      This question collects information in accordance with the Employment Equity Act and its Regulations and Guidelines to support programs that promote equal opportunity for everyone to share in the social, cultural and economic life of Canada.

      26. Is this person:

      Mark " X " more than one circle or specify, if applicable.

      • White
      • South Asian (e.g., East Indian, Pakistani, Sri Lankan)
      • Chinese
      • Black
      • Filipino
      • Arab
      • Latin American
      • Southeast Asian (e.g., Vietnamese, Cambodian, Laotian, Thai)
      • West Asian (e.g., Iranian, Afghan)
      • Korean
      • Japanese
      • Other group — specify:

      27. Is this person a Status Indian (Registered or Treaty Indian as defined by the Indian Act of Canada)?

      • No
      • Yes, Status Indian (Registered or Treaty)

      28. Is this person a member of a First Nation or Indian band?

      Note: Include citizens of self-governing First Nations.

      If 'Yes', which First Nation or Indian band?

      • No
      • Yes, member of a First Nation or Indian band
        • Specify name of First Nation or Indian band.

      29. Is this person a registered member of a Métis organization or settlement?

      If "Yes", which Métis organization or settlement?

      Note: Mark " X " one of the listed signatories of the Canada-Métis Nation Accord or specify a Métis organization or Métis settlement (for example, Kikino Métis settlement).

      • No
      • Yes, registered member of a Métis organization or settlement
        • Name of Métis organization or settlement
          • Métis Nation of Ontario
          • Manitoba Metis Federation
          • Métis Nation — Saskatchewan
          • Métis Nation of Alberta
          • Métis Nation British Columbia
          • Specify Métis organization or settlement.

      30. Is this person enrolled under, or a beneficiary of, an Inuit land claims agreement?

      • No
      • Yes
        • Which Inuit land claims agreement?
          • Inuvialuit Final Agreement
          • Nunavut Agreement (Nunavut Land Claims Agreement)
          • James Bay and Northern Quebec Agreement (Nunavik)
          • Labrador Inuit Land Claims Agreement (Nunatsiavut)

      31. What is this person's religion?

      Indicate a specific denomination or religion even if this person is not currently a practising member of that group.

      For examples of denominations and religions, visit Religion: Examples of religions and religious groups/denominations

      • Specify one denomination or religion only.
      • No religion

      Mobility

      32. Where did this person live 1 year ago, that is, on May 14, 2018?

      Mark " X " one circle only.

      Note: For those who mark the fourth circle:

      Please give the name of the city or town rather than the metropolitan area of which it is a part.

      For example:

      • Saanich rather than Victoria (metropolitan area)
      • St. Albert rather than Edmonton (metropolitan area)
      • Laval rather than Montréal (metropolitan area)
      • Born after May 14, 2018
      • Lived at the same address as now
      • Lived at a different address in the same city, town, village, township, municipality or Indian reserve
      • Lived in a different city, town, village, township, municipality or Indian reserve in Canada
        • Specify the name of the city, town, village, township, municipality or Indian reserve of residence 1 year ago.
          • Province/territory
          • Postal code
      • Lived outside Canada
        • Specify the country of residence 1 year ago

      33. Where did this person live 5 years ago, that is, on May 14, 2014?

      Mark " X " one circle only.

      Note: For those who mark the fourth circle:

      Please give the name of the city or town rather than the metropolitan area of which it is a part.

      For example:

      • Saanich rather than Victoria (metropolitan area)
      • St. Albert rather than Edmonton (metropolitan area)
      • Laval rather than Montréal (metropolitan area)
      • Born after May 14, 2014
      • Lived at the same address as now
      • Lived at a different address in the same city, town, village, township, municipality or Indian reserve
      • Lived in a different city, town, village, township, municipality or Indian reserve in Canada
        • Specify the name of the city, town, village, township, municipality or Indian reserve of residence 5 years ago.
          • Province/territory
          • Postal code
      • Lived outside Canada
        • Specify the country of residence 5 years ago

      Continue only for each person aged 15 years and over (born before May 14, 2004).

      Education

      34. Has this person completed a high school (secondary school) diploma or high school equivalency certificate?

      Include:

      • only completed qualifications
      • qualifications obtained in Canada or outside Canada.

      Examples of high school equivalency certificates are General Educational Development (GED) and Adult Basic Education (ABE).

      High school diploma or high school equivalency certificate

      • Yes, high school diploma
      • Yes, high school equivalency certificate (e.g., GED, ABE)
      • No

      35. a) Has this person ever completed a Certificate of Apprenticeship or Certificate of Qualification (Journey person's designation) or other trades certificate or diploma?

      Include:

      • only completed qualifications
      • qualifications obtained in Canada or outside Canada.

      Mark all that apply.

      For example, hairstyling, cooking, electrician, carpentry.

      Apprenticeship or trades certificate or diploma

      • Yes, Certificate of Apprenticeship or Certificate of Qualification (Journeyperson's designation)
      • Yes, DEP/DVS or ASP/AVS, offered in Quebec
      • Yes, other trades certificate or diploma
      • No

      35. b) Has this person ever completed a college, CEGEP, polytechnic or other non-university certificate, diploma or degree from a program of 3 months or more (e.g., college diploma, B.Tech)?

      Include:

      • only completed qualifications (from a program of 3 months or more)
      • qualifications obtained in Canada or outside Canada.

      Exclude any certificates or diplomas reported in question 35 a) above.

      Mark all that apply.

      For example, accounting technology, industrial engineering technology, legal assistant.

      College, CEGEP, polytechnic or other non-university certificate, diploma or degree

      • Yes, certificate or diploma from a program of 3 months to less than 1 year
      • Yes, certificate or diploma from a program of 1 year to 2 years
      • Yes, certificate or diploma from a program of more than 2 years (e.g., 3 years)
      • Yes, college (non-university) bachelor's degree
      • Yes, college (non-university) graduate or postgraduate certificate or diploma (a college or university credential is a prerequisite for admission)
      • No

      35. c) Has this person ever completed a university certificate, diploma or degree?

      Include:

      • only completed qualifications
      • qualifications obtained in Canada or outside Canada.

      Mark all that apply.

      University certificate, diploma or degree

      • Yes, university certificate or diploma below bachelor level
      • Yes, bachelor's degree obtained at a university (e.g., B.A., B.Sc.(Hons.), B.Ed., LL.B.)
      • Yes, university certificate or diploma above bachelor level
      • Yes, degree in medicine, dentistry, veterinary medicine or optometry (e.g., M.D., D.D.S., D.M.D., D.V.M., O.D.)
      • Yes, master's degree (e.g., M.A., M.Sc., M.Ed., M.B.A.)
      • Yes, earned doctorate (e.g., Ph.D., Ed.D.)
      • No

      36. a) What was the major field of study of the highest certificate, diploma or degree that this person completed?

      Please be specific. For example, automobile mechanics, health care attendant, medical laboratory technology, civil engineering, mathematics education, data science, agricultural economics.

      Print in capital letters.

      • Major field of study of highest certificate, diploma or degree
      • OR
        No certificate, diploma or degree higher than high school
        • Go to question 39

      36. b) In what province, territory or country did this person complete their highest certificate, diploma or degree?

      Location of institution

      • In Canada — specify province or territory:
      • OR
        Outside Canada — specify country:

      37. What was the most recent certificate, diploma or degree that this person completed?

      Mark one circle only for a completed certificate, diploma or degree that this person reported in question 35. a), b) or c).

      • Certificate of Apprenticeship or Certificate of Qualification
      • DEP/DVS or ASP/AVS, offered in Quebec
      • Other trades certificate or diploma
      • College or CEGEP certificate or diploma (of 3 months or more)
      • College (non-university) bachelor's degree
      • College (non-university) postgraduate certificate
      • University certificate or diploma below bachelor level
      • Bachelor's degree obtained at a university
      • University certificate or diploma above bachelor level
      • Degree in medicine, dentistry, veterinary medicine, etc.
      • Master's degree or earned doctorate

      38. a) What was the major field of study of the most recent certificate, diploma or degree that this person completed?

      Please be specific.

      For example, automobile mechanics, health care attendant, medical laboratory technology, civil engineering, mathematics education, data science, agricultural economics.

      • Most recent certificate, diploma or degree is the same as the highest certificate, diploma or degree
        • Go to question 39
      • OR
        Major field of study of most recent certificate, diploma or degree

      38. b) In what province, territory or country did this person complete their most recent certificate, diploma or degree?

      Location of institution

      • In Canada — specify province or territory:
      • OR
        Outside Canada — specify country:

      39. At any time since September 2018, was this person attending school, such as high school, college, CEGEP or university?

      Report only attendance for courses that can be used as credits towards a certificate, diploma or degree. Distance learning for credit is included.

      Attendance at any time since September 2018

      • Yes
      • No, was not attending school at any time since September 2018

      Labour Market Activities

      Note: Many of the following questions refer to the week from Sunday, May 5 to Saturday, May 11, 2019.

      40. During the week of Sunday, May 5 to Saturday, May 11, 2019, how many hours did this person work for pay or in self-employment?

      Please enter the total number of hours worked for pay or in self-employment at all jobs held during the week of May 5 to May 11.

      Exclude the number of hours

      • away because of illness, vacation or any other reasons.

      Include the number of hours

      • working for wages, salary, tips or commission
      • working overtime
      • working in their own business, farm or professional practice, alone or in partnership
      • working directly towards the operation of a family farm or business without formal pay arrangements (e.g., assisting in seeding, doing accounts).
      • None
        • Continue with the next question
      • OR
        Number of hours (to the nearest hour)
        • Go to question 47

      41. During the week of May 5 to May 11, 2019, did this person have a job or business from which they were absent?

      Mark " X " one circle only.

      • No
      • Yes, absent because of temporary lay-off from a job to which this person expects to return
      • Yes, absent because of vacation, illness, maternity or parental leave, strike or lockout, or absent for other reasons

      42. During the week of May 5 to May 11, 2019, did this person have definite arrangements to start a new job within the next four weeks?

      • No
      • Yes

      43. Did this person look for paid work during the four weeks from April 14 to May 11, 2019?

      For example, did this person contact an employment centre, check with employers, place or answer Internet ads, etc.?

      Mark " X " one circle only.

      • No
      • Yes, looked for full-time work
        • Go to question 45
      • Yes, looked for part-time work (less than 30 hours per week)
        • Go to question 45

      44. What was the main reason this person did not look for paid work during the four weeks from April 14 to May 11, 2019?

      Mark " X " one circle only.

      • Illness or disability of this person
      • Pregnancy, or maternity or parental leave
      • Student at school, college or university, or attending training
      • Cared for own child(ren) or relative(s)
      • Believed no work was available
      • Retirement
      • Already had a job
      • Waited for recall or reply from employers, or for seasonal work to start
      • Was a volunteer on a casual or part-time basis
      • Was a volunteer on a full-time basis
      • Other reason — specify:

      Note: For all responses, go to question 46.

      45. Could this person have started a job during the week of Sunday, May 5 to Saturday, May 11, 2019, had one been available?

      Mark " X " one circle only.

      • Yes, could have started a job
      • No, already had a job
      • No, because of temporary illness or disability
      • No, because of personal or family responsibilities
      • No, going to school
      • No, other reasons

      46. When did this person last work for pay or in self-employment, even for a few days?

      Mark " X " one circle only.

      • In 2019
        • Go to question 47
      • In 2018
        • Go to question 47
      • Before 2018
        • Go to question 59
      • Never
        • Go to question 59

      Note: Questions 47 to 53 b) refer to this person's job or business during the week of May 5 to May 11, 2019. If this person held no job, answer for the job of longest duration since January 1, 2018. If this person held more than one job, answer for the job at which they worked the most hours.

      47. For whom did this person work?

      For self-employed persons, enter the name of their business. If the business does not have a name, enter the person's name.

      Print in capital letters.

      Name of firm, government department, etc.

      • Name of firm, government department, etc.
      • Section, plant, department, etc. (if applicable)

      48. What kind of business, industry or service was this?

      Please be specific. For example:

      • primary school
      • municipal police
      • wheat farm
      • shoe store
      • road construction
      • web design
      • etc.
      • Kind of business, industry or service

      49. What was this person's work or occupation?

      Please be specific. For example:

      • automobile appraiser
      • web developer
      • civil engineer
      • secondary school teacher
      • etc.

      (If in the Armed Forces, give rank.)

      • Occupation

      50. In this work, what were this person's main activities?

      Please be specific. For example:

      • estimated collision damage cost
      • developed web applications for clients
      • designed and built bridges
      • taught mathematics
      • etc.
      • Main activities

      51. In this job or business, was this person an employee, self-employed or an unpaid family worker?

      Mark " X " one circle only.

      • Employee
        • Permanent position — no fixed end date
          • Go to question 53 a)
        • Fixed-term position (1 year or more)
          • Go to question 53 a)
        • Casual, seasonal or short-term position (less than 1 year)
          • Go to question 53 a)
      • Unpaid family worker (without pay or salary for their spouse or another relative in a family business or farm)
        • Go to question 53 a)
      • Self-employed without employee(s) (alone or in partnership)
      • Self-employed with employee(s) (alone or in partnership)

      52. Was this person's farm or business incorporated?

      • No
      • Yes

      53. a) In this job, what language(s) did this person use on a regular basis?

      • English
      • French
      • Other language(s) — specify:

      If this person indicates only one language in question 53 a), go to question 54.

      53. b) Of these languages, which one did this person use most often in this job?

      Indicate more than one language only if they are used equally at work.

      • English
      • French
      • Other language — specify:

      These questions are only for persons aged 15 years and over with a job or absent from their job or business during the week of Sunday, May 5 to Saturday, May 11, 2019.

      54. At what address did this person usually work most of the time?

      Example: 365 Laurier Ave. West

      • Number
      • Name
      • Type
      • Direction

      If the street address is unknown or if the address is a post office box, specify the building or nearest street intersection. Do not give a post office box number.

      If the address of work is different than the address of the employer, please provide the address where this person actually works (e.g., school teachers should provide the address of their school, not the address of the school board).

      If this person held more than one job, answer for the job at which they worked the most hours.

      • Worked from home (including farms)
        • Go to question 57
      • Worked outside Canada
        • Go to question 57
      • No fixed workplace address
        • Continue with the next question
      • Worked at the address specified below:
        • Street address (see example)
        • City, town, village, municipality or Indian reserve
        • Province/territory
          • N.L.
          • P.E.I.
          • N.S.
          • N.B.
          • Quebec
          • Ontario
          • Manitoba
          • Sask.
          • Alberta
          • B.C.
          • Yukon
          • N.W.T.
          • Nunavut
        • Postal code
      • Did not have a job or was on temporary lay-off from a job to which this person expects to return
        • Go to question 57

      55. a) What modes of commuting did this person usually use to get to work?

      Mark " X " as many circles as applicable.

      Mark "Subway or elevated rail" for:

      • Vancouver SkyTrain
      • Toronto Subway/RT
      • Montréal Metro.

      Mark "Light rail, streetcar or commuter train" for:

      • Vancouver West Coast Express,
      • Calgary CTrain
      • Edmonton LRT
      • Toronto streetcars
      • Toronto GO Train
      • Ottawa O-Train
      • Montréal commuter trains
      • Kitchener-Waterloo ION LRT.
      • Car, truck or van — as a driver
      • Car, truck or van — as a passenger
      • Bus
      • Subway or elevated rail
      • Light rail, streetcar or commuter train
      • Passenger ferry
      • Walked to work
      • Bicycle
      • Motorcycle, scooter or moped
      • Other method

      55. b) What main mode of commuting did this person usually use to get to work?

      Mark " X " one circle only.

      If this person used more than one mode of commuting to work, mark the one used for most of the travel distance.

      • Car, truck or van — as a driver
        • Go to question 55 c)
      • Car, truck or van — as a passenger
        • Go to question 55 c)
      • Bus
        • Go to question 56 a)
      • Subway or elevated rail
        • Go to question 56 a)
      • Light rail, streetcar or commuter train
        • Go to question 56 a)
      • Passenger ferry
        • Go to question 56 a)
      • Walked to work
        • Go to question 56 a)
      • Bicycle
        • Go to question 56 a)
      • Motorcycle, scooter or moped
        • Go to question 56 a)
      • Other method
        • Go to question 56 a)

      55. c) How many workers, including this person, usually ride in this car, truck or van to work?

      • 1 worker
      • 2 workers
      • 3 or more workers

      56. a) What time did this person's trip to work usually begin?

      • hour
        • min
        • a.m.
        • p.m.

        56. b) How many minutes did this person's trip to work usually last?

        • Number of minutes

        Remember, these questions are only for persons aged 15 years and over.

        57. How many weeks did this person work in 2018, including paid vacation?

        A year has 52 weeks.

        Include:

        • paid vacation and sick leave paid by the employer
        • weeks worked part time, even for a few hours.

        Exclude:

        • weeks absent and not paid by the employer, such as maternity or disability leave, etc.
        • None
          • Go to question 59
        • OR
          Number of weeks - Including paid vacation and sick leave paid for by the employer and excluding absences unpaid by the employer such as maternity, parental or disability leave.

        58. a) During most of these weeks, did this person work full time or part time?

        Mark " X " one circle only.

        • Full time (30 hours or more per week)
          • Go to question 59
        • Part time (less than 30 hours per week)

        58. b) What was the main reason this person worked mostly part time instead of full time in 2018?

        Mark " X " one circle only.

        • Personal preference
        • Student at school, college or university, or attending training
        • Business conditions
        • Cared for own child(ren) or relative(s)
        • Illness or incapacity of this person
        • Could not find full-time work
        • Other reason — specify:

        59. Does this person pay, partly or entirely, the rent or mortgage, taxes, electricity, etc. for this dwelling?

        Mark " X " if this person pays the rent, mortgage, taxes, electricity, etc. for this dwelling, even if more than one person contributes to such payments.

        A dwelling is a separate set of living quarters with a private entrance from the outside or from a common hallway or stairway inside the building. This entrance should not be through someone else's living quarters.

        Do not consider payments for other dwellings such as the school residence of a child, the residence of a former spouse, or another dwelling that you may own or rent.

        • Yes
        • No

        Step E

        Answer questions E1 to E9 about this dwelling.

        The questions refer to May 14, 2019 unless otherwise specified.

        A dwelling is a separate set of living quarters with a private entrance from the outside or from a common hallway or stairway inside the building. This entrance should not be through someone else's living quarters.

        E1. Is this dwelling:

        Mark " X " one circle only.

        • Owned by you or a member of this household (even if it is still being paid for)?
        • Rented (even if no cash rent is paid)?

        E2. Is this dwelling part of a condominium development?

        • Yes
        • No

        E3. a) How many rooms are there in this dwelling?

        Count kitchen, bedrooms, finished rooms in attic or basement, etc.

        Do not count bathrooms, halls, vestibules and rooms used solely for business purposes.

        • Number of rooms

        E3. b) How many of these rooms are bedrooms?

        Count all rooms designed as bedrooms, even if they are now used for something else. Also count basement bedrooms.

        • Number of bedrooms

        E4. When was this dwelling originally built?

        Mark the period in which the building was completed, not the time of any later remodelling, additions or conversions. If year is not known, give best estimate.

        • 1920 or before
        • 1921 to 1945
        • 1946 to 1960
        • 1961 to 1970
        • 1971 to 1980
        • 1981 to 1990
        • 1991 to 1995
        • 1996 to 2000
        • 2001 to 2005
        • 2006 to 2010
        • 2011 to 2015
        • 2016 to 2018
        • 2019

        E5. Is this dwelling in need of any repairs?

        Do not include desirable remodelling or additions.

        • No, only regular maintenance is needed (painting, furnace cleaning, etc.)
        • Yes, minor repairs are needed (missing or loose floor tiles, bricks or shingles; defective steps, railing or siding, etc.)
        • Yes, major repairs are needed (defective plumbing or electrical wiring; structural repairs to walls, floors or ceilings, etc.)


        E6. Is this dwelling located on an agricultural operation that is operated by a member of this household?

        • Yes
          • Go to step F
        • No
          • Continue to E7

        Answer questions E7 to E9 for this dwelling even if you own or rent more than one dwelling.

        If the exact amount is not known, please give a best estimate.

        E7. a) For this dwelling, what are the yearly payments (last 12 months) for oil, gas, coal, wood or other fuels?

        Do not include payments for electricity.

        • None
        • Included in rent or other payments
        • OR
          $ per year

        E7. b) For this dwelling, what are the yearly payments (last 12 months) for water and other municipal services?

        Do not include payments for electricity.

        • None
        • Included in rent or other payments
        • OR
          $ per year

        For renters only, answer parts E8. a) and E8. b):

        E8. a) What is the monthly rent paid for this dwelling? 

        • Rented without payment of cash rent
        • OR
          • $ per month

        E8. b) Is this dwelling subsidized?

        Subsidized housing includes rent geared to income, social housing, public housing, government assisted housing, non-profit housing, rent supplements, and housing allowances.

        • Yes
        • No

        For owners only, answer parts E9. a) through E9. e):

        E9. a) What are the total regular monthly mortgage or loan payments for this dwelling?

        • None
          • Go to part c)
        • OR
          $ per month

        E9. b) Are the property taxes (municipal and school) included in the amount shown in part a)?

        • Yes
          • Go to part d)
        • No

        E9. c) What are the estimated yearly property taxes (municipal and school) for this dwelling?

        • None
        • OR
          $ per year

        E9. d) If you were to sell this dwelling now, for how much would you expect to sell it?

        • $

        E9. e) What are the monthly condominium fees?

        • None
        • OR
          $ per month

        Step F

        If more than five persons live here, you will need an extra questionnaire; call 1-855-850-2019.

        You have now completed your questionnaire. Please mail it today. If you have lost the return envelope, please mail the questionnaire to:

        Statistics Canada
        PO BOX 99998, STN FED-GOVT
        Ottawa, ON K1A 9Z8

        Thank you for your co-operation.

        Comments

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        • the steps to follow or the content of this questionnaire (for example, a question that was difficult to understand or to answer),
        • the characteristics of the questionnaire (for example, the design, the format, the size of the text).

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