General Social SurveyCycle 28 Victimization

RSR_Q1

What is the relationship...

of: ^SPECRESPNAME2 (^SPECRESPAGE2, [Male/Female])

to you?

  1. [Husband/Wife]
  2. Common–law partner
  3. [Father/Mother]
  4. [Son/Daughter] (birth, adopted or step)
  5. [Brother/Sister]
  6. Foster [father/mother]
  7. Foster [son/daughter]
  8. [Grandfather/Grandmother]
  9. [Grandson/Granddaughter]
  10. In–law
  11. Other related – Specify (Go to RSR_S1A)
  12. Unrelated – Specify (Go to RSR_S1B)
  13. DK, RF
 

Previous Marriage or Common–law relationship (PMC)

PMC_Q10

Have you ever been [married or in a common–law relationship/in a previous marriage or common–law relationship]?

Interviewer: By "common–law" we mean partners living together as a couple without being legally married.

  1. Yes
  2. No
  3. DK, RF
 

Dwelling of Respondent (DOR)

DOR_R110

The following questions are about your housing and neighbourhood characteristics.

Interviewer: Press <1> to continue.

DOR_Q110

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

Interviewer: If the respondent answers condominium or seniors’ housing, ask whether the building is a townhouse, high–rise apartment, low–rise apartment or other.

Read categories until the respondent identifies the correct dwelling type. Please confirm answer.

  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 (Go to DOR_S110)
  9. DK, RF

Go to DOR_END

 

Ownership of Dwelling by Respondent (ODR)

ODR_Q10

Is this dwelling...?

Interviewer: Read categories to respondent. If the respondent’s household contains both owners and renters, such as a boarder, the dwelling should be considered owned.

  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 (Go to ODR_END)
 

Length of time Respondent has lived in Dwelling (LRD)

LRD_Q10

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
 

Length of time Respondent has lived in Neighbourhood (LRN)

LRN_Q10

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
 

Length of time Respondent has lived in city or local Community (LRC)

LRC_Q20

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
 

Residential Mobility (MOB)

MOB_Q010

In the last 5 years, how many times have you moved? Include all moves from one residence to another, even moves within the same city, town or community.

  • (MIN: 0)
  • (MAX: 25)
  • DK, RF
 

Questions about the Immediate Neighbourhood of respondent (QIN)

QIN_Q10

Would you say that you know...?

Interviewer: Read the categories to respondent.

  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

QIN_Q20

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

  1. Yes
  2. No
  3. DK, RF
 

Live in a Welcoming Community (LWC)

LWC_Q10

In general, would you say that you live in a welcoming community?

Interviewer: A welcoming community is a community where you would not hesitate to participate in activities for fear of being harassed, ridiculed or discriminated against.

  1. Yes
  2. No
  3. DK, RF
 

Social Disorder Questions (SDQ)

SDQ_Q110

In your neighbourhood, how much of a problem are:

noisy neighbours or loud parties?

Interviewer: Read the categories to respondent.

  1. A big problem
  2. A moderate problem
  3. A small problem
  4. Not a problem at all
  5. DK, RF

SDQ_Q120

(In your neighbourhood, how much of a problem are:)

people hanging around on the streets?

  1. A big problem
  2. A moderate problem
  3. A small problem
  4. Not a problem at all
  5. DK, RF

SDQ_Q140

(In your neighbourhood, how much of a problem is:)

garbage or litter lying around?

  1. A big problem
  2. A moderate problem
  3. A small problem
  4. Not a problem at all
  5. DK, RF

SDQ_Q150

(In your neighbourhood, how much of a problem is:)

vandalism, graffiti and other deliberate damage to property or vehicles?

  1. A big problem
  2. A moderate problem
  3. A small problem
  4. Not a problem at all
  5. DK, RF

SDQ_Q160

(In your neighbourhood, how much of a problem are:)

people being attacked or harassed because of their skin colour, ethnic origin or religion?

  1. A big problem
  2. A moderate problem
  3. A small problem
  4. Not a problem at all
  5. DK, RF

SDQ_Q170

(In your neighbourhood, how much of a problem are:)

people using or dealing drugs?

  1. A big problem
  2. A moderate problem
  3. A small problem
  4. Not a problem at all
  5. DK, RF

SDQ_Q180

(In your neighbourhood, how much of a problem are:)

people being drunk or rowdy in public places?

  1. A big problem
  2. A moderate problem
  3. A small problem
  4. Not a problem at all
  5. DK, RF
 

Sense of Belonging (SBL)

SBL_Q100

How would you describe your sense of belonging to your local community? Is it...?

Interviewer: Read categories to respondent.

  1. Very strong
  2. Somewhat strong
  3. Somewhat weak
  4. Very weak
  5. No opinion
  6. DK, RF
 

Isolation (ISL)

ISL_Q100

How many relatives and friends do you have who you feel close to, that is, who you feel at ease with, can talk to about what is on your mind, or call on for help? [Do not include those who live with you./EMPTY].

Interviewer: Relatives include all persons related by blood, marriage or adoption residing outside of the household. Include aunts, uncles, cousins, in–laws, etc.

  • (MIN: 0)
  • (MAX: 200)
  • DK, RF
 

Likelihood Neighbours would Call the Police (NCP)

NCP_Q10

How likely do you think it is that your neighbours would call the police:

if they heard or witnessed what seemed like criminal behaviour in your neighbourhood? Is it...?

Interviewer: Read categories to respondent.

  1. Very likely
  2. Somewhat likely
  3. Somewhat unlikely
  4. Not at all likely
  5. Just moved into the area
  6. DK, RF

NCP_Q20

(How likely do you think it is that your neighbours would call the police:)

if they heard or witnessed family violence occurring in your home?

  1. Very likely
  2. Somewhat likely
  3. Somewhat unlikely
  4. Not at all likely
  5. DK, RF
 

Trust In People (TIP)

TIP_Q10

Using a scale of 1 to 5 where 1 means ’Cannot be trusted at all’ and 5 means ’Can be trusted a lot’, how much do you trust each of the following groups of people:

people in your family?

  1. Cannot be trusted at all
  2. ...
  3. ...
  4. ...
  5. Can be trusted a lot
  6. DK, RF

TIP_Q15

(Using a scale of 1 to 5 where 1 means ’Cannot be trusted at all’ and 5 means ’Can be trusted a lot’, how much do you trust each of the following groups of people:)

people in your neighbourhood?

  1. Cannot be trusted at all
  2. ...
  3. ...
  4. ...
  5. Can be trusted a lot
  6. DK, RF

TIP_Q20

(Using a scale of 1 to 5 where 1 means ’Cannot be trusted at all’ and 5 means ’Can be trusted a lot’, how much do you trust each of the following groups of people:)

people you work with or go to school with?

  1. Cannot be trusted at all
  2. ...
  3. ...
  4. ...
  5. Can be trusted a lot
  6. Does not go to school nor works
  7. DK, RF

TIP_Q25

(Using a scale of 1 to 5 where 1 means ’Cannot be trusted at all’ and 5 means ’Can be trusted a lot’, how much do you trust each of the following groups of people:)

strangers?

  1. Cannot be trusted at all
  2. ...
  3. ...
  4. ...
  5. Can be trusted a lot
  6. DK, RF
 

Neighbourhood Safety and Crime (NSC)

NSC_R10

Now, some general questions on crime and safety.

Interviewer: Press <1> to continue.

NSC_Q10

Compared to other areas in Canada, do you think your neighbourhood has a higher amount of crime, about the same or a lower amount of crime?

Interviewer: Neighbourhood refers to the area surrounding your home.

  1. Higher
  2. About the same
  3. Lower
  4. DK, RF

NSC_Q20

During the last 5 years, do you think that crime in your neighbourhood has increased, decreased or remained about the same?

  1. Increased
  2. Decreased
  3. About the same
  4. Just moved into the area / has not lived in neighbourhood long enough

(DK not allowed)

RF

NSC_Q30

How safe do you feel from crime walking alone in your area after dark? Do you feel...?

Interviewer: If respondent cannot walk, ask if they would go out in a wheelchair.

Read categories to respondent.

  1. Very safe (Go to NSC_END)
  2. Reasonably safe
  3. Somewhat unsafe
  4. Very unsafe
  5. Do not walk alone
  6. DK, RF

Go to NSC_Q50

NSC_Q50

If you felt safer from crime, would you walk alone in your area after dark more often?

  1. Yes
  2. No
  3. DK, RF
 

Public Transportation in respondent’s city/local community and Safety (PTS)

PTS_Q10

Is there public transportation in your city or local community?

  1. Yes
  2. No (Go to PTS_END)
  3. DK, RF

Go to PTS_D30

PTS_Q30

While waiting for or using public transportation alone after dark, do you feel...?

Interviewer: Read categories to respondent.

  1. Very worried
  2. Somewhat worried
  3. Not at all worried about your safety from crime
  4. Never use public transportation (after dark)
  5. DK, RF

PTS_Q40

If you felt safer from crime, would you use public transportation alone after dark more often?

  1. Yes
  2. No
  3. DK, RF
 

Alone at Home in the Evening or at night (AHE)

AHE_Q10

When alone in your home in the evening or at night, do you feel...?

Interviewer: Read categories to respondent.

  1. Very worried
  2. Somewhat worried
  3. Not at all worried about your safety from crime
  4. Never alone
  5. DK, RF
 

Perceptions: Evenings Out (PEO)

PEO_Q110

On average, how many times a month do you go out during the evening:

to work, attend night classes, go to meetings or do volunteer work?

Interviewer: If respondent states "Less than once a month" enter "95". If the respondent says "Never" enter "0". If the respondent answers in weeks, multiply by four to convert that amount into times per month.

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

PEO_Q130

(On average, how many times a month do you go out during the evening:)

to go to bars, clubs or pubs?

  • (MIN: 0)
  • (MAX: 95)

Interviewer: If respondent states "Less than once a month" enter "95". If the respondent says "Never" enter "0". If the respondent answers in weeks, multiply by four to convert that amount into times per month.

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF
 

Satisfaction with Personal Safety from crime (SPS)

SPS_Q10

In general, how satisfied are you with your personal safety from crime?

Interviewer: Read categories to respondent.

  1. Very satisfied
  2. Satisfied
  3. Neither satisfied nor dissatisfied
  4. Dissatisfied
  5. Very dissatisfied
  6. No opinion
  7. DK, RF
 

Protection From Crime (PFC)

PFC_Q110

Have you ever done any of the following things to protect yourself or your property from crime? Have you ever:

changed your routine, activities, or avoided certain people or places?

Interviewer: Probe to be sure action was taken as a protection from crime.

  1. Yes
  2. No
  3. DK, RF

PFC_Q120

(Have you ever done any of the following things to protect yourself or your property from crime? Have you ever:)

installed new locks or security bars?

Interviewer: Probe to be sure action was taken as a protection from crime.

  1. Yes
  2. No
  3. DK, RF

PFC_Q130

(Have you ever done any of the following things to protect yourself or your property from crime? Have you ever:)

installed burglar alarms, motion detector lights or a video surveillance system?

Interviewer: Probe to be sure action was taken as a protection from crime.

  1. Yes
  2. No
  3. DK, RF

PFC_Q140

(Have you ever done any of the following things to protect yourself or your property from crime? Have you ever:)

taken a self–defence course?

Interviewer: Probe to be sure action was taken as a protection from crime.

  1. Yes
  2. No
  3. DK, RF

PFC_Q160

(Have you ever done any of the following things to protect yourself or your property from crime? Have you ever:)

obtained a dog?

Interviewer: Probe to be sure action was taken as a protection from crime.

  1. Yes
  2. No
  3. DK, RF

PFC_Q180

(Have you ever done any of the following things to protect yourself or your property from crime? Have you ever:)

changed residence or moved?

Interviewer: Probe to be sure action was taken as a protection from crime.

  1. Yes
  2. No
  3. DK, RF

Go to PFC_C185

PFC_Q185

[Did you do this/Have you done any of these things] to protect yourself or your property from crime in the last 12 months?

  1. Yes (Go to PFC_C190)
  2. No
  3. DK, RF

Go to PFC_END

PFC_Q190

Which ones?

Interviewer: Mark all that apply.

  1. Changed your routine, activities, or avoided certain people or places
  2. Installed new locks or security bars
  3. Installed burglar alarms or motion detector lights or a video surveillance system
  4. Taken a self–defence course
  5. Obtained a dog
  6. Changed residence or moved
  7. DK, RF
 

Safer From Crime (SFC)

SFC_Q10

Do you do any of the following things to make yourself safer from crime? Do you routinely:

carry something to defend yourself or to alert other people?

Interviewer: Routinely means "most of the time" even if you occasionally forget.

Examples of things to defend yourself or to alert other people are: a whistle, a knife, pepper spray, etc.

  1. Yes
  2. No
  3. DK, RF

SFC_Q20

(Do you do any of the following things to make yourself safer from crime? Do you routinely:)

when alone and returning to a parked car, check the back seat for intruders before getting into the car?

Interviewer: Routinely means "most of the time" even if you occasionally forget.

  1. Yes
  2. No
  3. DK, RF

SFC_Q30

(Do you do any of the following things to make yourself safer from crime? Do you routinely:)

plan your route with safety in mind?

Interviewer: Routinely means "most of the time" even if you occasionally forget.

  1. Yes
  2. No
  3. DK, RF

SFC_Q40

(Do you do any of the following things to make yourself safer from crime? Do you routinely:)

stay at home at night because you are afraid to go out alone?

Interviewer: Routinely means "most of the time" even if you occasionally forget.

  1. Yes
  2. No
  3. DK, RF

SFC_Q50

(Do you do any of the following things to make yourself safer from crime? Do you routinely:)

lock windows and doors at home?

Interviewer: Routinely means "most of the time" even if you occasionally forget.

  1. Yes
  2. No
  3. DK, RF

SFC_Q60

(Do you do any of the following things to make yourself safer from crime? Do you routinely:)

rather than walk, use your car, a taxi or public transportation for your personal safety?

Interviewer: Routinely means "most of the time" even if you occasionally forget.

  1. Yes
  2. No
  3. DK, RF
 

Perceptions: Local Police (PLP)

PLP_R110

The next questions deal with your perceptions about the work of the criminal justice system.

Interviewer: Press <1> to continue.

PLP_Q110

Do you think your local police force does a good job, an average job or a poor job:

of enforcing the laws?

Interviewer: "Local police force" refers to the police responsible for your municipality.

Exclude security guards, fire marshalls, by–law officers and all others who have no authority to make arrests.

  1. Good job
  2. Average job
  3. Poor job
  4. DK, RF

PLP_Q120

(Do you think your local police force does a good job, an average job or a poor job:)

of promptly responding to calls?

Interviewer: "Local police force" refers to the police responsible for your municipality.

Exclude security guards, fire marshalls, by–law officers and all others who have no authority to make arrests.

  1. Good job
  2. Average job
  3. Poor job
  4. DK, RF

PLP_Q130

(Do you think your local police force does a good job, an average job or a poor job:)

of being approachable and easy to talk to?

Interviewer: "Local police force" refers to the police responsible for your municipality.

Exclude security guards, fire marshalls, by–law officers and all others who have no authority to make arrests.

  1. Good job
  2. Average job
  3. Poor job
  4. DK, RF

PLP_Q140

(Do you think your local police force does a good job, an average job or a poor job:)

of supplying information to the public on ways to prevent crime?

Interviewer: "Local police force" refers to the police responsible for your municipality.

Exclude security guards, fire marshalls, by–law officers and all others who have no authority to make arrests.

  1. Good job
  2. Average job
  3. Poor job
  4. DK, RF

PLP_Q150

(Do you think your local police force does a good job, an average job or a poor job:)

of ensuring the safety of the citizens in your area?

Interviewer: "Local police force" refers to the police responsible for your municipality.

Exclude security guards, fire marshalls, by–law officers and all others who have no authority to make arrests.

  1. Good job
  2. Average job
  3. Poor job
  4. DK, RF

PLP_Q160

(Do you think your local police force does a good job, an average job or a poor job:)

of treating people fairly?

Interviewer: "Local police force" refers to the police responsible for your municipality.

Exclude security guards, fire marshalls, by–law officers and all others who have no authority to make arrests.

’Treating people fairly’ could be related to race, age, gender, or the severity of the offence, etc.

  1. Good job
  2. Average job
  3. Poor job
  4. DK, RF
 

Confidence In Police (CIP)

CIP_Q10

How much confidence do you have in the police?

Is it...?

Interviewer: Read categories to respondent.

Exclude security guards, fire marshalls, by–law officers and all others who have no authority to make arrests.

  1. A great deal of confidence
  2. Some confidence
  3. Not very much confidence
  4. No confidence at all
  5. DK, RF
 

Perceptions: Criminal Courts (PCC)

PCC_Q145

How much confidence do you have in the Canadian Criminal courts?

Is it ...?

Interviewer: Read categories to respondent.

  1. A great deal of confidence
  2. Some confidence
  3. Not very much confidence
  4. No confidence at all
  5. DK, RF

PCC_Q160

Have you ever had contact with the Canadian Criminal courts?

Interviewer: "Canadian Criminal courts" refers to courts in Canada which deal with criminal incidents.

Exclude family and traffic courts.

Contact with a criminal court may be for any reason such as being a witness to a crime, a victim of a crime, having friends or family members charged with a crime or being on a jury.

  1. Yes
  2. No
  3. DK, RF
 

Contact With Police (CWP)

CWP_Q110

During the past 12 months, did you come into contact with the police:

for a public information session?

  1. Yes
  2. No
  3. DK, RF

CWP_Q120

(During the past 12 months, did you come into contact with the police:)

for a traffic violation?

  1. Yes
  2. No
  3. DK, RF

CWP_Q140

(During the past 12 months, did you come into contact with the police:)

as a witness to a crime?

  1. Yes
  2. No
  3. DK, RF

CWP_Q150

(During the past 12 months, did you come into contact with the police:)

by being arrested?

  1. Yes
  2. No
  3. DK, RF

CWP_Q160

(During the past 12 months, did you come into contact with the police:)

because of problems with your emotions, mental health or alcohol or drug use?

  1. Yes
  2. No
  3. DK, RF

CWP_Q170

(During the past 12 months, did you come into contact with the police:)

because of a family member’s emotional problems, mental health or alcohol or drug use?

  1. Yes
  2. No
  3. DK, RF

CWP_Q180

(During the past 12 months, did you come into contact with the police:)

for any other reason?

  1. Yes – Specify (Go to CWP_S180)
  2. No
  3. DK, RF

Go to CWP_END

 

Criminal Victimization Screening: Property (VSP)

VSP_R110A The next questions ask about incidents which may have happened to you in Canada during the past 12 months.

Interviewer: Press <1> to continue.

VSP_R110B Please include acts committed by both family and non–family members whether or not they were reported to the police.

Interviewer: Press <1> to continue.

VSP_Q110

During the past 12 months, did anyone deliberately damage or destroy any property belonging to you or anyone in your household, such as a window or a fence?

Interviewer: Record incidents of vandalism to a motor vehicle in question VSV_Q120.

Exclude damage to the halls or elevators or to the outside of an apartment building.

  1. Yes (Go to VSP_Q115)
  2. No
  3. DK, RF

Go to VSP_D115

VSP_Q115

How many times did this happen during the past 12 months?

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

VSP_Q120

[Excluding incidents already mentioned, did/Did] anyone take or try to take something from you by force or threat of force?

Interviewer: Record incidents of assault in question VSA_Q110, threats in question VSA_Q120 and sexual assaults in question VSA_Q130.

  1. Yes (Go to VSP_Q125)
  2. No
  3. DK, RF

Go to VSP_D125

VSP_Q125

How many times did this happen during the past 12 months?

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

VSP_Q130

[Excluding incidents already mentioned, did/Did] anyone illegally break into or attempt to break into your residence or any other building on your property?

  1. Yes (Go to VSP_Q135)
  2. No
  3. DK, RF

Go to VSP_D135

VSP_Q135

How many times did this happen during the past 12 months?

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

VSP_Q140

[Excluding incidents already mentioned, was/Was] anything of yours stolen from outside your home, such as yard furniture?

Interviewer: Record incidents of theft from work, school or other public place in VSP_Q150, theft from hotel, vacation home, cottage or while travelling in VSP_Q160 and motor vehicle theft in question VSV_Q110.

  1. Yes (Go to VSP_Q145)
  2. No
  3. DK, RF

Go to VSP_D145

VSP_Q145

How many times did this happen during the past 12 month?

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

VSP_Q150

[Excluding incidents already mentioned, was/Was] anything of yours stolen from your place of work, from school or from a public place, such as a restaurant?

Interviewer: Probe to ensure property taken was their own personal property and not property belonging to their work place or school.

  1. Yes (Go to VSP_Q155)
  2. No
  3. DK, RF

Go to VSP_D155

VSP_Q155

How many times did this happen during the past 12 months?

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

VSP_Q160

[Excluding incidents already mentioned, was/Was] anything of yours stolen from a hotel, vacation home, cottage, car, truck or while travelling in Canada?

  1. Yes (Go to VSP_Q165)
  2. No
  3. DK, RF

Go to VSP_D165A

VSP_Q165

How many times did this happen during the past 12 months?

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF
 

Criminal Victimization Screening: Vehicle (VSV)

VSV_Q100

During the past 12 months, did you or anyone in your household have a motor vehicle, such as a car, truck or motorcycle?

Interviewer: Exclude short term rentals; for example, those used for short trips or weekends.

  1. Yes (Go to VSV_Q110)
  2. No
  3. DK, RF

Go to VSV_D125

VSV_Q110

[Excluding incidents already mentioned, did/Did] anyone steal or try to steal one of these vehicles or a part of one of them, such as a battery, hubcap or radio?

  1. Yes (Go to VSV_Q115)
  2. No
  3. DK, RF

Go to VSV_D115

VSV_Q115

How many times did this happen during the past 12 months?

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

VSV_Q120

[Excluding incidents already mentioned, did/Did] anyone deliberately damage one of these vehicles, such as slashing tires?

  1. Yes (Go to VSV_Q125)
  2. No
  3. DK, RF

Go to VSV_D125

VSV_Q125

How many times did this happen during the past 12 months?

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

VSV_Q130

[Excluding incidents already mentioned, did/Did] anyone steal or try to steal something else that belonged to you?

  1. Yes (Go to VSV_Q135)
  2. No
  3. DK, RF

Go to VSV_D135A

VSV_Q135

How many times did this happen during the past 12 months?

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF
 

Criminal Victimization Screening: Assault (VSA)

VSA_R110

An attack can be anything from being threatened, hit, slapped, pushed or grabbed, to being shot or beaten.

Interviewer: Press <1> to continue.

VSA_Q110

[Excluding incidents already mentioned, were/Were] you attacked by anyone in the past 12 months?

Please exclude acts that may have been committed by a current or previous spouse or partner.

Remember that your answers are strictly confidential.

Interviewer: Record incidents of threats in question VSA_Q120 and sexual assaults in question VSA_Q130.

  1. Yes (Go to VSA_Q115)
  2. No
  3. DK, RF

Go to VSA_D115

  1. Yes (Go to VSA_Q115)
  2. No
  3. DK, RF

VSA_Q115

How many times did this happen during the past 12 months?

  • (MIN: 0)
  • (MAX: 95)

Remember that your answers are strictly confidential.)

  1. Yes (Go to VSA_Q125)
  2. No
  3. DK, RF

Go to VSA_D125

VSA_Q125

How many times did this happen during the past 12 months?

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

VSA_Q130

[Excluding incidents already mentioned, has/Has] anyone forced you or attempted to force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?

This includes acts by family and non–family but excludes acts that could involve current or previous spouses or common–law partners.

Remember that your answers are strictly confidential.

  1. Yes (Go to VSA_Q135)
  2. No
  3. DK, RF

Go to VSA_D135

VSA_Q135

How many times did this happen during the past 12 months?

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

VSA_Q140

[Excluding incidents already mentioned, has/Has] anyone ever touched you against your will in any sexual way? By this I mean anything from unwanted touching or grabbing, to kissing or fondling.

(Please exclude acts that may have been committed by a current or previous spouse or partner.)

  1. Yes (Go to VSA_Q145)
  2. No
  3. DK, RF

Go to VSA_D145

VSA_Q145

How many times did this happen during the past 12 months?

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF

VSA_Q150

[Excluding incidents already mentioned, has/Has] anyone subjected you to a sexual activity to which you were not able to consent. By this I mean were you drugged, intoxicated, manipulated or forced in other ways than physically?

(Please exclude acts that may have been committed by a current or previous spouse or partner.

Remember that your answers are strictly confidential.)

  1. Yes (Go to VSA_Q155)
  2. No
  3. DK, RF

Go to VSA_D155A

VSA_Q155

How many times did this happen during the past 12 months?

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF
 

Criminal Victimization Screening: Total (VST)

VST_Q110

[Apart from what you have told me, were/Were] there any other crimes that happened to you during the past 12 months? ^DT_EXCLUDE_EInclude acts which may or may not have been reported to the police.

Interviewer: Exclude criminal harassment or stalking incidents. They will be collected in another section.

  1. Yes (Go to VST_S110)
  2. No
  3. DK, RF

Go to VST_D200A

VST_Q115

How many times did this happen?

  • (MIN: 1)
  • (MAX: 95)
  • DK, RF

VST_Q200

I would like to confirm the crimes that you reported and that occurred on different occasions over the past 12 months. You said you were a victim of:

^DT_HhldDamage_E

^DT_TakeByForce_E

^DT_BreakAndEnt_E

^DT_OutsideHhld_E

^DT_PropertyStl_E

^DT_RobberyVaca_E

^DT_StolenVehic_E

^DT_DamageVehic_E

^DT_StolenOther_E

^DT_PhysicalAtt_E

^DT_Threat_E

^DT_SexualAssal_E

^DT_UnwantedSex_E

^DT_SexualnoConsent_E

^DT_OtherCrimeS_E

Interviewer: If changes are required, go back to appropriate questions and make the necessary corrections.

  1. Confirmed: Number of crime incidents is correct (Go to VST_END)
  2. Incorrect

(DK, RF not allowed)

VST_Q201

DK, RF

VST_Q205

I need to confirm that you have NOT been a victim of a crime [by someone other than a current or previous spouse or common–law partner/BLANK]in the past 12 months.

Interviewer: If changes are required, go back to appropriate questions and make the necessary corrections.

  1. Confirmed: No crime incidents in the past 12 months
  2. Incorrect

(DK, RF not allowed)

VST_Q206

DK, RF

 

Number of Years with spouse/Partner (YWP)

YWP_R10

Now, some questions concerning your [spouse/partner].

YWP_Q10

In what year did you start living together?

Interviewer: If the couple lived common–law before getting married, ask the respondent when they started living together. We want to know the total length of time that the couple has lived together.

  • (MIN: 1,921)
  • (MAX: 2,014)
  • DK, RF

YWP_Q15

In what month?

  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

Go to YWP_D15

 

Emotional and Financial abuse by spouse/Partner (EFP)

EFP_Q210

I’m going to read a list of statements that some people have used to describe their [spouse/partner]. I’d like you to tell me whether or not each statement describes your [spouse/partner]. Please remember that all information provided is strictly confidential. [He/She/He or she]:

tries to limit your contact with family or friends.

  1. Yes
  2. No
  3. DK, RF

EFP_Q220

(I’m going to read a list of statements that some people have used to describe their [spouse/partner]. I’d like you to tell me whether or not each statement describes your [spouse/partner]. Please remember that all information provided is strictly confidential. [He/She/He or she]:)

puts you down or calls you names to make you feel bad.

  1. Yes
  2. No
  3. DK, RF

EFP_Q230

(I’m going to read a list of statements that some people have used to describe their [spouse/partner]. I’d like you to tell me whether or not each statement describes your [spouse/partner]. Please remember that all information provided is strictly confidential. [He/She/He or she]:)

is jealous and doesn’t want you to talk to other men or women.

  1. Yes
  2. No
  3. DK, RF

EFP_Q240

(I’m going to read a list of statements that some people have used to describe their [spouse/partner]. I’d like you to tell me whether or not each statement describes your [spouse/partner]. Please remember that all information provided is strictly confidential. [He/She/He or she]:)

harms, or threatens to harm, someone close to you.

  1. Yes
  2. No
  3. DK, RF

EFP_Q245

(I’m going to read a list of statements that some people have used to describe their [spouse/partner]. I’d like you to tell me whether or not each statement describes your [spouse/partner]. Please remember that all information provided is strictly confidential. [He/She/He or she]:)

harms or threatens to harm your pet(s).

Interviewer: If respondent answers <No>, confirm that no pets were harmed by the spouse/partner. If respondent says <No> because he/she does not have pets, then select <Not applicable>.

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

EFP_Q250

(I’m going to read a list of statements that some people have used to describe their [spouse/partner]. I’d like you to tell me whether or not each statement describes your [spouse/partner]. Please remember that all information provided is strictly confidential. [He/She/He or she]:)

demands to know who you are with and where you are at all times.

  1. Yes
  2. No
  3. DK, RF

EFP_Q260

(I’m going to read a list of statements that some people have used to describe their [spouse/partner]. I’d like you to tell me whether or not each statement describes your [spouse/partner]. Please remember that all information provided is strictly confidential. [He/She/He or she]:)

damages or destroys your possessions or property.

  1. Yes
  2. No
  3. DK, RF

EFP_Q270

(I’m going to read a list of statements that some people have used to describe their [spouse/partner]. I’d like you to tell me whether or not each statement describes your [spouse/partner]. Please remember that all information provided is strictly confidential. [He/She/He or she]:)

prevents you from knowing about or having access to the family income, even if you ask.

  1. Yes
  2. No
  3. DK, RF

EFP_Q280

(I’m going to read a list of statements that some people have used to describe their [spouse/partner]. I’d like you to tell me whether or not each statement describes your [spouse/partner]. Please remember that all information provided is strictly confidential. [He/She/He or she]:)

forces you to give [him/her/him or her] your money, possessions or property.

  1. Yes
  2. No
  3. DK, RF
 

Physical and Sexual violence by spouse/Partner (PSP)

PSP_R110

I’m going to ask you some questions concerning the serious problem of violence in the home. I’d like you to tell me if, in the past 5 years, your current [spouse/partner] has done any of the following to you. Your responses are important whether or not you have had any of these experiences. Remember that all information provided is strictly confidential.

Interviewer: Press <1> to continue.

PSP_Q110

During the past 5 years has your current [spouse/partner]:

threatened to hit you with [his/her/his or her] fist or anything else that could have hurt you?

  1. Yes
  2. No
  3. DK, RF

PSP_Q120

(During the past 5 years has [he/she/he or she]:)

thrown anything at you that could have hurt you?

  1. Yes
  2. No
  3. DK, RF

PSP_Q130

(During the past 5 years has [he/she/he or she]:)

pushed, grabbed or shoved you in a way that could have hurt you?

  1. Yes
  2. No
  3. DK, RF

PSP_Q140

(During the past 5 years has [he/she/he or she]:)

slapped you?

  1. Yes
  2. No
  3. DK, RF

PSP_Q150

(During the past 5 years has [he/she/he or she]:)

kicked you, bit you, or hit you with [his/her/his or her] fist?

  1. Yes
  2. No
  3. DK, RF

PSP_Q160

(During the past 5 years has [he/she/he or she]:)

hit you with something that could have hurt you?

  1. Yes
  2. No
  3. DK, RF

PSP_Q170

(During the past 5 years has [he/she/he or she]:)

beaten you?

  1. Yes
  2. No
  3. DK, RF

PSP_Q180

(During the past 5 years has [he/she/he or she]:)

choked you?

  1. Yes
  2. No
  3. DK, RF

PSP_Q190

(During the past 5 years has [he/she/he or she]:)

used or threatened to use a gun or knife on you?

  1. Yes
  2. No
  3. DK, RF

PSP_Q200

(During the past 5 years has [he/she/he or she]:)

forced you into any unwanted sexual activity, by threatening you, holding you down, or hurting you in some way?

  1. Yes
  2. No
  3. DK, RF

PSP_Q210

(During the past 5 years has [he/she/he or she]:)

subjected you to a sexual activity to which you were not able to consent. By this I mean were you drugged, intoxicated, manipulated or forced in other ways than physically?

  1. Yes
  2. No
  3. DK, RF
 

Violence Towards others by current spouse/Partner (VTP)

VTP_Q10

In the past 5 years, has your current [spouse/partner] ever been physically or sexually violent:

towards anyone [else/BLANK] in the family?

Interviewer: Family includes all persons related by blood, marriage or adoption residing inside as well as outside of the household. It includes aunts, uncles, cousins, and in–laws, etc.

  1. Yes
  2. No
  3. DK, RF

VTP_Q20

In the past 5 years, has your current [spouse/partner] ever been physically or sexually violent:

towards anyone outside of the family?

Interviewer: "Outside of the family" includes all persons not related by blood, marriage or adoption residing in as well as outside of the household.

  1. Yes
  2. No
  3. DK, RF
 

Number of incidents of physical and sexual Violence with current spouse/Partner (NVP)

NVP_Q10

You said yes to at least one of the previous questions concerning physical and sexual violence. During the past 5 years, has [he/she/he or she] been violent to you on more than 1 occasion?

  1. Yes (Go to NVP_Q20)
  2. No
  3. DK, RF

Go to NVP_END

NVP_Q20

How many different times did these things happen during the past 5 years?

  • Two
  • Three
  • Four
  • Five
  • Six
  • Seven
  • Eight
  • Nine
  • Ten
  • More than ten
  • DK, RF

NVP_Q30

In what year did these incidents start to happen?

  • (MIN: 1,921)
  • (MAX: 2,014)
  • DK, RF

NVP_Q40

How many of these incidents were in the past 12 months?

  • (MIN: 0)
  • (MAX: 995)
  • DK, RF
 

Unwanted Sexual activity by current spouse/Partner (USP)

USP_Q10

In how many of these ^NVP_Q40 incidents (during the past 12 months), did [he/she/he or she] force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?

  • (MIN: 0)
  • (MAX: 995)
  • DK, RF

Go to USP_C30A

USP_Q20

During this incident (in the past 12 months), did [he/she/he or she] force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?

  1. Yes
  2. No
  3. DK, RF

USP_Q30

In how many of these ^NVP_Q40 incidents (during the past 12 months), did [he/she/he or she] subject you to sexual activity to which you were not able to consent?

Interviewer: You were not able to consent because you were drugged, intoxicated, manipulated or forced in other ways than physically.

  • (MIN: 0)
  • (MAX: 100)
  • DK, RF

Go to USP_END

USP_Q40

During this incident (in the past 12 months), did [he/she/he or she] subject you to a sexual activity to which you were not able to consent?

Interviewer: You were not able to consent because you were drugged, intoxicated, manipulated or forced in other ways than physically.

  1. Yes
  2. No
  3. DK, RF
 

Most Recent incident of physical or sexual violence with current spouse/Partner (MRP)

MRP_Q10

During what year and month did [this/the most recent] incident of physical or sexual violence happen?

Interviewer: Enter the year in which [this/the most recent] incident of physical or sexual violence took place.

  • (MIN: 2,009)
  • (MAX: 2,014)
  • DK, RF

MRP_Q20

(During what year and month did [this/the most recent] incident of physical or sexual violence happen?)

Interviewer: Enter the month where [this/the most recent] incident of physical or sexual violence took place.

  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
 

Information about incident that Happened in the past 5 years with current spouse/Partner (IHP)

IHP_Q10

Did [this incident/any of these incidents] (in the past 5 years) happen before you were married or living common–law?

  1. Yes
  2. No
  3. DK, RF

IHP_Q20

Did [this incident/any of these incidents] (in the past 5 years) happen while you were married or living common–law?

  1. Yes
  2. No
  3. DK, RF

IHP_Q30

Did [this incident/any of these incidents] (in the past 5 years) happen while you were temporarily separated?

  1. Yes
  2. No
  3. No, never separated
  4. DK, RF

IHP_Q40

Did [this incident/any of these incidents] (in the past 5 years) happen while you were pregnant?

  1. Yes (Go to IHP_C50)
  2. No
  3. DK, RF

Go to IHP_END

IHP_Q50

Did [this incident/any of these incidents] begin while you were pregnant?

  1. Yes
  2. No
  3. DK, RF

Go to IHP_END

 

Contact in the past 5 years with a Previous spouse/partner (CFP)

CFP_Q10

In the past 5 years, have you had any contact with a previous spouse or common–law partner?

  1. Yes
  2. No
  3. DK, RF
 

Children With EX–spouse/ex–partner who had contact with respondent in the last 5 years (CWX)

CWX_Q10

Did you and your ex–spouse(s) or ex–common–law partner(s) have any children together who are presently under the age of 18?

  1. Yes (Go to CWX_Q20)
  2. No
  3. DK, RF

Go to CWX_END

CWX_Q20

How many children did you have (with your ex–spouse(s) or ex–common–law partner(s)), who are presently under the age of 18?

Interviewer: Count all the children (presently under the age of 18) that the respondent had with all their ex–spouses/ex–common–law partners if applicable.

  • (MIN: 1)
  • (MAX: 19)
  • DK, RF

CWX_Q30

What is [this child’s/the children’s] principal residence?

Interviewer: Mark all that apply.

  1. Respondent’s home
  2. Ex–spouse/ex–common–law partner’s home
  3. About the same amount of time at both parent’s homes
  4. Somewhere else
  5. DK, RF

CWX_Q40

How often does your ex–spouse(s)/ex–common–law partner(s) see [this child/these children]?

Interviewer: Mark all that apply.

  1. At least once a week
  2. At least once every 2 weeks
  3. At least once a month
  4. A few times a year
  5. At least once a year
  6. Doesn’t see the child but calls and/or sends letters, cards, gifts, etc.
  7. Has no contact with the child
  8. DK, RF

CWX_Q50

How often do you see [this child/these children]?

Interviewer: Mark all that apply.

  1. At least once a week
  2. At least once every 2 weeks
  3. At least once a month
  4. A few times a year
  5. At least once a year
  6. Doesn’t see the child but calls and/or sends letters, cards, gifts, etc.
  7. Has no contact with the child
  8. DK, RF
 

Emotional and Financial abuse by EX–spouse/ex–partner (EFX)

EFX_R210A Now a list of statements that some people have used to describe their previous spouse or partner.

Interviewer: Press <1> to continue.

Go to EFX_Q210

EFX_R210B Now a list of statements that may apply to your previous spouse or partner.

Interviewer: Press <1> to continue.

EFX_Q210

I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:

tried to limit your contact with family or friends.

Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

  1. Yes
  2. No
  3. DK, RF

EFX_Q220

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

put you down or called you names to make you feel bad.

Interviewer: Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

  1. Yes
  2. No
  3. DK, RF

EFX_Q230

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

was jealous and didn’t want you to talk to other men or women.

Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

  1. Yes
  2. No
  3. DK, RF

EFX_Q240

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

harmed, or threatened to harm, someone close to you.

Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

  1. Yes
  2. No
  3. DK, RF

EFX_Q245

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

harmed or threatened to harm your pet(s).

Interviewer: If respondent answers <No>, confirm that no pets were harmed by the ex–spouse/ex–partner. If respondent says <No> because he/she did not have pets, then select <Not applicable>.

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

EFX_Q250

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

demanded to know who you were with and where you were at all times.

Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

  1. Yes
  2. No
  3. DK, RF

EFX_Q260

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

damaged or destroyed your possessions or property.

Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

  1. Yes
  2. No
  3. DK, RF

EFX_Q270

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

prevented you from knowing about or having access to the family income, even if you asked.

Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

  1. Yes
  2. No
  3. DK, RF

EFX_Q280

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

forced you to give him or her your money, possessions or property.

Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

  1. Yes
  2. No
  3. DK, RF
 

Physical and Sexual Violence by EX–spouse/ex–partner (PSX)

PSX_R110A It is important to hear from people themselves if we are to understand the serious problem of violence in the home. I’m going to ask you some questions and I’d like you to tell me if, in the past 5 years, your previous spouse or partner did any of the following to you. Your responses are important whether or not you have had any of these experiences. Please remember that all information provided is strictly confidential.

Interviewer: Press <1> to continue.

Go to PSX_Q110

PSX_R110B The following questions refer to your previous spouse or partner. I’d like you to tell me if, in the past 5 years, your previous spouse or partner did any of the following to you. Again, your responses are important whether or not you have had any of these experiences. Please remember that all information provided is strictly confidential.

Interviewer: Press <1> to continue.

PSX_Q110

During the past 5 years did your previous spouse or partner:

threaten to hit you with his (her) fist or anything else that could have hurt you?

  1. Yes
  2. No
  3. DK, RF

PSX_Q120

(During the past 5 years did he or she:)

throw anything at you that could have hurt you?

  1. Yes
  2. No
  3. DK, RF

PSX_Q130

(During the past 5 years did he or she:)

push, grab or shove you in a way that could have hurt you?

  1. Yes
  2. No
  3. DK, RF

PSX_Q140

(During the past 5 years did he or she:)

slap you?

  1. Yes
  2. No
  3. DK, RF

PSX_Q150

(During the past 5 years did he or she:)

kick you, bite you or hit you with his (her) fist?

  1. Yes
  2. No
  3. DK, RF

PSX_Q160

(During the past 5 years did he or she:)

hit you with something that could have hurt you?

  1. Yes
  2. No
  3. DK, RF

PSX_Q170

(During the past 5 years did he or she:)

beat you?

  1. Yes
  2. No
  3. DK, RF

PSX_Q180

(During the past 5 years did he or she:)

choke you?

  1. Yes
  2. No
  3. DK, RF

PSX_Q190

(During the past 5 years did he or she:)

use or threaten to use a gun or knife on you?

  1. Yes
  2. No
  3. DK, RF

PSX_Q200

(During the past 5 years did he or she:)

force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?

  1. Yes
  2. No
  3. DK, RF

PSX_Q210

(During the past 5 years did he or she:)

subject you to a sexual activity to which you were not able to consent. By this I mean were you drugged, intoxicated, manipulated or forced in other ways than physically?

  1. Yes
  2. No
  3. DK, RF
 

Violence Towards others by EX–spouse/ex–partner (VTX)

VTX_Q10

In the past 5 years, has your ex–spouse/partner ever been physically or sexually violent:

towards anyone [else/BLANK] in the family?

Interviewer: Family includes all persons related by blood, marriage or adoption residing inside as well as outside of the household. It includes aunts, uncles, cousins, and in–laws, etc.

  1. Yes
  2. No
  3. DK, RF

VTX_Q20

In the past 5 years, has he(she) ever been physically or sexually violent:

towards anyone outside of the family?

Interviewer: "Outside of the family" includes all persons not related by blood, marriage or adoption residing in as well as outside of the household.

  1. Yes
  2. No
  3. DK, RF
 

Number of incidents of physical and sexual Violence by an EX–spouse/ex–partner (NVX)

NVX_Q10

You said yes to at least one of the previous questions concerning physical and sexual violence. During the past 5 years, has he (she) been violent to you on more than 1 occasion?

  1. Yes (Go to NVX_Q20)
  2. No
  3. DK, RF

Go to NVX_END

NVX_Q20

How many different times did these things happen during the past 5 years?

  • Two
  • Three
  • Four
  • Five
  • Six
  • Seven
  • Eight
  • Nine
  • Ten
  • More than ten
  • DK, RF

NVX_Q30

In what year did these incidents start to happen?

  • (MIN: 1,921)
  • (MAX: 2,014)
  • DK, RF

Go to NVX_Q40

NVX_Q40

How many of these were in the past 12 months?

  • (MIN: 0)
  • (MAX: 995)
  • DK, RF
 

Unwanted Sexual activity by EX–spouse/ex–partner (USX)

USX_Q10

In how many of these ^NVX_Q40 incidents (during the past 12 months), did he (she) force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?

  • (MIN: 0)
  • (MAX: 995)
  • DK, RF

Go to USX_C30A

USX_Q20

During this incident (in the past 12 months), did he (she) force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?

  1. Yes
  2. No
  3. DK, RF

USX_Q30

In how many of these ^NVX_Q40 incidents (during the past 12 months), did he (she) subject you to a sexual activity to which you were not able to consent?

Interviewer: You were not able to consent because you were drugged, intoxicated, manipulated or forced in other ways than physically.

  • (MIN: 0)
  • (MAX: 100)
  • DK, RF

Go to USX_END

USX_Q40

During this incident (in the past 12 months), did he (she) subject you to a sexual activity to which you were not able to consent?

Interviewer: You were not able to consent because you were drugged, intoxicated, manipulated or forced in other ways than physically.

  1. Yes
  2. No
  3. DK, RF
 

Most Recent incident of physical or sexual violence with EX–spouse/ex–partner (MRX)

MRX_Q10

During what year and month did [this/the most recent] incident of physical or sexual violence happen?

Interviewer: Enter the year in which [this/the most recent] incident of physical or sexual violence took place.

  • (MIN: 2,009)
  • (MAX: 2,014)
  • DK, RF

MRX_Q20

(During what year and month did [this/the most recent] incident of physical or sexual violence happen?)

Interviewer: Enter the month in which [this/the most recent] incident of physical or sexual violence took place.

  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
 

Information about incident that Happened in the past 5 years with EX–spouse/ex–partner (IHX)

IHX_Q10

Did [this incident/any of these incidents] (in the past 5 years) happen while you were living together?

  1. Yes
  2. No
  3. DK, RF

IHX_Q20

Did [this incident/any of these incidents] (in the past 5 years) happen while you were pregnant?

  1. Yes (Go to IHX_C30A)
  2. No
  3. DK, RF

Go to IHX_Q40

IHX_Q30

Did these incidents begin while you were pregnant?

  1. Yes
  2. No
  3. DK, RF

IHX_Q40

Did [this incident/any of these incidents] (in the past 5 years) happen after you split up?

  1. Yes (Go to IHX_C45)
  2. No
  3. DK, RF

Go to IHX_END

IHX_Q45

Of [these ^piNVX_Q20 incidents/these incidents], how many happened after you split up?

  • (MIN: 1)
  • (MAX: 100)
  • DK, RF

IHX_Q50

How long were you separated when the violence occurred?

  1. Less than 1 week
  2. 1 week to less than 1 month
  3. 1 to 6 months
  4. More than 6 months
  5. DK, RF

IHX_Q60

Do you think it increased after you split up (in frequency or intensity)?

  1. Yes
  2. No
  3. DK, RF
 

Spouse/partner Abuse Injuries (SAI)

SAI_R110A You said that during the past 5 years your current [spouse/partner] was violent.

Interviewer: Press <1> to continue.

Go to SAI_D110B

SAI_R110B We will now return to some questions concerning the violence you experienced during the past 5 years by your current [spouse/partner].

Interviewer: Press <1> to continue.

SAI_Q110

During [EMPTY/any of] [this incident/these incidents], were you ever physically injured in any way, for example bruises, cuts, broken bones or other types of injury?

  1. Yes (Go to SAI_Q111)
  2. No
  3. DK, RF

Go to SAI_END

SAI_Q111

What were your injuries? Were they:

bruises?

  1. Yes
  2. No
  3. DK, RF

SAI_Q112

(What were your injuries? Were they:)

cuts, scratches, burns or other types of injuries like these?

  1. Yes
  2. No
  3. DK, RF

SAI_Q113

(What were your injuries? Were they:)

fractures or broken bones?

  1. Yes
  2. No
  3. DK, RF

Go to SAI_C115

SAI_Q115

(What were your injuries? Were they:)

a miscarriage?

  1. Yes
  2. No
  3. DK, RF

SAI_Q116

(What were your injuries? Were they:)

internal injuries?

  1. Yes
  2. No
  3. DK, RF

SAI_Q117

(What were your injuries? Were they:)

any other type of injury?

  1. Yes – Specify (Go to SAI_S117)
  2. No
  3. DK, RF

Go to SAI_D120

SAI_Q120

Did any of the incidents in which you were injured happen in the past 12 months?

  1. Yes
  2. No
  3. DK, RF

SAI_Q125

During [this incident/these incidents] was your [spouse/partner] drinking?

Interviewer: Select <yes> if the respondent says usually or during more than half of the incidents.

  1. Yes
  2. No
  3. Does not drink
  4. DK, RF
 

Spouse/partner abuse injuries – Medical Attention (SMA)

SMA_Q10

During the past 5 years, did you ever receive any medical attention from a doctor or a nurse for your injuries?

Interviewer: Include medical attention received immediately after the attack as well as any medical attention received as a result of the injuries.

  1. Yes (Go to SMA_D15)
  2. No
  3. DK, RF

Go to SMA_END

SMA_Q15

Where did you receive the medical attention?

Interviewer: Mark all that apply.

  1. At a physician’s office or walk–in clinic
  2. At a [health center/hospital emergency room]
  3. Other – Specify (Go to SMA_S15)
  4. DK, RF (Go to SMA_END)

Go to SMA_C20

SMA_Q20

How many times did you visit the physician’s office or the walk–in clinic because of your injuries?

Interviewer: Visits related to injuries resulting from physical abuse by spouse or partner.

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF

SMA_Q30

How many times did you go to a [health center/hospital emergency room] because of your injuries?

Interviewer: Visits related to injuries resulting from physical abuse by spouse or partner.

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF

SMA_Q50

During [this visit/any of these visits] did you have to stay in the [health center/hospital] overnight? Please exclude wait time.

  1. Yes
  2. No
  3. DK, RF

SMA_Q70

In total how many nights did you spend in a [health center/hospital] because of your injuries?

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF

SMA_Q80

Were you ever taken to the [health center/hospital] by ambulance because of your injuries?

Interviewer: For injuries resulting from physical abuse caused by spouse/partner.

  1. Yes
  2. No
  3. DK, RF
 

Spouse/partner abuse injuries – Time Off due to injuries (STO)

STO_Q10

As a result of the violence [and excluding any time you spent in a [hospital or health center/hospital]/BLANK] did you, during the past 5 years, ever have to stay in bed for all or most of the day?

Interviewer: Include time spent in bed for injuries as well as for stress reasons.

Most of a day means at least 6 hours over and above the time the respondent normally spends sleeping.

  1. Yes (Go to STO_Q15)
  2. No
  3. DK, RF

Go to STO_D20A

STO_Q15

For how many days in total?

Interviewer: Count each day the respondent spent at least 6 hours in bed over and above the time he/she normally spends sleeping.

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF

STO_Q20

During the past 5 years, did you ever have to take time off from your everyday activities because of what happened to you [other than the time you spent in the [hospital or health center/hospital] and [at home in bed/BLANK]/other than the time you spent in the [hospital or health center/hospital]/other than the time you spent [at home in bed/BLANK]/EMPTY]?

Interviewer: Select <yes> if the respondent’s everyday activities were disrupted for at least 6 hours.

Could include activities such as working at a paid job or business, looking for paid work, going to school, caring for children, household work, retirement.

  1. Yes (Go to STO_Q25)
  2. No
  3. DK, RF

Go to STO_END

STO_Q25

In total, how many days did you take off?

Interviewer: If respondent was never able to go back to their everyday activities, provide an estimate of the number of days since the incident.

Never being able to go back to their everyday activities must be as a permanent consequence of the incident, not a choice.

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF
 

Spouse/partner abuse injuries – Other persons Harmed (SOH)

SOH_Q10

During the past 5 years, was anyone else ever harmed or threatened during [this incident/these incidents]?

  1. Yes (Go to SOH_Q15)
  2. No
  3. DK, RF

Go to SOH_END

SOH_Q15

How many persons?

  • (MIN: 1)
  • (MAX: 95)
  • DK, RF

SOH_Q20

[Was this person/Were any of these people] (harmed or threatened) under 15 years of age?

  1. Yes (Go to SOH_C25)
  2. No
  3. DK, RF

Go to SOH_END

SOH_Q25

How many persons?

  • (MIN: 1)
  • (MAX: 95)
  • DK, RF
 

Spouse/partner abuse injuries – Other information (SOI)

SOI_Q10

During the past 5 years, did any of the children in your household see or hear [this incident/any of these incidents]?

Interviewer: Exclude friends, playmates or distant relatives.

  1. Yes/think so (Go to SOI_D15)
  2. No/don’t think so
  3. No children at the time
  4. DK, RF

Go to SOI_D20

SOI_Q15

Were [child protective services (la Direction de la protection de la jeunesse)/child protective services] involved?

  1. Yes
  2. No
  3. DK, RF

SOI_Q20

During the past 5 years, did you ever fear that your life was in danger because of your [spouse/partner]’s violent or threatening behaviour?

  1. Yes
  2. No
  3. DK, RF

SOI_Q25

(During the past 5 years), were you ever separated because of your [spouse/partner]’s violent or threatening behaviour?

  1. Yes (Go to SOI_Q27)
  2. No
  3. DK, RF

Go to SOI_END

SOI_Q27

How many times?

  • (MIN: 1)
  • (MAX: 90)
  • DK, RF
 

Spouse/partner abuse violence – Police Learned about violence (SPL)

SPL_Q10

Did the police ever find out about the violence (in any way)?

Interviewer: If the respondent or the respondent’s spouse/partner or a member of the household is a police officer, select <yes> only if it was reported to the police.

  1. Yes (Go to SPL_D10)
  2. No
  3. DK, RF

Go to SPL_END

SPL_Q20

Did they find out about it in the past 12 months?

  1. Yes
  2. No
  3. DK, RF

SPL_Q30

How did they learn about it? Was it from you or some other way?

  1. Respondent
  2. Some other way
  3. DK, RF

SPL_Q40

How many times was [he/she/he or she] violent toward you before the police learned about it?

  • (MIN: 1)
  • (MAX: 100)
  • DK, RF
 

Spousal/partner abuse – Report to Police (SRP)

SRP_Q110

Did you report the violence to the police for any of the following reasons:

to stop it or receive protection[ for yourself and for your child/ for yourself and for your children/EMPTY]?

  1. Yes
  2. No
  3. DK, RF

SRP_Q120

(Did you report the violence to the police for any of the following reasons:)

to arrest and punish your [spouse/partner]?

  1. Yes
  2. No
  3. DK, RF

SRP_Q130

(Did you report the violence to the police for any of the following reasons:)

because you felt it was your duty to notify police?

  1. Yes
  2. No
  3. DK, RF

SRP_Q140

(Did you report the violence to the police for any of the following reasons:)

on the recommendation of someone else?

  1. Yes
  2. No
  3. DK, RF
 

Spousal/partner abuse – Action Taken by police (SAT)

SAT_Q10

What action did the police take? Did they:

visit the scene?

  1. Yes
  2. No
  3. DK, RF

SAT_Q20

(What action did the police take? Did they:)

make a report or conduct an investigation?

  1. Yes
  2. No
  3. DK, RF

SAT_Q30

(What action did the police take? Did they:)

give a warning to your [spouse/partner]?

  1. Yes
  2. No
  3. DK, RF

SAT_Q40

(What action did the police take? Did they:)

arrest or take your [spouse/partner] away?

Interviewer: "Take away" means to physically separate both spouses/partners. For instance driving the spouse to a parent’s or friend’s house, a hotel, a shelter.

  1. Yes
  2. No
  3. DK, RF

SAT_Q45

(What action did the police take? Did they:)

arrest or take you away?

Interviewer: "Take away" means to physically separate both spouses/partners. For instance driving the respondent to a parent’s or friend’s house, a hotel, a shelter.

  1. Yes
  2. No
  3. DK, RF

SAT_Q50

(What action did the police take? Did they:)

lay charges against your [spouse/partner]?

  1. Yes
  2. No
  3. DK, RF

SAT_Q55

(What action did the police take? Did they:)

lay charges against you?

  1. Yes
  2. No
  3. DK, RF

SAT_Q60

(What action did the police take? Did they:)

take any other action?

  1. Yes (Go to SAT_S60)
  2. No
  3. DK, RF
 

Spousal/partner abuse – Restraining Order or protective order against current spouse/partner (SRO)

SRO_Q10

Was there ever any kind of restraining, protective or no contact order against your [spouse/partner]?

  1. Yes (Go to SRO_Q20)
  2. No
  3. DK, RF

Go to SRO_D45

SRO_Q20

How was the order obtained?

Interviewer: Read categories to respondent.

Mark all that apply.

For example, contacting the police and applying for an Emergency Protection Order (EPO).

  1. Through a family law process (such as a divorce lawyer or civil court)
  2. Through the criminal justice system (such as the police or the criminal court)
  3. Through child protection agencies
  4. DK, RF

SRO_Q30

Was it ever violated?

  1. Yes (Go to SRO_Q40)
  2. No
  3. DK, RF

Go to SRO_D45

SRO_Q40

Did you report this violation to the police?

  1. Yes
  2. No
  3. DK, RF

SRO_Q45

During the past 5 years, did you ever attempt to obtain compensation, through a civil or criminal court[Blank/ or a provincial compensation program], because of the violence?

  1. Yes (Go to SRO_Q50)
  2. No
  3. DK, RF

Go to SRO_END

SRO_Q50

Did you obtain any compensation?

  1. Yes
  2. No
  3. Not yet resolved
  4. DK, RF
 

Spousal/partner abuse – Satisfaction with Actions taken by police (SSA)

SSA_Q10

Overall, how satisfied were you with the actions that the police took? Were you...?

Interviewer: Read categories to respondent.

Refers to all incidents reported to the police.

  1. Very satisfied
  2. Somewhat satisfied
  3. Somewhat dissatisfied
  4. Very dissatisfied
  5. DK, RF

Go to SSA_Q20

SSA_Q20

Is there anything (else) they should have done to help you?

Interviewer: Mark all that apply.

  1. Remove spouse/ partner from the house
  2. Arrest spouse/partner
  3. Charge spouse/ partner
  4. Respond more quickly
  5. Refer/take you to a support service
  6. Relocate you
  7. Take you to hospital
  8. Be more supportive/sympathetic
  9. Other – Specify (Go to SSA_S20)
  10. No/nothing
  11. DK, RF

Go to SSA_END

 

Spousal/partner abuse – Threatening Behaviour from spouse/partner after police involvement (STB)

STB_Q10

After the police were involved, did your [spouse/partner]’s violent or threatening behaviour towards you...?

Interviewer: Read categories to respondent.

  1. Increase
  2. Decrease or stop
  3. Stay the same
  4. DK, RF

Go to STB_END

 

Spousal/partner abuse – Reasons Not Reporting (SRN)

SRN_Q10

I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:

because of fear of revenge by your [spouse/partner]?

  1. Yes
  2. No
  3. DK, RF

SRN_Q15

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you were afraid child protection / child welfare agencies would take your [children/child] away from you?

  1. Yes
  2. No
  3. DK, RF

SRN_Q20

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because there was a lack of evidence?

  1. Yes
  2. No
  3. DK, RF

SRN_Q25

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would not have considered the incident important enough?

  1. Yes
  2. No
  3. DK, RF

SRN_Q30

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would not have been efficient or effective?

  1. Yes
  2. No
  3. DK, RF

SRN_Q35

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you received unsatisfactory service in the past?

  1. Yes
  2. No
  3. DK, RF

SRN_Q45

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because dealing with the police could have caused you trouble with the law?

  1. Yes
  2. No
  3. DK, RF

SRN_Q50

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want to get your [spouse/partner] in trouble with the law?

  1. Yes
  2. No
  3. DK, RF

SRN_Q55

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want the hassle of dealing with the police?

  1. Yes
  2. No
  3. DK, RF

SRN_Q60

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you were afraid reporting it to the police would bring shame and dishonour to the family?

  1. Yes
  2. No
  3. DK, RF

SRN_Q65

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because your family prevented you from contacting the police?

  1. Yes
  2. No
  3. DK, RF

SRN_Q70

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you considered the incident a private or personal matter and handled it informally?

  1. Yes
  2. No
  3. DK, RF

SRN_Q75

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want others to find out about the victimization (including didn’t want publicity or news coverage)?

  1. Yes
  2. No
  3. DK, RF

Go to SRN_Q80

SRN_Q80

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the crime was minor and not worth taking the time to report?

  1. Yes
  2. No
  3. DK, RF

SRN_Q85

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because no one was harmed?

  1. Yes
  2. No
  3. DK, RF

SRN_Q90

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because no harm was intended?

  1. Yes
  2. No
  3. DK, RF

Go to SRN_D95

SRN_Q95

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you didn’t think your [spouse/partner] would be convicted or adequately punished?

  1. Yes
  2. No
  3. DK, RF

SRN_Q100

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you feared or did not want the hassle of dealing with the court process?

  1. Yes
  2. No
  3. DK, RF

SRN_Q105

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would be biased?

  1. Yes
  2. No
  3. DK, RF

SRN_Q110

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because it was reported to another official?

  1. Yes
  2. No
  3. DK, RF

SRN_Q115

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

for some other reason, not already mentionned?

  1. Yes (Go to SRN_S115)
  2. No
  3. DK, RF

Go to SRN_Q120

SRN_Q120

What was the main reason why you didn’t contact the police?

  1. Fear of revenge by [spouse/partner]
  2. Afraid child protection/welfare agencies would take away children
  3. Lack of evidence
  4. Police would not consider incident important enough
  5. Police would not be efficient/effective
  6. Police service unsatisfactory in the past
  7. Would cause trouble with the law for respondent
  8. Don’t want [spouse/partner] to be in trouble with the law
  9. Did not want hassle of dealing with police
  10. Would cause shame or dishonour to family
  11. Prevented by family
  12. Incident a private or personal matter. Handled informally
  13. Do not want others to find out (publicity / news coverage)
  14. Crime minor, not important enough to respondent
  15. No one harmed
  16. No harm intended
  17. Didn’t think [spouse/partner] would be convicted or adequately punished
  18. Fear of court process
  19. Thought police would be biased
  20. Reported to other official
  21. ^SRN_S115
  22. DK, RF
 

Spousal/partner abuse – Talk to Anyone about the violence (STA)

STA_Q110

Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:

a family member?

  1. Yes
  2. No
  3. DK, RF

STA_Q120

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a friend or neighbour?

  1. Yes
  2. No
  3. DK, RF

STA_Q130

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a co–worker?

  1. Yes
  2. No
  3. DK, RF

STA_Q140

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a doctor or nurse?

  1. Yes
  2. No
  3. DK, RF

STA_Q150

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a lawyer?

  1. Yes
  2. No
  3. DK, RF

STA_Q160

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a priest, rabbi, imam, elder or another spiritual advisor?

  1. Yes
  2. No
  3. DK, RF

STA_Q180

Did the police or anyone else provide you with information about services for victims in your community?

Interviewer: Probe respondent to find out who provided them with the information.

  1. Yes, the police
  2. Yes, someone else
  3. No
  4. DK, RF
 

Spousal/partner abuse – Contact with Services (SCS)

SCS_Q110

During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:

a crisis centre or crisis line?

  1. Yes
  2. No
  3. DK, RF

SCS_Q120

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

victim services or victim witness assistance program?

Interviewer: Victim services include providing general information about the justice system, referrals, assistance with court, help preparing victim impact statements, offering case–specific information, emotional support and providing information to help victims recover financial losses resulting from the crime.

See help screen for examples and notes per province.

  1. Yes
  2. No
  3. DK, RF

SCS_Q130

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a counsellor, psychologist or social worker?

  1. Yes
  2. No
  3. DK, RF

SCS_Q140

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a community, family, ethnic or cultural centre?

  1. Yes
  2. No
  3. DK, RF

SCS_Q150

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a shelter or transition house?

Interviewer: Facilities offering secure housing, support and referral services to abused women/men.

  1. Yes
  2. No
  3. DK, RF

SCS_Q160

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a [women’s/men’s] centre[, a seniors’ centre/EMPTY] or support group?

Interviewer: Centres who do not offer housing but provide community, support, information and referrals services to victims.

  1. Yes
  2. No
  3. DK, RF

SCS_Q165

During the past 5 years, did you ever contact or use any other service?

  1. Yes (Go to SCS_S165)
  2. No
  3. DK, RF

Go to SCS_D170A

SCS_Q170A Did you contact [a crisis centre or crisis line/a victim services or victim witness assistance program/a counsellor, psychologist or social worker/a community, family, ethnic or cultural centre/a shelter or transition house/a [women’s/men’s] centre[, a seniors’ centre/EMPTY] or support group/a ^SCS_S165/this service] in the past 12 months?

  1. Yes
  2. No
  3. DK, RF

Go to SCS_END

SCS_Q170B Did you contact any of these services in the past 12 months?

  1. Yes (Go to SCS_D175)
  2. No
  3. DK, RF

Go to SCS_END

SCS_Q175

Which of the previously mentioned services did you contact or use in the past 12 months?

Interviewer: Mark all that apply.

  1. Crisis centre or crisis line
  2. Victim services or victim witness assistance programs
  3. Counsellor, psychologist or social worker
  4. Community, family, ethnic or cultural centre
  5. Shelter or transition house
  6. A [women’s/men’s] centre [, a seniors’ centre/EMPTY] or support group
  7. [^SCS_S165/Another service]
  8. DK, RF

Go to SCS_END

SCS_Q180

Is there any reason why you didn’t use any of these services?

Interviewer: Mark all that apply.

  1. Didn’t know of any services
  2. None available
  3. Waiting list
  4. Too minor
  5. Shame/embarrassment
  6. Wouldn’t be believed
  7. Spouse/ partner prevented me
  8. Distance from service
  9. Fear of losing financial support
  10. Fear of losing the children
  11. Didn’t want relationship to end
  12. Didn’t want/need help
  13. Other – Specify (Go to SCS_S180)
  14. DK, RF
 

Spousal/partner abuse – Impact on respondent (SEA)

SEA_Q10

At the time of [this incident/these incidents], how did [this experience/these experiences] affect you emotionally?

Interviewer: Mark all that apply.

This question refers to emotional consequences. Do not include physical injury, financial loss or medical treatment.

  1. Not at all
  2. Not much
  3. Angry
  4. Upset, confused, frustrated
  5. Fearful
  6. More cautious/aware
  7. Shock/disbelief
  8. Hurt/disappointment
  9. Victimized
  10. Sleeping problems
  11. Depression/anxiety attacks
  12. Ashamed/guilty
  13. Afraid for children
  14. Annoyed
  15. Lowered self esteem
  16. Increased self–reliance
  17. Problems relating to men/women
  18. Other – Specify (Go to SEA_S10)
  19. DK, RF

SEA_Q20

Now some questions about longer term effects of the violence you experienced. In the past month, have you:

had nightmares about it or thought about it when you did not want to?

  1. Yes
  2. No
  3. DK, RF

SEA_Q30

(Now some questions about longer term effects of the violence you experienced. In the past month, have you:)

tried hard not to think about it or went out of your way to avoid situations that reminded you of it?

  1. Yes
  2. No
  3. DK, RF

SEA_Q40

(Now some questions about longer term effects of the violence you experienced. In the past month, have you:)

felt constantly on guard, watchful, or easily startled?

  1. Yes
  2. No
  3. DK, RF

SEA_Q50

(Now some questions about longer term effects of the violence you experienced. In the past month, have you:)

felt numb or detached from others, activities, or your surroundings?

  1. Yes
  2. No
  3. DK, RF
 

EX–spousal/ex–partner Abuse Injuries (XAI)

XAI_R110

You said that during the past 5 years your ex–spouse or ex–partner was violent.

Interviewer: Press <1> to continue.

XAI_Q110

During [BLANK/any of] [this incident/these incidents] were you ever physically injured in any way, for example bruises, cuts, broken bones or other types of injury?

  1. Yes (Go to XAI_Q111)
  2. No
  3. DK, RF

Go to XAI_END

XAI_Q111

What were your injuries? Were they:

bruises?

  1. Yes
  2. No
  3. DK, RF

XAI_Q112

(What were your injuries? Were they:)

cuts, scratches, burns or other types of injuries like these?

  1. Yes
  2. No
  3. DK, RF

XAI_Q113

(What were your injuries? Were they:)

fractures or broken bones?

  1. Yes
  2. No
  3. DK, RF

XAI_Q115

(What were your injuries? Were they:)

a miscarriage?

  1. Yes
  2. No
  3. DK, RF

XAI_Q116

(What were your injuries? Were they:)

internal injuries?

  1. Yes
  2. No
  3. DK, RF

XAI_Q117

(What were your injuries? Were they:)

any other type of injury?

  1. Yes – Specify (Go to XAI_S117)
  2. No
  3. DK, RF

Go to XAI_Q119

XAI_Q119

Did [this incident/these incidents] in which you were injured happen before or after the separation?

  1. Before
  2. After
  3. Before and after
  4. DK, RF

XAI_Q120

Did any of these incidents in which you were injured happen in the past 12 months?

  1. Yes
  2. No
  3. DK, RF

XAI_Q125

During [this incident/these incidents] was your ex–spouse or ex–partner drinking?

Interviewer: Select "Yes" if the respondent says usually or during more than half of the incidents.

  1. Yes
  2. No
  3. Does not drink
  4. DK, RF
 

EX–spousal/ex–partner abuse injuries – Medical Attention (XMA)

XMA_Q10

During the past 5 years, did you ever receive any medical attention from a doctor or a nurse for your injuries?

  1. Yes (Go to XMA_D15)
  2. No
  3. DK, RF

Go to XMA_END

XMA_Q15

Where did you receive the medical attention?

Interviewer: Mark all that apply.

  1. At a physician’s office or walk–in clinic
  2. At a [health center/hospital emergency room]
  3. Other – Specify (Go to XMA_S15)
  4. DK, RF (Go to XMA_END)

Go to XMA_C20

XMA_Q20

How many times did you visit the physician’s office or the walk–in clinic because of your injuries?

Interviewer: Visits related to injuries resulting from physical abuse by ex–spouse or ex–partner.

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF

XMA_Q30

How many times did you go to a [health center/hospital emergency room] because of your injuries?

Interviewer: Visits related to injuries resulting from physical abuse by ex–spouse or ex–partner.

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF

XMA_Q50

During [this visit/any of these visits] did you have to stay in the [health center/hospital] overnight? Please exclude wait time.

  1. Yes
  2. No
  3. DK, RF

XMA_Q70

In total how many nights did you spend in a [health center/hospital] because of your injuries?

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF

XMA_Q80

Were you ever taken to the [health center/hospital] by ambulance because of your injuries?

Interviewer: For injuries resulting from physical abuse caused by ex–spouse or ex–partner.

  1. Yes
  2. No
  3. DK, RF
 

EX–spousal/ex–partner abuse injuries – Time Off due to injuries (XTO)

XTO_Q10

As a result of the violence [and excluding any time you spent in a [hospital or health center/hospital]/BLANK] did you, during the past 5 years, ever have to stay in bed for all or most of the day?

Interviewer: Include time spent in bed for injuries as well as for stress reasons.

Most of a day means at least 6 hours over and above the time the respondent normally spends sleeping.

  1. Yes (Go to XTO_Q15)
  2. No
  3. DK, RF

Go to XTO_Q20

XTO_Q15

For how many days in total?

Interviewer: Count each day the respondent spent at least 6 hours in bed over and above the time he/she normally spends sleeping.

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF

XTO_Q20

During the past 5 years, did you ever have to take time off from your everyday activities because of what happened to you[ other than the time you spent in the [hospital or health center/hospital] and [at home in bed/BLANK]/ other than the time you spent in the [hospital or health center/hospital]/ other than the time you spent [at home in bed/BLANK]/EMPTY]?

Interviewer: Select "Yes" if the respondent’s everyday activities were disrupted for at least 6 hours.

Could include activities such as working at a paid job or business, looking for paid work, going to school, caring for children, household work, retirement.

  1. Yes (Go to XTO_Q25)
  2. No
  3. DK, RF

Go to XTO_END

XTO_Q25

In total, how many days did you take off?

Interviewer: If respondent was never able to go back to their everyday activities, provide an estimate of the number of days since the incident.

Never being able to go back to their everyday activities must be as a permanent consequence of the incident, not a choice.

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF
 

EX–spousal/ex–partner abuse injuries – Other persons Harmed (XOH)

XOH_Q10

During the past 5 years, was anyone else ever harmed or threatened during [this incident/these incidents]?

  1. Yes (Go to XOH_Q15)
  2. No
  3. DK, RF

Go to XOH_END

XOH_Q15

How many persons?

  • (MIN: 1)
  • (MAX: 95)
  • DK, RF

XOH_Q20

[Was this person/Were any of these people] (harmed or threatened) under 15 years of age?

  1. Yes (Go to XOH_C25)
  2. No
  3. DK, RF

Go to XOH_END

XOH_Q25

How many persons?

  • (MIN: 1)
  • (MAX: 95)
  • DK, RF
 

EX–spousal/ex–partner abuse injuries – Other information (XOI)

XOI_Q10

During the past 5 years, did any of the children in your household see or hear [this incident/any of these incidents]?

Interviewer: Exclude friends, playmates or distant relatives.

  1. Yes/think so (Go to XOI_D15)
  2. No/don’t think so
  3. No children at the time
  4. DK, RF

Go to XOI_Q20

XOI_Q15

Were [child protective services (la Direction de la protection de la jeunesse)/child protective services] involved?

  1. Yes
  2. No
  3. DK, RF

XOI_Q20

(During the past 5 years), did you ever fear that your life was in danger because of your ex–spouse or ex–partner’s violent or threatening behaviour?

  1. Yes
  2. No
  3. DK, RF
 

EX–spousal/ex–partner abuse – Police Learned about violence (XPL)

XPL_Q10

Did the police ever find out about the violence (in any way)?

Interviewer: If the respondent or the respondent’s ex–spouse/ex–partner or a member of the household is a police officer, select <yes> only if it was reported to the police.

  1. Yes (Go to XPL_D10)
  2. No
  3. DK, RF

Go to XPL_END

XPL_Q20

Did they find out about it in the past 12 months?

  1. Yes
  2. No
  3. DK, RF

XPL_Q30

How did they learn about it? Was it from you or some other way?

Interviewer: If respondent answers both himself/herself and some other way – enter <Respondent>.

  1. Respondent
  2. Some other way
  3. DK, RF

XPL_Q40

How many times was he (she) violent toward you before the police learned about it?

  • (MIN: 1)
  • (MAX: 100)
  • DK, RF

XPL_Q50

Had the police been made aware of incidents that have occurred after the separation?

  1. Yes
  2. No
  3. DK, RF

XPL_Q60

Has the police been contacted for incidents that had happened before the separation?

  1. Yes
  2. No
  3. DK, RF
 

EX–spousal/ex–partner abuse – Report to Police (XRP)

XRP_Q110

Did you report the violence to the police for any of the following reasons:

to stop it or receive protection[ for yourself and for your child/ for yourself and for your children/EMPTY]?

  1. Yes
  2. No
  3. DK, RF

XRP_Q120

(Did you report the violence to the police for any of the following reasons:)

to arrest and punish your ex–spouse or ex–partner?

  1. Yes
  2. No
  3. DK, RF

XRP_Q130

(Did you report the violence to the police for any of the following reasons:)

because you felt it was your duty to notify police?

  1. Yes
  2. No
  3. DK, RF

XRP_Q140

(Did you report the violence to the police for any of the following reasons:)

on the recommendation of someone else?

  1. Yes
  2. No
  3. DK, RF
 

EX–spousal/ex–partner abuse – Action Taken by police (XAT)

XAT_Q10

What action did the police take? Did they:

visit the scene?

  1. Yes
  2. No
  3. DK, RF

XAT_Q20

(What action did the police take? Did they:)

make a report or conduct an investigation?

  1. Yes
  2. No
  3. DK, RF

XAT_Q30

(What action did the police take? Did they:)

give a warning to your ex–spouse or ex–partner?

  1. Yes
  2. No
  3. DK, RF

XAT_Q40

(What action did the police take? Did they:)

arrest or take your ex–spouse or ex–partner away?

Interviewer: "Take away" means to physically separate both ex–spouses or ex–partners. For instance driving the ex–spouse or ex–partner to a parent’s or friend’s house, a hotel, a shelter.

  1. Yes
  2. No
  3. DK, RF

XAT_Q45

(What action did the police take? Did they:)

arrest or take you away?

Interviewer: "Take away" means to physically separate both ex–spouses or ex–partners. For instance driving the respondent to a parent’s or friend’s house, a hotel, a shelter.

  1. Yes
  2. No
  3. DK, RF

XAT_Q50

(What action did the police take? Did they:)

lay charges against your ex–spouse or ex–partner?

  1. Yes
  2. No
  3. DK, RF

XAT_Q55

(What action did the police take? Did they:)

lay charges against you?

  1. Yes
  2. No
  3. DK, RF

XAT_Q60

(What action did the police take? Did they:)

take any other action?

  1. Yes (Go to XAT_S60)
  2. No
  3. DK, RF
 

EX–spousal/ex–partner abuse – Restraining Order or protective order against current ex–spouse/ex–partner (XRO)

XRO_Q10

Was there ever any kind of restraining order, protective or no contact order against him(her)?

  1. Yes (Go to XRO_Q20)
  2. No
  3. DK, RF

Go to XRO_D45

XRO_Q20

How was the order obtained?

Interviewer: Read categories to respondent.

Mark all that apply.

For example, contacting the police and applying for an Emergency Protection Order (EPO).

  1. Through a family law process (such as a divorce lawyer or civil court)
  2. Through the criminal justice system (such as the police or the criminal court)
  3. Through child protection agencies
  4. DK, RF

XRO_Q30

Was it ever violated?

  1. Yes (Go to XRO_Q40)
  2. No
  3. DK, RF

Go to XRO_D45

XRO_Q40

Did you report this violation to the police?

  1. Yes
  2. No
  3. DK, RF

XRO_Q45

During the past 5 years, did you ever attempt to obtain compensation, through a civil or criminal court [Blank/or a provincial compensation program], because of the violence?

  1. Yes (Go to XRO_Q50)
  2. No
  3. DK, RF

Go to XRO_END

XRO_Q50

Did you obtain any compensation?

  1. Yes
  2. No
  3. Not yet resolved
  4. DK, RF
 

EX–spousal/ex–partner abuse – Satisfaction with actions taken by police (XSA)

XSA_Q10

Overall, how satisfied were you with the actions that the police took? Were you...?

Interviewer: Read categories to respondent.

Refers to all incidents reported to the police.

  1. Very satisfied
  2. Somewhat satisfied
  3. Somewhat dissatisfied
  4. Very dissatisfied
  5. DK, RF

XSA_Q20

Is there anything (else) they should have done to help you?

Interviewer: Mark all that apply.

  1. Remove ex–spouse/ex–partner from the house
  2. Arrest ex–spouse/ex–partner
  3. Charge ex–spouse/ex–partner
  4. Respond more quickly
  5. Refer/take you to a support service
  6. Relocate you
  7. Take you to hospital
  8. Be more supportive/sympathetic
  9. Other – Specify (Go to XSA_S20)
  10. No/nothing
  11. DK, RF
 

–spousal>

XTB_Q10

After the police were involved, did your ex–spouse or ex–partner’s violent or threatening behaviour towards you...?

Interviewer: Read categories to respondent.

  1. Increase
  2. Decrease or stop
  3. Stay the same
  4. DK, RF
 

EX–spousal/ex–partner abuse – Reasons for Not contacting the police (XRN)

XRN_Q10

I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:

because of fear of revenge by your ex–spouse/ex–partner?

  1. Yes
  2. No
  3. DK, RF

XRN_Q15

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you were afraid child protection / child welfare agencies would take your [children/child] away from you?

  1. Yes
  2. No
  3. DK, RF

XRN_Q20

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because there was a lack of evidence?

  1. Yes
  2. No
  3. DK, RF

XRN_Q25

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would not have considered the incident important enough?

  1. Yes
  2. No
  3. DK, RF

XRN_Q30

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would not have been efficient or effective?

  1. Yes
  2. No
  3. DK, RF

XRN_Q35

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you received unsatisfactory service in the past?

  1. Yes
  2. No
  3. DK, RF

XRN_Q45

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because dealing with the police could have caused you trouble with the law?

  1. Yes
  2. No
  3. DK, RF

XRN_Q50

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want to get your ex–spouse or ex–partner in trouble with the law?

  1. Yes
  2. No
  3. DK, RF

XRN_Q55

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want the hassle of dealing with the police?

  1. Yes
  2. No
  3. DK, RF

XRN_Q60

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you were afraid reporting it to the police would bring shame and dishonour to the family?

  1. Yes
  2. No
  3. DK, RF

XRN_Q65

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because your family prevented you from contacting the police?

  1. Yes
  2. No
  3. DK, RF

XRN_Q70

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you considered the incident a private or personal matter and handled it informally?

  1. Yes
  2. No
  3. DK, RF

XRN_Q75

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want others to find out about the victimization (including didn’t want publicity or news coverage)?

  1. Yes
  2. No
  3. DK, RF

XRN_Q80

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the crime was minor and not worth taking the time to report?

  1. Yes
  2. No
  3. DK, RF

XRN_Q85

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because no one was harmed?

  1. Yes
  2. No
  3. DK, RF

XRN_Q90

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because no harm was intended?

Interviewer: Examples: minor crime, no intended harm, etc.

  1. Yes
  2. No
  3. DK, RF

XRN_Q95

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you didn’t think your ex–spouse/ex–partner would be convicted or adequately punished?

  1. Yes
  2. No
  3. DK, RF

XRN_Q100

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you feared or did not want the hassle of dealing with the court process?

  1. Yes
  2. No
  3. DK, RF

XRN_Q105

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would be biased?

  1. Yes
  2. No
  3. DK, RF

XRN_Q110

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because it was reported to another official?

  1. Yes
  2. No
  3. DK, RF

XRN_Q115

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

for some other reason, not already mentioned?

  1. Yes (Go to XRN_S115)
  2. No
  3. DK, RF

Go to XRN_D120A

XRN_Q120

What was the main reason why you didn’t contact the police?

  1. Fear of revenge by ex–spouse/ex–partner
  2. Afraid child protection/ welfare agencies would take away children
  3. Lack of evidence
  4. Police would not consider incident important enough
  5. Police would not be efficient/effective
  6. Police service unsatisfactory in the past
  7. Would cause trouble with the law for respondent
  8. Don’t want ex–partner/ex–spouse to be in trouble with the law
  9. Did not want hassle of dealing with police
  10. Would cause shame or dishonour to family
  11. Prevented by family
  12. Incident a private or personal matter. Handled informally
  13. Do not want others to find out (publicity / news coverage)
  14. Crime minor, not important enough to respondent
  15. No one harmed
  16. No harm intended
  17. Didn’t think ex–spouse/ex–partner would be convicted or adequately punished
  18. Fear of court process
  19. Thought police would be biased
  20. Reported to other official
  21. ^XRN_S115
  22. DK, RF
 

EX–spousal/ex–partner abuse – Talk to Anyone about the incident (XTA)

XTA_Q110

Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:

family?

  1. Yes
  2. No
  3. DK, RF

XTA_Q120

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a friend or neighbour?

  1. Yes
  2. No
  3. DK, RF

XTA_Q130

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a co–worker?

  1. Yes
  2. No
  3. DK, RF

XTA_Q140

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a doctor or nurse?

  1. Yes
  2. No
  3. DK, RF

XTA_Q150

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a lawyer?

  1. Yes
  2. No
  3. DK, RF

XTA_Q160

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a priest, rabbi, imam, elder or another spiritual advisor?

  1. Yes
  2. No
  3. DK, RF

XTA_Q180

Did the police or anyone else provide you with information about services for victims in your community?

  1. Yes, the police
  2. Yes, someone else
  3. No
  4. DK, RF
 

EX–spousal/ex–partner abuse – Contact with Services (XCS)

XCS_Q110

During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:

a crisis centre or crisis line?

  1. Yes
  2. No
  3. DK, RF

XCS_Q120

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

victim services or victim witness assistance program?

Interviewer: Victim services include providing general information about the justice system, referrals, assistance with court, help preparing victim impact statements, offering case–specific information, emotional support and providing information to help victims recover financial losses resulting from the crime.

See help screen for examples and notes per province.

  1. Yes
  2. No
  3. DK, RF

XCS_Q130

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a counsellor, psychologist or social worker?

  1. Yes
  2. No
  3. DK, RF

XCS_Q140

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a community, family, ethnic or cultural centre?

  1. Yes
  2. No
  3. DK, RF

XCS_Q150

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a shelter or transition house?

Interviewer: Facilities offering secure housing, support and referral services to abused women/men.

  1. Yes
  2. No
  3. DK, RF

XCS_Q160

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a [women’s/men’s] centre[, a seniors’ centre/EMPTY] or support group?

Interviewer: Centres who do not offer housing but provide community, support, information and referrals services to victims.

  1. Yes
  2. No
  3. DK, RF

XCS_Q165

During the past 5 years, did you ever contact or use any other service?

  1. Yes (Go to XCS_S165)
  2. No
  3. DK, RF

Go to XCS_D170A

XCS_Q170A Did you contact [a crisis centre or crisis line/a victim services or victim witness assistance program/a counsellor, psychologist or social worker/a community, family, ethnic or cultural centre/a shelter or transition house/a [women’s/men’s] centre[, a seniors’ centre/EMPTY] or support group/a ^XCS_S165/this service] in the past 12 months?

  1. Yes
  2. No
  3. DK, RF

Go to XCS_END

XCS_Q170B Did you contact any of these services in the past 12 months?

  1. Yes (Go to XCS_D175)
  2. No
  3. DK, RF

Go to XCS_END

XCS_Q175

Which of the previously mentioned services did you contact or use in the past 12 months?

Interviewer: Mark all that apply.

  1. Crisis centre or crisis line
  2. Victim services or victim witness assistance programs
  3. Counsellor, psychologist or social worker
  4. Community, family, ethnic or cultural centre
  5. Shelter or transition house
  6. A [women’s/men’s] centre [, a seniors’ centre/EMPTY] or support group
  7. [^XCS_S165/Another service]
  8. DK, RF

Go to XCS_END

XCS_Q180

Is there any reason why you didn’t use any of these services?

Interviewer: Mark all that apply.

  1. Didn’t know of any services
  2. None available
  3. Waiting list
  4. Too minor
  5. Shame/embarrassment
  6. Wouldn’t be believed
  7. Spouse/ partner prevented me
  8. Distance from service
  9. Fear of losing financial support
  10. Fear of losing the children
  11. Didn’t want relationship to end
  12. Didn’t want/need help
  13. Other – Specify (Go to XCS_S180)
  14. DK, RF
 

EX–spousal/ex–partner abuse – Impact on respondent (XEA)

XEA_Q10

At the time of [this incident/these incidents], how did [this experience/these experiences] affect you emotionally?

Interviewer: Mark all that apply.

This question refers to emotional consequences.

Do not include physical injury, financial loss or medical treatment.

  1. Not at all
  2. Not much
  3. Angry
  4. Upset, confused, frustrated
  5. Fearful
  6. More cautious/aware
  7. Shock/disbelief
  8. Hurt/disappointment
  9. Victimized
  10. Sleeping problems
  11. Depression/anxiety attacks
  12. Ashamed/guilty
  13. Afraid for children
  14. Annoyed
  15. Lowered self esteem
  16. Increased self–reliance
  17. Problems relating to men/women
  18. Other – Specify (Go to XEA_S10)
  19. DK, RF

XEA_Q20

Now some questions about longer term effects of the violence you experienced. In the past month, have you:

had nightmares about it or thought about it when you did not want to?

  1. Yes
  2. No
  3. DK, RF

XEA_Q30

(Now some questions about longer term effects of the violence you experienced. In the past month, have you:)

tried hard not to think about it or went out of your way to avoid situations that reminded you of it?

  1. Yes
  2. No
  3. DK, RF

XEA_Q40

(Now some questions about longer term effects of the violence you experienced. In the past month, have you:)

felt constantly on guard, watchful, or easily startled?

  1. Yes
  2. No
  3. DK, RF

XEA_Q50

(Now some questions about longer term effects of the violence you experienced. In the past month, have you:)

felt numb or detached from others, activities, or your surroundings?

  1. Yes
  2. No
  3. DK, RF
 

Incident report tables (IRT)

IRT_R100

Now some questions to collect more information on this crime/all of these crimes. Some of these questions may not apply to you, but we need to ask the same questions of everyone.

Interviewer: Press <1> to continue.

Go to IRT_D110

IRT_Q100

You mentioned earlier that, in the past 12 months, you were the victim of:

^DT_HhldDamage_E

^DT_TakeByForce_E

^DT_BreakAndEnt_E

^DT_OutsideHhld_E

^DT_PropertyStl_E

^DT_RobberyVaca_E

^DT_StolenVehic_E

^DT_DamageVehic_E

^DT_StolenOther_E

^DT_PhysicalAtt_E

^DT_Threat_E

^DT_SexualAssal_E

^DT_UnwantedSex_E

^DT_SexualnoConsent_E

^DT_OtherCrimeS_E

Now some questions to collect more information on this crime/all of these crimes. Some of these questions may not apply to you, but we need to ask the same questions of everyone.

Interviewer: If changes are required, go back to appropriate questions and make the necessary corrections.

  1. Confirmed: Number of crime incidents is correct
  2. Incorrect
  3. DK, RF
 

Info for array (IFA)

 

Main Routing Module: Crime Incident Report (CIR)

CIR_R010

We will now be collecting information on another crime.

Interviewer: Press <1> to continue.

CIR_Q010

In what month were you the victim of [household damages/an attempt to take something by force or having something taken by force/an attempt to break in or a break and enter/property stolen from outside your household/property stolen from your place of work or school or a public place/property stolen from a hotel, vacation home, cottage, car, truck or while travelling in Canada/a stolen vehicle or an attempt to steal a vehicle or parts of a vehicle/damages to a vehicle/an attempt to steal something else or other items being stolen/a physical attack/a threat of being hit or attacked, or threatened with a weapon/a sexual assault/unwanted sexual touching/a sexual activity to which you were not able to consent/another crime (^VST_S110)]?

  1. Not in the past 12 months
  2. January
  3. February
  4. March
  5. April
  6. May
  7. June
  8. July
  9. August
  10. September
  11. October
  12. November
  13. December
  14. Duplicate of incident already reported
  15. DK, RF

CIR_Q015

Did this happen in the past 12 months?

  1. Yes (will continue with incident report)
  2. No
  3. Yes, but refuses to talk about incident
  4. DK, RF

CIR_Q090

Were you present at any time during the incident?

  1. Yes
  2. No (Go to CIR_C100)
  3. DK, RF

Go to CIR_Q100

CIR_Q100

Did the person(s) who committed the act have a weapon, such as a gun or knife or something he/she was using as a weapon, such as a rock or bottle?

  1. Yes (Go to CIR_Q105)
  2. No
  3. DK, RF

Go to CIR_C110

CIR_Q105

What type of weapon?

Interviewer: Mark all that apply.

  1. Gun
  2. Knife
  3. Bottle
  4. Bat/Stick
  5. Rock
  6. Other – Specify (Go to CIR_S105)
  7. DK, RF

Go to CIR_C110

CIR_Q110

An assault can be anything from being hit, slapped, grabbed or knocked down, to being shot, or beaten. This can also include forced sexual activity and unwanted sexual touching or grabbing. In this incident, were you assaulted in any physical or sexual way?

Interviewer: Enter "Yes" if something was thrown at them or if they were shot at but not hit.

  1. Yes (Go to CIR_C130A)
  2. No
  3. DK, RF

CIR_Q120

Did the person(s) threaten you with physical harm in any way?

Interviewer: Physical threats may have been made even if the respondent was not present when the incident occurred. For example, personal belongings may have been damaged or animals belonging to respondent may have been injured in order to threaten respondent.

  1. Yes
  2. No
  3. DK, RF

CIR_Q150

How were you assaulted?

Interviewer: Mark all that apply.

Probe for multiple answers.

Remember that an assault can include any type of physical or sexual assault, such as being slapped, beaten or being forced into sexual activity or being touched or grabbed in a sexual way.

  1. Forced or attempted forced sexual assault by being threatened, held down or hurt in some way
  2. Unwanted sexual touching, grabbing, kissing or fondling
  3. Shot, knifed or hit with object held in hand
  4. Hit, kicked, slapped, knocked down
  5. Grabbed, held, tripped, jumped, pushed
  6. Other – Specify (Go to CIR_S150)
  7. Not attacked/assaulted
  8. DK, RF

CIR_Q160

Were you physically injured in any way (for example, bruises, cuts, broken bones)?

  1. Yes
  2. No
  3. DK, RF

CIR_Q170

Did you ever receive any medical attention from a doctor or a nurse for your injuries?

Interviewer: Include medical attention received immediately after the attack as well as any follow–up medical attention received as a result of the injuries.

  1. Yes (Go to CIR_D171)
  2. No
  3. DK, RF

Go to CIR_C190

CIR_Q171

Where did you receive the medical attention?

Interviewer: Mark all that apply.

  1. At a physician’s office or walk–in clinic
  2. At a [health center/hospital emergency room]
  3. Other – Specify (Go to CIR_S171)
  4. DK, RF (Go to CIR_D190)

Go to CIR_C172

CIR_Q172

How many times did you visit the physician’s office or the walk–in clinic because of your injuries?

Interviewer: Visits related to injuries resulting from physical or sexual assaults.

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF

CIR_Q173

How many times did you go to a [health center/hospital emergency room] because of your injuries?

Interviewer: Visits related to injuries resulting from physical or sexual assaults.

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF

CIR_Q174

During [this visit/any of these visits] did you have to stay in the [health center/hospital] overnight? Please exclude wait time.

  1. Yes
  2. No
  3. DK, RF

CIR_Q175

In total how many nights did you spend in a [health center/hospital] because of your injuries?

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF

CIR_Q176

Were you ever taken to the [health center/hospital] by ambulance because of your injuries?

Interviewer: For injuries resulting from physical or sexual assaults.

  1. Yes
  2. No
  3. DK, RF

CIR_Q190

[Excluding any time you spent in a [health center/hospital], did/Did] you ever have to stay in bed for all or most of the day, as a result of the incident?

Interviewer: Include time spent in bed for injuries as well as for stress reasons.

Most of a day means at least 6 hours over and above the time the respondent normally spends sleeping.

  1. Yes (Go to CIR_Q195)
  2. No
  3. DK, RF

Go to CIR_C205

CIR_Q195

For how many days in total?

Interviewer: Count each day the respondent spent at least 6 hours in bed over and above the time he/she normally spends sleeping.

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF

CIR_R310

There is a growing concern in Canada about hate crimes. By this I mean crimes motivated by the offender’s hatred of a person’s sex, ethnicity, race, religion, sexual orientation, age, disability or language.

Interviewer: Press <1> to continue.

CIR_Q310

Do you believe that this incident committed against you could be considered a hate crime?

Interviewer: Hate crimes are crimes motivated by the offender’s hatred of a person’s sex, ethnicity, race, religion, sexual orientation, age, disability or language.

  1. Yes (Go to CIR_B310)
  2. No
  3. DK, RF

Go to CIR_D335

CIR_Q335

Was anyone[ else/EMPTY] harmed or threatened during this incident?

  1. Yes (Go to CIR_Q336)
  2. No
  3. DK, RF

Go to CIR_B350

CIR_Q336

How many people?

  • (MIN: 1)
  • (MAX: 95)
  • DK, RF

CIR_Q340A Was this person under the age of 15?

  1. Yes
  2. No
  3. DK, RF

Go to CIR_B350

CIR_Q340B Were any of these people under 15 years of age?

  1. Yes (Go to CIR_Q341)
  2. No
  3. DK, RF

Go to CIR_B350

CIR_Q341

How many people?

  • (MIN: 1)
  • (MAX: 95)
  • DK, RF

CIR_Q650

Of the remaining incidents during the past 12 months for [household damages/an attempt to take something by force or having something taken by force/an attempt to break in or a break and enter/property stolen from outside your household/property stolen from your place of work or school or a public place/property stolen from a hotel, vacation home, cottage, car, truck or while travelling in Canada/a stolen vehicle or an attempt to steal a vehicle or parts of a vehicle/damages to a vehicle/an attempt to steal something else or other items being stolen/a physical attack/a threat of being hit or attacked, or threatened with a weapon/a sexual assault/unwanted sexual touching/a sexual activity to which you were not able to consent/another crime (^VST_S110)], how many have details similar to this one? Exclude incidents you have already told me about.

  • (MIN: 0)
  • (MAX: 95)
  • DK, RF
 

CIR Sub–module: Where incident took place (WHR)

WHR_Q100

Where did this incident take place? (For example, was it at home, on the street, at work or at school?) Please exclude incidents that have happened outside Canada.

  1. Respondent’s home and surrounding area (Go to WHR_Q110)
  2. Other private residences or other farms (Go to WHR_Q120)
  3. Commercial or institutional establishment (Go to WHR_Q130)
  4. Street or other public place (Go to WHR_Q140)
  5. Other – Specify (Go to WHR_S100)
  6. DK, RF

Go to WHR_C150

WHR_Q110

(Where did this incident take place? (Respondent’s home and surrounding area))

Interviewer: Probe to know precisely where the incident took place, in order to select appropriate category.

  1. Inside respondent’s own home/apartment
  2. Inside a vacation property (includes surrounding areas) (Go to WHR_C150)
  3. Inside garage or other building on respondent’s property (Go to WHR_C150)
  4. Outside respondent’s home, apartment, including yard, farm field, driveway, parking lot or in shared areas related to home such as apartment hallway or laundry room
  5. DK, RF (Go to WHR_C150)

WHR_Q112

Was that the same dwelling that you are living in now?

  1. Yes (Go to WHR_C150)
  2. No
  3. DK, RF

WHR_Q115

What type of dwelling were you living in at the time of this incident? Was it a...?

Interviewer: Read categories to respondent.

  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 (Go to WHR_S115)
  9. DK, RF

Go to WHR_C150

WHR_Q120

(Where did this incident take place? (Other private residences or other farms))

Interviewer: Probe to know precisely where the incident took place, in order to select appropriate category.

  1. Offender’s home (in or around)
  2. Other Private Residence or Farm (in or around)
  3. DK, RF

Go to WHR_C150

WHR_Q130

(Where did this incident take place? (Commercial or institutional establishment))

Interviewer: Probe to know precisely where the incident took place, in order to select appropriate category.

  1. In a restaurant or bar
  2. Inside school or on school grounds
  3. In a commercial or office building, a factory, a store, or a shopping mall
  4. In a hospital, prison or rehabilitation centre
  5. DK, RF

Go to WHR_C150

WHR_Q140

(Where did this incident take place? (Street or other public place))

Interviewer: Probe to know precisely where the incident took place, in order to select appropriate category.

  1. On public transportation
  2. In a parking garage or parking lot other than the respondent’s
  3. On sidewalk/street/highway in respondent’s neighbourhood
  4. On any other sidewalk/street/highway
  5. In a rural area or park (include national, provincial or local park, or conservation area)
  6. DK, RF

Go to WHR_C150

WHR_Q150

Was this your place of work?

  1. Yes
  2. No
  3. DK, RF

Go to WHR_END

 

CIR Sub–module: Person(s) who Committed the Act of violence or crime (PCA)

PCA_Q10

At the time of the incident, did the person(s) who committed the act live with you?

Interviewer: If more than one person and at least one lived with respondent select <yes>.

  1. Yes
  2. No (Go to PCA_Q20)
  3. DK, RF

Go to PCA_END

PCA_Q20

Did the person(s) who committed the act actually get [into the residence/into the vacation property/inside the garage or building] or just try to get in?

Interviewer: For apartments and multi–unit structures, determine if there was an actual or attempted entry of the respondent’s unit. Do not include entry to other parts of the building, such as the lobby.

  1. Actually got in (Go to PCA_Q30)
  2. Tried to get in
  3. Threat received by telephone, mail, or e–mail (Go to PCA_END)
  4. DK, RF

Go to PCA_D40

PCA_Q30

Did someone let them in?

Interviewer: Example: guests or workmen

  1. Yes
  2. No (Go to PCA_D40)
  3. DK, RF

Go to PCA_END

PCA_Q40

Was there any evidence that they [forced/tried to force] their way in, such as a broken lock or window?

  1. Yes (Go to PCA_Q45)
  2. No
  3. DK, RF

Go to PCA_END

PCA_Q45

What was the evidence?

Interviewer: Mark all that apply.

  1. Broken lock or forced door
  2. Broken or forced window
  3. Other – Specify (Go to PCA_S45)
  4. DK, RF

Go to PCA_END

 

CIR Sub–module: How respondent Was Threatened (HWT)

HWT_Q110

How were you threatened? Was it:

face–to–face?

  1. Yes
  2. No
  3. DK, RF

HWT_Q120

^DT_POEHow were you threatened? Was it:[BLANK/)]

by mail?

  1. Yes
  2. No
  3. DK, RF

HWT_Q130

(How were you threatened? Was it:)

by e–mail or on the Internet?

  1. Yes
  2. No
  3. DK, RF

HWT_Q140

(How were you threatened? Was it:)

over the telephone?

  1. Yes
  2. No
  3. DK, RF

HWT_Q150

(How were you threatened? Was it:)

other?

  1. Yes (Go to HWT_S150)
  2. No
  3. DK, RF

Go to HWT_Q170

HWT_Q170

Did you think the threat was going to be carried out?

  1. Yes
  2. No
  3. DK, RF
 

CIR Sub–module: Who was present during the incident (WHO)

WHO_Q120

In your opinion, was this incident related to the person’s alcohol or drug use?

  1. Yes
  2. No
  3. DK, RF

WHO_Q210

Was only one person involved in committing the act?

Interviewer: Select <Don’t know – 3> if the respondent is unsure or guesses about the number of offenders.

  1. Yes (Go to WHO_Q220)
  2. No (Go to WHO_B210)
  3. Don’t know

(DK not allowed)

RF

Go to WHO_END

WHO_Q220

Was the person male or female?

  1. Male
  2. Female
  3. DK, RF

WHO_Q230

How old would you say the person was?

  • (MIN: 1)
  • (MAX: 95)
  • DK, RF

WHO_Q240

What was the person’s relationship to you?

Interviewer: Record relationship at time of incident (not necessarily current relationship)

  1. Mother
  2. Father
  3. Mother–in–law
  4. Father–in–law
  5. Step–mother
  6. Step–father
  7. Son
  8. Daughter
  9. Son–in–law
  10. Daughter–in–law
  11. Brother
  12. Sister
  13. Spouse/partner
  14. Ex–spouse/ex–partner
  15. Other family member
  16. Boyfriend/girlfriend
  17. Ex–boyfriend/ex–girlfriend
  18. Neighbour
  19. Friend
  20. Acquaintance
  21. Internet friend
  22. Teacher/ professor
  23. Supervisor, manager, boss
  24. Co–worker
  25. Classmate
  26. Known by sight only
  27. Stranger
  28. Other – Specify (Go to WHO_S240)
  29. DK, RF

Go to WHO_END

 

CIR Sub–module: Multiple People Present during the incident (MPP)

MPP_Q10

How many people were involved in this incident?

  • (MIN: 2)
  • (MAX: 95)
  • DK, RF

MPP_Q20

Were they male or female?

  1. All male
  2. All female
  3. Both male and female (Go to MPP_C30)
  4. DK, RF

Go to MPP_Q40

MPP_Q30

Were they mostly male or mostly female?

  1. Mostly male
  2. Mostly female
  3. Evenly divided
  4. DK, RF

MPP_Q40

How old would you say the youngest was?

  • (MIN: 1)
  • (MAX: 95)
  • DK, RF

MPP_Q50

How old would you say the oldest was?

  • (MIN: 1)
  • (MAX: 95)
  • DK, RF
 

CIR Sub–module: Persons Involved (PIV)

PIV_Q110

What was the relationship of the [first/second/third/fourth/fifth/sixth/seventh/eighth/nineth/tenth] offender to you?

  1. Mother
  2. Father
  3. Mother–in–law
  4. Father–in–law
  5. Step–mother
  6. Step–father
  7. Son
  8. Daughter
  9. Son–in–law
  10. Daughter–in–law
  11. Brother
  12. Sister
  13. Spouse/partner
  14. Ex–spouse/ex–partner
  15. Other family member
  16. Boyfriend/girlfriend
  17. Ex–boyfriend/ex–girlfriend
  18. Neighbour
  19. Friend
  20. Acquaintance
  21. Internet friend
  22. Teacher/ professor
  23. Supervisor, manager, boss
  24. Co–worker
  25. Classmate
  26. Known by sight only
  27. Stranger
  28. Other – Specify (Go to PIV_S110)
  29. DK, RF

Go to PIV_D110

 

CIR Sub–module: People who committed the Act were a Gang (PAG)

PAG_Q10

Would you say that the people who committed the act were a gang?

Interviewer: Select <Don’t know – 3> if the respondent is unsure.

A gang is defined as a more or less structured group of individuals who use intimidation and violence on a regular basis in order to obtain power, recognition and/or control.

  1. Yes
  2. No
  3. Don’t know

(DK not allowed)

RF

 

CIR Sub–module: Hate Crime reasons (HTC)

HTC_Q120

Was this because of the person’s hatred of:

your race/ethnicity?

  1. Yes
  2. No
  3. DK, RF

HTC_Q130

(Was this because of the person’s hatred of:)

your religion?

  1. Yes
  2. No
  3. DK, RF

HTC_Q140

(Was this because of the person’s hatred of:)

your sexual orientation?

  1. Yes
  2. No
  3. DK, RF

HTC_Q150

(Was this because of the person’s hatred of:)

your age?

  1. Yes
  2. No
  3. DK, RF

HTC_Q155

(Was this because of the person’s hatred of:)

your sex?

  1. Yes
  2. No
  3. DK, RF

HTC_Q160

(Was this because of the person’s hatred of:)

a disability?

  1. Yes
  2. No
  3. DK, RF

HTC_Q170

(Was this because of the person’s hatred of:)

your language?

  1. Yes
  2. No
  3. DK, RF

HTC_Q180

(Was this because of the person’s hatred for:)

some other reason, not already mentioned?

  1. Yes (Go to HTC_E180)
  2. No
  3. DK, RF
 

CIR Sub–module: Stolen Property (STP)

STP_Q10

Excluding property belonging to a business, was anything that belonged to you or your household stolen during this incident?

  1. Yes (Go to STP_Q20)
  2. No
  3. DK, RF

Go to STP_C50

STP_Q20

What was stolen during the incident? Anything else?

Interviewer: Mark all that apply.

Exclude property belonging to a business.

  1. Cash
  2. Purse, wallet, credit cards, cheques, personal cards or papers
  3. Clothing, jewellery
  4. Other personal property
  5. Personal property of someone else
  6. Car
  7. Truck or van
  8. Motorcycle or moped
  9. Other motor vehicle
  10. Part of a motor vehicle (for example battery, hubcap, radio, etc.)
  11. Food, drink, liquor
  12. Electronic equipment, including T.V. stereo, video recorder, CD’s
  13. Household articles, including tools, appliances, furniture, carpets
  14. Boat
  15. Bicycle
  16. Other household property
  17. Nothing
  18. DK, RF

STP_Q30

What is your best estimate of the value of all property or cash stolen in this incident?

  • (MIN: 0)
  • (MAX: 999,995)
  • DK, RF

STP_Q40

Was any of the stolen money or property recovered, not counting anything received from insurance?

  1. Yes (Go to STP_Q45)
  2. No
  3. DK, RF

Go to STP_C50

STP_Q45

Was everything recovered?

  1. Yes
  2. No
  3. DK, RF

STP_Q50

Excluding property belonging to a business, did the person(s) attempt to take anything that belonged to you or your household?

  1. Yes
  2. No
  3. DK, RF

STP_Q60

What did they attempt to steal during this incident?

Interviewer: Mark all that apply.

Exclude property belonging to a business.

  1. Cash
  2. Respondent’s personal property
  3. Personal property of someone else
  4. Motor vehicle
  5. Part of a motor vehicle (for example, battery, hubcap, radio, etc.)
  6. Household property
  7. Nothing
  8. DK, RF
 

CIR Sub–module: Property Damage (PDM)

PDM_Q10

Was anything that belonged to you or a member of your household damaged but not taken in this incident?

Interviewer: Include damage resulting from vandalism.

Exclude property belonging to a business.

  1. Yes
  2. No (Go to PDM_END)
  3. DK, RF

PDM_Q20

What was damaged?

Interviewer: Mark all that apply.

Exclude property belonging to a business.

  1. Respondent’s personal property
  2. Personal property of someone else
  3. Motor vehicle or part of a motor vehicle
  4. Dwelling or other building on property
  5. Household property
  6. Nothing
  7. DK, RF

PDM_Q30

What is your estimate of the value of all damage done in this incident?

Interviewer: Round to the nearest dollar.

  • (MIN: 0)
  • (MAX: 999,995)
  • DK, RF

PDM_Q40

Have any of the damaged items been repaired or replaced?

  1. Yes (Go to PDM_END)
  2. No
  3. DK, RF

PDM_Q45

Will they be repaired or replaced?

  1. Yes
  2. No
  3. DK, RF
 

CIR Sub–module: Obtain Compensation through Insurance (OCI)

OCI_Q10

At the time of the incident, did you have any insurance?

Interviewer: Insurance refers to insurance purchased to cover or compensate for (or related to) the incident (i.e. damage to a vehicle is covered by auto insurance).

  1. Yes (Go to OCI_Q20)
  2. No
  3. DK, RF

Go to OCI_B30

OCI_Q20

Did you attempt to obtain compensation for this incident through an insurance company?

  1. Yes (Go to OCI_Q25)
  2. No
  3. DK, RF

Go to OCI_B30

OCI_Q25

Did you obtain any compensation?

  1. Yes
  2. No
  3. Not yet resolved
  4. DK, RF
 

CIR Sub–module: Obtain Compensation through the Courts (OCC)

OCC_Q10

Did you attempt to obtain compensation for this incident through a civil or criminal court or a provincial compensation program?

  1. Yes (Go to OCC_Q15)
  2. No
  3. DK, RF

Go to OCC_Q20

OCC_Q15

Did you obtain any compensation?

  1. Yes
  2. No
  3. Not yet resolved
  4. DK, RF

OCC_Q20

For this incident, what is your best estimate of your out–of–pocket expenses, that is, expenses for which you do not expect to be reimbursed?

Interviewer: Round to the nearest dollar.

  • (MIN: 0)
  • (MAX: 99,995)
  • DK, RF

OCC_Q30

During the week of the incident, was your main activity working at a paid job or business, looking for paid work, going to school, caring for children, household work, retired, on vacation or something else?

Interviewer: Accept one response only. If respondent indicates more than one activity then probe for main activity. If respondent insists on more than one then select <Other–Specify>.

If sickness or short–term illness is reported, ask for usual main activity.

  1. Working at a paid job or business
  2. On vacation
  3. Looking for paid work
  4. Going to school
  5. Caring for children
  6. Household work
  7. Retired
  8. Maternity/paternity leave
  9. Long term illness
  10. Volunteering or care–giving other than for children
  11. Other – Specify (Go to OCC_S30)
  12. DK, RF

OCC_Q40

As a result of this incident, did you find it difficult or impossible to carry out your everyday activities for all or most of a day? (Reasons could range from requiring medical treatment to emotional or psychological distress, to having to replace or repair property or visit insurance agents.)

Interviewer: Select <yes> if the respondent’s main activity was disrupted for at least 6 hours during a day.

  1. Yes (Go to OCC_Q50)
  2. No
  3. DK, RF

Go to OCC_END

OCC_Q50

For how many days?

  • (MIN: 1)
  • (MAX: 995)
  • DK, RF
 

CIR Sub–module: Police Found Out about the incident (PFO)

PFO_Q100

Did the police find out about this incident in any way?

Interviewer: If the respondent or a member of the household is a police officer, select <yes> only if it was officially reported to the police.

  1. Yes (Go to PFO_Q105)
  2. No
  3. DK, RF

Go to PFO_END

PFO_Q105

How did they learn about it? Was it from you or some other way?

Interviewer: If respondent answers both himself/herself and some other way – enter <Respondent>.

  1. Respondent
  2. Some other way
  3. DK, RF
 

CIR Sub–module: Reasons for reporting Incidents to the Police (RIP)

RIP_Q10

People have different reasons for reporting incidents to the police. Did any of the following have anything to do with why you reported this incident? Was it:

to stop the incident or receive protection?

  1. Yes
  2. No
  3. DK, RF

RIP_Q20

(People have different reasons for reporting incidents to the police. Did any of the following have anything to do with why you reported this incident? Was it:)

to arrest and punish the offender?

  1. Yes
  2. No
  3. DK, RF

RIP_Q30

(People have different reasons for reporting incidents to the police. Did any of the following have anything to do with why you reported this incident? Was it:)

to file a report to claim compensation or insurance?

  1. Yes
  2. No
  3. DK, RF

RIP_Q40

(People have different reasons for reporting incidents to the police. Did any of the following have anything to do with why you reported this incident? Was it:)

because you felt it was your duty to notify police?

  1. Yes
  2. No
  3. DK, RF

RIP_Q50

(People have different reasons for reporting incidents to the police. Did any of the following have anything to do with why you reported this incident? Was it:)

on the recommendation of someone else?

  1. Yes
  2. No
  3. DK, RF
 

CIR Sub–module: Action Police Took (APT)

APT_Q10

What action did the police take? Did they:

visit the scene?

  1. Yes
  2. No
  3. DK, RF

APT_Q20

(What action did the police take? Did they:)

make a report or conduct an investigation?

  1. Yes
  2. No
  3. DK, RF

APT_Q30

(What action did the police take? Did they:)

give a warning to the offender?

  1. Yes
  2. No
  3. Offender not known (Go to APT_Q60)
  4. DK, RF

Go to APT_Q40

APT_Q40

(What action did the police take? Did they:)

arrest or take the offender away?

  1. Yes
  2. No
  3. DK, RF

APT_Q50

(What action did the police take? Did they:)

lay charges against the offender?

  1. Yes
  2. No
  3. DK, RF

APT_Q60

(What action did the police take? Did they:)

take any other action?

  1. Yes – Specify (Go to APT_S60)
  2. No
  3. DK, RF

Go to APT_END

 

CIR Sub–module: Satisfaction of respondent with actions taken by police (SAP)

SAP_Q10

How satisfied were you with the actions that the police took? Were you ...?

Interviewer: Read categories to respondent.

  1. Very satisfied
  2. Somewhat satisfied
  3. Somewhat dissatisfied
  4. Very dissatisfied
  5. DK, RF

SAP_Q20

Is there anything (else) they should have done to help you?

Interviewer: Mark all that apply.

  1. Take the person out of the house
  2. Charge the person
  3. Arrest the person
  4. Respond more quickly
  5. Refer/take you to a support service
  6. Relocate you
  7. Take you to hospital
  8. Be more supportive/sympathetic
  9. Other – Specify (Go to SAP_S20)
  10. No/nothing
  11. DK, RF

Go to SAP_END

 

CIR Sub–module: Reasons for Not contacting the Police (RNP)

RNP_Q120

I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:

because of fear of revenge by the offender or others?

  1. Yes
  2. No
  3. DK, RF

RNP_Q130

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because the police would not have been able to find or identify DT_PROPOFF?

  1. Yes
  2. No
  3. DK, RF

RNP_Q140

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because there was a lack of evidence?

  1. Yes
  2. No
  3. DK, RF

RNP_Q150

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because the police would not have considered the incident important enough?

  1. Yes
  2. No
  3. DK, RF

RNP_Q160

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because the police would not have been efficient or effective?

  1. Yes
  2. No
  3. DK, RF

RNP_Q170

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you received unsatisfactory service in the past?

  1. Yes
  2. No
  3. DK, RF

RNP_Q180

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you tried to report but could not get through (includes waited too long on the phone; lack of confidence with the initial contact)?

  1. Yes
  2. No
  3. DK, RF

RNP_Q190

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because dealing with the police could have caused you trouble with the law?

  1. Yes
  2. No
  3. DK, RF

RNP_Q200

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you did not want to get the offender in trouble with the law?

  1. Yes
  2. No
  3. DK, RF

RNP_Q220

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you did not want the hassle of dealing with the police?

  1. Yes
  2. No
  3. DK, RF

RNP_Q225

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you were afraid reporting it to the police would bring shame and dishonour to the family?

  1. Yes
  2. No
  3. DK, RF

RNP_Q240

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because your family prevented you from contacting the police?

  1. Yes
  2. No
  3. DK, RF

RNP_Q245

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you considered the incident a private or personal matter and handled it informally?

  1. Yes
  2. No
  3. DK, RF

RNP_Q250

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you did not want others to find out about the victimization (including didn’t want publicity or news coverage)?

  1. Yes
  2. No
  3. DK, RF

RNP_Q260

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because the crime was minor and not worth taking the time to report?

  1. Yes
  2. No
  3. DK, RF

RNP_Q270

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because no one was harmed or there was no financial loss?

  1. Yes
  2. No
  3. DK, RF

RNP_Q280

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because no harm was intended?

  1. Yes
  2. No
  3. DK, RF

RNP_Q290

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you didn’t think the offender would be convicted or adequately punished?

  1. Yes
  2. No
  3. DK, RF

RNP_Q300

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you feared or did not want the hassle of dealing with the court process?

  1. Yes
  2. No
  3. DK, RF

RNP_Q310

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because the police would be biased?

  1. Yes
  2. No
  3. DK, RF

RNP_Q320

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because the insurance wouldn’t cover it?

Interviewer: For example, no insurance, loss less than deductible, etc.

  1. Yes
  2. No
  3. DK, RF

RNP_Q330

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you did not need a police report to file a claim?

  1. Yes
  2. No
  3. DK, RF

RNP_Q340

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because nothing was taken or the items were recovered?

  1. Yes
  2. No
  3. DK, RF

RNP_Q350

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it: )

because it was reported to another official?

  1. Yes
  2. No
  3. DK, RF

RNP_Q355

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

for some other reason, not already mentioned?

  1. Yes (Go to RNP_S355)
  2. No
  3. DK, RF

RNP_Q360

What was the main reason for not reporting to the police?

  1. Fear of revenge by the offender or others
  2. Police could not find/identify property or offender
  3. Lack of evidence
  4. Police would not have considered incident important enough
  5. Police would not have been efficient or effective
  6. Unsatisfactory service in the past
  7. Tried to report but didn’t succeed at it
  8. Dealing with the police could have caused you trouble with the law
  9. Did not want the offender in trouble with the law
  10. Did not want the hassle of dealing with police or courts
  11. Afraid reporting would bring shame to the family
  12. Prevented by family
  13. Incident private and handled it informally
  14. You did not want others to find out (including publicity or news coverage)
  15. Crime was minor and not worth time to report
  16. No one was harmed /no financial loss
  17. No harm was intended
  18. Didn’t think offender will be convicted or adequately punished
  19. Fear of court process / did not want the hassle
  20. Police would be biased
  21. Insurance won’t cover it
  22. Did not need a police report to file a claim
  23. Nothing was taken or the items were recovered
  24. It was reported to another official
  25. ^RNP_S355
  26. DK, RF
 

CIR Sub–module: Talk to anyone about the incident (TTA)

TTA_Q110

Other than to the police, did you ever talk to anyone about what happened, such as:

a family member?

  1. Yes
  2. No
  3. DK, RF

TTA_Q120

(Other than to the police, did you ever talk to anyone about what happened, such as:)

a friend or neighbour?

  1. Yes
  2. No
  3. DK, RF

TTA_Q130

(Other than to the police, did you ever talk to anyone about what happened, such as:)

a co–worker?

  1. Yes
  2. No
  3. DK, RF

TTA_Q140

(Other than to the police, did you ever talk to anyone about what happened, such as:)

a doctor or nurse?

  1. Yes
  2. No
  3. DK, RF

TTA_Q150

(Other than to the police, did you ever talk to anyone about what happened, such as:)

a lawyer?

  1. Yes
  2. No
  3. DK, RF

TTA_Q160

(Other than to the police, did you ever talk to anyone about what happened, such as:)

a priest, rabbi, imam, elder or another spiritual advisor?

  1. Yes
  2. No
  3. DK, RF
 

CIR Sub–module: Victims Services in respondent’s Community (VSC)

VSC_Q10

Did the police or anyone else provide you with information about services for victims in your community?

  1. Yes, the police
  2. Yes, someone else
  3. No
  4. DK, RF

VSC_Q20

Did you ever contact or use any of the following services for help because of this incident, such as:

a crisis centre or crisis line?

  1. Yes
  2. No
  3. DK, RF

VSC_Q25

(Did you ever contact or use any of the following services for help because of this incident, such as:)

victim services or a victim witness assistance program?

Interviewer: Victim services include providing general information about the justice system, referrals, assistance with court, help preparing victim impact statements, offering case–specific information, emotional support and providing information to help victims recover financial losses resulting from the crime.

  1. Yes
  2. No
  3. DK, RF

VSC_Q30

(Did you ever contact or use any of the following services for help because of this incident, such as:)

a counsellor, psychologist or social worker?

  1. Yes
  2. No
  3. DK, RF

VSC_Q40

(Did you ever contact or use any of the following services for help because of this incident, such as:)

a community, family, ethnic or cultural centre?

  1. Yes
  2. No
  3. DK, RF

VSC_Q50

(Did you ever contact or use any of the following services for help because of this incident, such as:)

a [women’s/men’s] centre, [a seniors’ centre/EMPTY] or support group?

Interviewer: Centres that do not offer housing but provide community, support, information and referrals services to victims.

  1. Yes
  2. No
  3. DK, RF

VSC_Q60

(Did you ever contact or use any of the following services for help because of this incident, such as:)

a sexual assault centre?

  1. Yes
  2. No
  3. DK, RF

VSC_Q90

Is there any reason why you didn’t use any of these services?

Interviewer: Mark all that apply.

  1. Didn’t know of any services
  2. None available
  3. Waiting list
  4. Too minor
  5. Shame/embarrassment
  6. Wouldn’t be believed
  7. Offender prevented me
  8. Distance from service
  9. Fear of losing financial support
  10. Fear of losing the children
  11. Didn’t want relationship to end
  12. Didn’t want/need help
  13. Language barrier
  14. Other – Specify (Go to VSC_S90)
  15. DK, RF
 

CIR Sub–module: General victimization – Impact on respondent (GIR)

GIR_Q10

At the time of the incident, how did this experience affect you emotionally?

Interviewer: Mark all that apply.

This question refers to emotional consequences. Do not include physical injury, financial loss or medical treatment.

  1. Not at all
  2. Not much
  3. Angry
  4. Upset, confused, frustrated
  5. Fearful
  6. More cautious/aware
  7. Shock/disbelief
  8. Hurt/disappointment
  9. Victimized
  10. Sleeping problems
  11. Depression/anxiety attacks
  12. Ashamed/guilty
  13. Afraid for children
  14. Annoyed
  15. Lowered self esteem
  16. Increased self–reliance
  17. Problems relating to men/women
  18. Other – Specify (Go to GIR_S10)
  19. DK, RF

GIR_Q20

Now some questions about longer term effects of the incident you experienced. In the past month, have you:

had nightmares about it or thought about it when you did not want to?

  1. Yes
  2. No
  3. DK, RF

GIR_Q30

(Now some questions about longer term effects of the incident you experienced. In the past month, have you: )

tried hard not to think about it or went out of your way to avoid situations that reminded you of it?

  1. Yes
  2. No
  3. DK, RF

GIR_Q40

(Now some questions about longer term effects of the incident you experienced. In the past month, have you: )

felt constantly on guard, watchful, or easily startled?

  1. Yes
  2. No
  3. DK, RF

GIR_Q50

(Now some questions about longer term effects of the incident you experienced. In the past month, have you: )

felt numb or detached from others, activities, or your surroundings?

  1. Yes
  2. No
  3. DK, RF
 

CIR Sub–module: Case Went to Court (CWC)

CWC_Q10

Did the case go to court?

  1. Yes (Go to CWC_Q20)
  2. No
  3. Case pending or awating trial
  4. DK, RF

Go to CWC_END

CWC_Q20

How satisfied were you with the way the case was handled by the criminal justice system? Were you...?

Interviewer: Read categories to respondent.

  1. Very satisfied
  2. Somewhat satisfied
  3. Somewhat dissatisfied
  4. Very dissatisfied
  5. Did not use the criminal justice system.
  6. DK, RF
 

Childhood Experiences (CEX)

CEX_R010

The next few questions are about events that may have happened before you were 15. Remember that all information provided is strictly confidential.

Interviewer: Press <1> to continue.

CEX_Q010

Before age 15, how many times did an adult slap you on the face, head or ears, or hit you with something hard to hurt you? By adult, I mean anyone 18 years and over.

Interviewer: Read categories to respondent.

Exclude spanking.

  1. Never
  2. 1 or 2 times
  3. 3 to 5 times
  4. 6 to 10 times
  5. More than 10 times
  6. DK, RF

CEX_Q020

Before age 15, how many times did an adult push, grab, shove or throw something at you to hurt you?

Interviewer: Read categories to respondent.

  1. Never
  2. 1 or 2 times
  3. 3 to 5 times
  4. 6 to 10 times
  5. More than 10 times
  6. DK, RF

CEX_Q030

Before age 15, how many times did an adult kick, bite, punch, choke, burn you, or physically attack you in some way?

Interviewer: If necessary, read the categories to respondent.

  1. Never
  2. 1 or 2 times
  3. 3 to 5 times
  4. 6 to 10 times
  5. More than 10 times
  6. DK, RF

CEX_Q040

Thinking about the most serious incident, what was the adult’s relationship to you?

  1. Mother
  2. Father
  3. Step–mother
  4. Step–father
  5. Grandmother
  6. Grandfather
  7. Brother
  8. Sister
  9. Other family member
  10. Boyfriend/girlfriend
  11. Ex–boyfriend/ex–girlfriend
  12. Neighbour
  13. Friend
  14. Acquaintance
  15. Teacher/ professor/ tutor
  16. Baby–sitter/ Nanny
  17. Classmate
  18. Known by sight only
  19. Stranger
  20. Other – Specify (Go to CEX_S040)
  21. DK, RF

CEX_Q050

Before age 15, how many times did an adult force you or attempt to force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?

Interviewer: Read categories to respondent.

  1. Never
  2. 1 or 2 times
  3. 3 to 5 times
  4. 6 to 10 times
  5. More than 10 times
  6. DK, RF

CEX_Q060

Before age 15, how many times did an adult touch you against your will in any sexual way? By this, I mean anything from unwanted touching or grabbing, to kissing or fondling.

Interviewer: If necessary, read the categories to respondent.

  1. Never
  2. 1 or 2 times
  3. 3 to 5 times
  4. 6 to 10 times
  5. More than 10 times
  6. DK, RF

CEX_Q065

Thinking about the (most serious) incident of a sexual nature, what was that adult’s relationship to you?

  1. Mother
  2. Father
  3. Step–mother
  4. Step–father
  5. Grandmother
  6. Grandfather
  7. Brother
  8. Sister
  9. Other family member
  10. Boyfriend/girlfriend
  11. Ex–boyfriend/ex–girlfriend
  12. Neighbour
  13. Friend
  14. Acquaintance
  15. Teacher/ professor/ tutor
  16. Baby–sitter/ Nanny
  17. Classmate
  18. Known by sight only
  19. Stranger
  20. Other – Specify (Go to CEX_S065)
  21. DK, RF

CEX_Q070

Before age 15, did you ever see or talk to the police or anyone from child protective services about any of the incidents you mentioned?

Interviewer: Mark all that apply.

  1. Police
  2. Child protection services
  3. No
  4. DK, RF

CEX_Q075

Before age 15, did you ever talk to anyone else about any of the incidents you mentioned?

Interviewer: Mark all that apply.

Exclude the police or someone from child protective services.

  1. Family member
  2. Friend
  3. Neighbour
  4. Doctor or nurse
  5. Priest, rabbi, imam, elder or another spiritual advisor
  6. Teacher
  7. No, never spoke to anyone else
  8. Other – Specify (Go to CEX_S075)
  9. DK, RF

CEX_Q080

Before age 15, how many times did you see or hear any one of your parents, step–parents or guardians hit each other or another adult?

Interviewer: Read categories to respondent.

  1. Never
  2. 1 or 2 times
  3. 3 to 5 times
  4. 6 to 10 times
  5. More than 10 times
  6. DK, RF
 

Respondent was once the Legal Responsibility of the Government (LRG)

LRG_Q10

As a child, were you ever under the legal responsibility of the government?

Interviewer: In this case, the government assumes the rights and responsibilities of a parent for the purpose of the child’s care, custody and control.

  1. Yes
  2. No
  3. DK, RF
 

Acts that may have been Committed by Someone other than a current or previous spouse/partner (ACS)

ACS_R10

The following questions are about acts that may have been committed by someone other than a current or previous spouse or partner or someone you were dating.

Interviewer: Press <1> to continue.

ACS_Q10

In the past 5 years, has a child, relative, friend or caregiver:

tried to limit your contact with family or friends, called you names to make you feel bad, or threatened to harm you or someone close to you?

Interviewer: Remember to exclude acts committed by spouse/partner, ex–spouse/ex–partner or dating partner.

  1. Yes
  2. No
  3. DK, RF

ACS_Q20

(In the past 5 years, has a child, relative, friend or caregiver:)

tried to prevent you from knowing about or having access to your income, forced you to relinquish control over your finances or give up something of value?

Interviewer: Remember to exclude acts committed by spouse/partner, ex–spouse/ex–partner or dating partner.

  1. Yes
  2. No
  3. DK, RF
 

Acts that may have been committed by a dating partner (ADP)

ADP_Q010

In the past 5 years, has anyone you were dating tried to limit your contact with family or friends, called you names to make you feel bad, or threatened to harm you or someone close to you?

Interviewer: Could include incidents already mentioned previously.

  1. Yes
  2. No
  3. Did not date in the past 5 years (Go to ADP_END)
  4. DK, RF

ADP_Q020

In the past 5 years, have you experienced physical violence by someone you were dating?

Interviewer: Physical violence could include such acts as hitting, throwing things to hurt, pushing, grabbing, slapping, kicking, biting, hitting with the fist, threatening with a weapon, choking.

  1. Yes
  2. No
  3. DK, RF

ADP_Q030

In the past 5 years, have you experienced sexual violence by someone you were dating?

Interviewer: Sexual violence could include such acts as forcing into an unwanted sexual activity by threatening, holding you down or hurting you or subjecting you to a sexual activity to which you are not able to consent.

  1. Yes
  2. No
  3. DK, RF
 

Stalking – Communication (STK)

STK_R10

People may sometimes be stalked or harassed, either by someone they know or by a stranger.

Interviewer: Press <1> to continue.

STK_Q10

In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:

has anyone phoned you repeatedly or made silent or obscene phone calls?

  1. Yes (Go to STK_Q15)
  2. No
  3. DK, RF

Go to STK_Q20

STK_Q15

Did you fear for your safety or the safety of someone known to you?

  1. Yes
  2. No
  3. DK, RF

STK_Q20

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone sent you unwanted messages through e–mail, text, Facebook or any other social media?

  1. Yes (Go to STK_Q25)
  2. No
  3. DK, RF

Go to STK_Q30

STK_Q25

Did you fear for your safety or the safety of someone known to you?

  1. Yes
  2. No
  3. DK, RF

STK_Q30

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone sent you unwanted gifts, letters, or cards?

  1. Yes (Go to STK_Q35)
  2. No
  3. DK, RF

Go to STK_Q40

STK_Q35

Did you fear for your safety or the safety of someone known to you?

  1. Yes
  2. No
  3. DK, RF

STK_Q40

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone tried to communicate with you against your will in any other way?

  1. Yes (Go to STK_S40)
  2. No
  3. DK, RF

Go to STK_D45

STK_Q45

Did you fear for your safety or the safety of someone known to you?

  1. Yes
  2. No
  3. DK, RF
 

Stalking – Following (FBS)

FBS_Q10

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone followed you or spied on you either in person or through an electronic tracking device (such as a GPS)?

  1. Yes
  2. No
  3. Not sure

(DK not allowed)

RF

Go to FBS_D15

FBS_Q15

Did you fear for your safety or the safety of someone known to you?

  1. Yes
  2. No
  3. DK, RF
 

Stalking – Watching (WBS)

WBS_Q10

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone waited outside your home?

  1. Yes (Go to WBS_Q15)
  2. No
  3. DK, RF

Go to WBS_Q20

WBS_Q15

Did you fear for your safety or the safety of someone known to you?

  1. Yes
  2. No
  3. DK, RF

WBS_Q20

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone waited outside your place of work or school or other places you were, when they had no business being there?

  1. Yes (Go to WBS_Q25)
  2. No
  3. DK, RF

Go to WBS_D25

WBS_Q25

Did you fear for your safety or the safety of someone known to you?

  1. Yes
  2. No
  3. DK, RF
 

Stalking – Threatening Behaviours (TBS)

TBS_Q10

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone persistently asked you for a date and refused to take no for an answer?

  1. Yes (Go to TBS_Q15)
  2. No
  3. DK, RF

Go to TBS_Q20

TBS_Q15

Did you fear for your safety or the safety of someone known to you?

  1. Yes
  2. No
  3. DK, RF

TBS_Q20

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone posted inappropriate, unwanted or personal information about you or pictures on a social media site?

Interviewer: Social media sites include YouTube, Google+, Twitter, Facebook, etc.

  1. Yes (Go to TBS_Q25)
  2. No
  3. DK, RF

Go to TBS_Q30

TBS_Q25

Did you fear for your safety or the safety of someone known to you?

  1. Yes
  2. No
  3. DK, RF

TBS_Q30

In the past 5 years, has anyone attempted to intimidate or threaten you by threatening or intimidating someone else?

  1. Yes
  2. No
  3. DK, RF

TBS_Q40

In the past 5 years, has anyone attempted to intimidate or threaten you by hurting your pet(s)?

  1. Yes
  2. No
  3. Does not have pets
  4. DK, RF

TBS_Q50

In the past 5 years, has anyone attempted to intimidate or threaten you by damaging your property?

  1. Yes
  2. No
  3. DK, RF

Go to TBS_END

 

Stalking – Within Past Year (SPY)

SPY_R10

You said you were stalked or harassed in a way that caused you to fear for your safety or the safety of someone known to you in the past 5 years.

Interviewer: Press <1> to continue.

SPY_Q10

Did [this incident/any of these incidents] occur in the past 12 months?

  1. Yes
  2. No
  3. DK, RF
 

Stalking – Most Recent Abuser (MRA)

MRA_Q10

Was there more than one person who stalked or harassed you in the past 5 years?

  1. Yes
  2. No
  3. DK, RF

MRA_Q20

[Is this person male or female?/Thinking about the person who has done this most recently, is this person male or female?]

  1. Male
  2. Female
  3. DK, RF

MRA_Q30

What is the person’s relationship to you?

Interviewer: Record current relationship, not necessarily relationship at the time of incident.

  1. Stranger
  2. Spouse/common–law partner
  3. Ex–spouse / Ex common–law partner
  4. Boyfriend/girlfriend
  5. Ex–boyfriend/girlfriend
  6. Other relative
  7. Neighbour
  8. Friend/Casual acquaintance
  9. Co–worker/ Classmate
  10. Known by sight only
  11. DK, RF
 

Stalking – Most Recent stalking Experience (MRE)

MRE_Q05

Do you believe that the harassment from this person has ended?

  1. Ended
  2. Still going on
  3. Not sure

(DK not allowed)

RF

MRE_Q10

For how long [has this person been stalking or harassing you/did this person stalk or harass you]?

Interviewer: Read categories to respondent.

  1. 1 week or less
  2. 1 to 4 weeks
  3. 1 to 6 months
  4. 6 to 12 months
  5. More than one year
  6. DK, RF

MRE_Q20A During this time, did this person ever physically intimidate you or threaten you with violence?

  1. Yes
  2. No
  3. DK, RF

MRE_Q30

(During this time,) did this person ever grab or attack you in any way?

  1. Yes
  2. No
  3. DK, RF

MRE_Q50

(During this time,) did you ever fear that your life was in danger from this person?

  1. Yes
  2. No
  3. DK, RF
 

Stalking – Reasons Not Reporting to Police (RNS)

RNS_Q10

[Was this incident/Were these incidents] ever reported to the police?

  1. Yes
  2. No (Go to RNS_Q100)
  3. DK, RF

Go to RNS_END

RNS_Q100

I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:

because of fear of revenge by the stalker or by others?

  1. Yes
  2. No
  3. DK, RF

RNS_Q130

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would not have been able to find or identify the stalker?

  1. Yes
  2. No
  3. DK, RF

RNS_Q140

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because there was a lack of evidence?

  1. Yes
  2. No
  3. DK, RF

RNS_Q150

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would not have considered the incident important enough?

  1. Yes
  2. No
  3. DK, RF

RNS_Q160

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would not have been efficient or effective?

  1. Yes
  2. No
  3. DK, RF

RNS_Q170

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you received unsatisfactory service in the past?

  1. Yes
  2. No
  3. DK, RF

RNS_Q180

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you tried to report, but you could not get through (includes waited too long on the phone; lack of confidence with initial contact)?

  1. Yes
  2. No
  3. DK, RF

RNS_Q190

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because dealing with police could have caused you trouble with the law?

  1. Yes
  2. No
  3. DK, RF

RNS_Q200

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want to get the stalker in trouble with the law?

  1. Yes
  2. No
  3. DK, RF

RNS_Q220

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want the hassle of dealing with the police?

  1. Yes
  2. No
  3. DK, RF

RNS_Q230

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you considered the incident a private or personal matter and handled it informally?

  1. Yes
  2. No
  3. DK, RF

RNS_Q250

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want others to find out about the victimization (including didn’t want publicity or news coverage)?

  1. Yes
  2. No
  3. DK, RF

RNS_Q260

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the crime was minor and not worth taking the time to report?

  1. Yes
  2. No
  3. DK, RF

RNS_Q270

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because no one was harmed or there was no financial loss?

  1. Yes
  2. No
  3. DK, RF

RNS_Q280

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because no harm was intended?

  1. Yes
  2. No
  3. DK, RF

RNS_Q290

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you didn’t think the stalker would be convicted or adequately punished?

  1. Yes
  2. No
  3. DK, RF

RNS_Q300

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you feared or did not want the hassle of dealing with the court process?

  1. Yes
  2. No
  3. DK, RF

RNS_Q310

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would be biased?

  1. Yes
  2. No
  3. DK, RF

RNS_Q350

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because it was reported to another official?

  1. Yes
  2. No
  3. DK, RF

RNS_Q360

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

for some other reason, not already mentioned?

  1. Yes (Go to RNS_S360)
  2. No
  3. DK, RF

Go to RNS_D370

RNS_Q370

What was the main reason why you didn’t contact the police?

  1. Fear of revenge by the stalker or others
  2. Police could not find/identify the stalker
  3. Lack of evidence
  4. Police would not have considered incident important enough
  5. Police would not have been efficient or effective
  6. Unsatisfactory service in the past
  7. Tried to report but didn’t succeed at it
  8. Dealing with the police could have caused you trouble with the law
  9. Did not want the stalker in trouble with the law
  10. Did not want the hassle of dealing with police
  11. Incident private and handled it informally
  12. You did not want others to find out (including publicity or news coverage)
  13. Crime was minor and not worth time to report
  14. No one was harmed /no financial loss
  15. No harm was intended
  16. Didn’t think stalker will be convicted or adequately punished
  17. Fear of court process / did not want the hassle
  18. Police would be biased
  19. It was reported to another official
  20. ^RNS_S360
  21. DK, RF
 

Stalking – Talking to someone (SHS)

SHS_Q10

[Other than the police, did/Did] you ever talk to anyone about what happened?

  1. Yes (Go to SHS_Q20)
  2. No
  3. DK, RF

Go to SHS_END

SHS_Q20

Who did you talk to (about what happened)?

Interviewer: Mark all that apply.

  1. Family member
  2. Friend or neighbour
  3. Co–worker
  4. Doctor or nurse
  5. Lawyer
  6. Priest, rabbi, imam, elder or another spiritual advisor
  7. Counsellor or psychologist
  8. Someone else (Go to SHS_S20)
  9. DK, RF

Go to SHS_END

 

Stalking – Charges Laid (SCL)

SCL_Q10

[Were/Thinking about the person who has done this most recently were] charges laid against this person?

  1. Yes (Go to SCL_Q20)
  2. No
  3. DK, RF

Go to SCL_END

SCL_Q20

What kind of charges were they?

Interviewer: Mark all that apply.

  1. Stalking or criminal harassment
  2. Assault
  3. Uttering threats
  4. Mischief
  5. Other types of charges (Go to SCL_S20)
  6. DK, RF

Go to SCL_END

 

Stalking – Restraining Order (ROS)

ROS_Q10

[Was/Thinking about the person who has done this most recently was] there ever a restraining, protective or a no contact order against this person?

  1. Yes (Go to ROS_Q20)
  2. No
  3. DK, RF

Go to ROS_END

ROS_Q20

[Was/(Thinking about the person who has done this most recently) was] the order ever violated?

  1. Yes (Go to ROS_Q30)
  2. No
  3. DK, RF

Go to ROS_END

ROS_Q30

[Did/(Thinking about the person who has done this most recently) did] you report this violation to the police?

  1. Yes
  2. No
  3. DK, RF
 

Stalking – Impact on Respondent (IOR)

IOR_Q10

At the time of [the incident/these incidents], how did [this experience/these experiences] affect you emotionally?

Interviewer: Mark all that apply.

This question refers to emotional consequences. Do not include physical injury, financial loss or medical treatment.

  1. Not at all
  2. Not much
  3. Angry
  4. Upset, confused, frustrated
  5. Fearful
  6. More cautious/aware
  7. Shock/disbelief
  8. Hurt/disappointment
  9. Victimized
  10. Sleeping problems
  11. Depression/anxiety attacks
  12. Ashamed/guilty
  13. Afraid for children
  14. Annoyed
  15. Lowered self esteem
  16. Increased self–reliance
  17. Problems relating to men/women
  18. Other – Specify (Go to IOR_S10)
  19. DK, RF
 

Cyber Bullying Respondent (CBU)

CBU_R100

The following questions are about cyber–stalking and cyber–bullying, which is the use of the Internet to embarrass, intimidate or threaten someone.

Interviewer: Press <1> to continue.

CBU_Q100

During the past 5 years, how often have you typically used the Internet?

  1. Daily
  2. A few times a week
  3. Once a week
  4. A few times a month
  5. Once a month
  6. Less than once a month
  7. Rarely
  8. Never (Go to CBU_END)
  9. DK, RF

CBU_Q110

In the past 5 years, :

have you ever received threatening or aggressive e–mails or instant messages where you were the only recipient?

Interviewer: Include only threatening or aggressive communications. Exclude money scams and other types of phishing scams.

  1. Yes
  2. No
  3. DK, RF

Go to CBU_Q120

CBU_Q120

(In the past 5 years,:)

have you ever been the target of threatening or aggressive comments spread through group e–mails, instant messages or postings on Internet sites?

  1. Yes
  2. No
  3. DK, RF

CBU_Q125

(In the past 5 years,)

has anyone ever sent out or posted pictures that embarrassed you or made you feel threatened?

  1. Yes
  2. No
  3. DK, RF

CBU_Q130

(In the past 5 years,)

has anyone ever used your identity to send out or post embarrassing or threatening information?

  1. Yes
  2. No
  3. DK, RF

CBU_Q140

(In the past 5 years,:)

have you ever been the target of any other kind of cyber stalking/ bullying (which is the use of the Internet to embarrass, intimidate or threaten someone), not already mentioned?

  1. Yes (Go to CBU_S140)
  2. No
  3. DK, RF

Go to CBU_C150

CBU_R150

You said you were intimidated, embarrassed or threatened by someone over the Internet in the past 5 years.

Interviewer: Press <1> to continue.

CBU_Q150

Did any of these experiences occur in the past 12 months?

  1. Yes
  2. No
  3. 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?

Interviewer: If sickness or short–term illness is reported, ask for usual main activity.

  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 or care–giving other than for children
  10. Other – Specify (Go to MAR_S110)
  11. DK, RF

Go to MAR_Q133

MAR_Q133

Did you have a job or were you self–employed at any time last week?

Interviewer: Include persons that were on vacation, sick leave with pay, strike, lock–out, maternity/paternity or parental leave.

  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

Did you have a job or were you 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 worked at a job or business?

  1. Yes
  2. No
  3. DK, RF

REW_Q20

In what year did you last do any paid work?

  • (MIN: 1,900)
  • (MAX: 2,014)
  • DK, RF

REW_Q30

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

  • (MIN: 10)
  • (MAX: 95)
  • DK, RF
 

Work activities – Employment Type (WET)

WET_Q110

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

Interviewer: Include vacation, illness, strikes, lock–outs or maternity/paternity or parental leave.

  • (MIN: 1)
  • (MAX: 52)
  • DK, RF

WET_Q120

Were you mainly ...?

Interviewer: Read categories to respondent.

Self–employed is a person who is earning income directly from their own business, trade or profession, rather than being paid a specified salary or wage by an employer.

  1. A paid worker
  2. Self–employed
  3. An unpaid family worker
  4. DK, RF
 

Work activities – Telework Information (WTI)

WTI_Q110

Excluding overtime, [do/did] you usually work any of your scheduled hours at home?

Interviewer: Exclude respondents who occasionally perform some overtime work in their homes.

  1. Yes (Go to WTI_D120)
  2. No
  3. Not applicable
  4. DK, RF

Go to WTI_END

WTI_Q120

How many paid hours per week [do/did] you usually work at home?

Interviewer: Round to the nearest whole hour.

  • (MIN: 1)
  • (MAX: 168)
  • DK, RF
 

Work activities – Last Year employer information (WLY)

WLY_Q110

[What is the name of your business?/What was the name of your business?/For whom did you work the longest time during the past 12 months?]

Interviewer: Name of business, government department or agency, or person.

(80 spaces)

DK, RF

WLY_Q120

What kind of business, industry or service [is/was] this?

Interviewer: Give full description: e.g., federal government, canning industry, forestry services.

(80 spaces)

DK, RF

WLY_Q130

What kind of work [are/were] you doing?

Interviewer: Examples include: babysitting in own home, factory worker, forestry technician.

(80 spaces)

DK, RF

WLY_Q140

What [are/were] your most important activities or duties?

Interviewer: Examples include: caring for children, stamp press machine operator, forest examiner.

(80 spaces)

DK, RF

WLY_Q145

Are you still working [for this employer/at this business]?

Interviewer: Includes those employed but not currently working due to vacation, sick leave with pay, leave of absence, strike, lockout or maternity/paternity or parental leave.

  1. Yes
  2. No
  3. DK, RF

WLY_Q150

Which of the following best describes your terms of employment in this job? [Are/Were] you a...?

Interviewer: Read categories to respondent.

  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
 

Work activities – Hours Worked (WHW)

WHW_Q120

How many hours a week [do/did] you usually work at your job?

Interviewer: If the respondent had more than one job add the number of hours for these jobs.

  • (MIN: 0)
  • (MAX: 168)
  • DK, RF

Go to WHW_D140

WHW_Q230

Which of the following best describes your usual work schedule at your job? [Is/Was] it ...?

Interviewer: Read categories to respondent.

For respondent’s main job:

"on call" means no prearranged schedules, but called as need arises (for example, a substitute teacher);

"irregular schedule" is usually prearranged one week or more in advance (for example, pilots).

  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 (Go to WHW_S230)
  10. DK, RF
 

Main Activity of respondent’s spouse/Partner (MAP)

MAP_Q110

During the past 12 months, was your [spouse/partner]’s 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?

Interviewer: If sickness or short–term illness is reported, ask for usual main activity.

  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 or care–giving other than for children
  10. Other – Specify (Go to MAP_S110)

DK, RF

Go to MAP_C120

MAP_Q120

Was [he/she/he/she] enrolled as...?

Interviewer: Read the categories to respondant.

  1. Full–time student
  2. Part–time student
  3. Both full–time and part–time student
  4. DK, RF

MAP_Q130

Did [he/she/he/she] have a job or was [he/she/he/she] self–employed at any time during the past 12 months?

Interviewer: Include vacation, illness, strikes, lock–outs and maternity/paternity leave.

  1. Yes
  2. No
  3. DK, RF
 

Education Extended Block (EOR)

Harmonized content

EOR_Q01

What type of educational institution [are you attending/did you attend]?

Interviewer: Mark all that apply.

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

EOR_Q02

[Are you enrolled/Were you enrolled] as... ?

Interviewer: Read categories to respondent.

  1. A full–time student
  2. A part–time student
  3. Both full–time and part–time student
  4. DK, RF

EOR_Q03

In what country was the institution that granted your highest certificate, diploma or degree located?

Interviewer: Ask the respondent to specify the country according to current boundaries.

Start typing the name of the country to activate function.

Enter "CAN" to select Canada.

Enter "Other – Specify" if the country is not part of the list.

  1. Search
  2. Other – Specify (Go to EOR_S03)
  3. DK, RF
 

Education – School Attendance v.1 (ESC1)

Harmonized content

Overview: This is the CATI/CAPI version one of the School attendance.

ESC1_Q01

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

Interviewer: Ask respondent to include attendance only for courses that can be used as credit towards a certificate, diploma or degree.

  1. Yes
  2. No
  3. DK, RF

EHG3

EHG3_Q01

What is the highest certificate, diploma or degree that you have completed?

  1. Less than high school diploma or its equivalent
  2. High school diploma or a high school equivalency certificate (Go to EHG3_Q02)
  3. Trade certificate or diploma (Go to EHG3_Q03)
  4. College, CEGEP or other non–university certificate or diploma (other than trades certificates or diplomas) (Go to EHG3_Q04)
  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 or degree above the bachelor’s level (Go to EHG3_Q05)
  8. DK, RF

Go to EHG3_END

EHG3_Q02

If the respondent has already specified the diploma or certificate, select the category from the list below; if not, ask:

Was that a... ?

Interviewer: Read categories to respondent.

  1. High school graduation diploma
  2. High school equivalency certificate (such as General Educational Development, GED or Adult Basic Education, ABE)
  3. DK, RF

Go to EHG3_END

EHG3_Q03

If the respondent has already specified the certificate, select the category from the list below; if not, ask:

Was that a... ?

Interviewer: Read categories to respondent.

  1. Registered Apprenticeship certificate (including Certificate of Qualification, Journeyperson’s designation)
  2. Other trades certificate or diploma from a trade school or a professional training center
  3. DK, RF

Go to EHG3_END

EHG3_Q04

Was that a certificate or diploma from a program of... ?

Interviewer: Read categories to respondent.

  1. Less than 3 months
  2. 3 months to less than 1 year
  3. 1 year to 2 years
  4. More than 2 years
  5. DK, RF

Go to EHG3_END

EHG3_Q05

If the respondent has already specified the university certificate, diploma or degree, select the category from the list below; if not, ask:

Was that a... ?

Interviewer: Read categories to respondent.

Honorary doctorates should not be included in the "earned doctorate" category.

  1. University certificate or diploma above the bachelor’s level
  2. Degree in medicine, dentistry, veterinary medicine or optometry
  3. Master’s degree
  4. Earned doctorate
  5. DK, RF
 

Education Of respondent’s Partner (EOP)

EOP_Q200

What is the highest level of education that your ^DT_MSTATUS_E has attained?

  1. Earned doctorate (Ph.D., D.Sc., D.Ed.)
  2. Masters (M.A., M.Sc., M.Ed.)
  3. Degree in Medicine, Dentistry, Veterinary Medicine, or Optometry (M.D., D.D.S., D.M.D., D.V.M., O.D.)
  4. Bachelor or undergraduate degree, or teacher’s college (B.A., B.Sc., LL.B., B.Ed.)
  5. Diploma or certificate from community college, CEGEP or nursing school
  6. Diploma or certificate from trade, technical or vocational school, or business college
  7. Some university
  8. Some community college, CEGEP or nursing school
  9. Some trade, technical or vocational school, or business college
  10. High school diploma
  11. Some high school
  12. Elementary school diploma
  13. Some elementary
  14. No schooling
  15. Other – Specify (Go to EOP_S200)
  16. DK, RF

Go to EOP_END

 

Education Of respondent’s Mother (EOM)

EOM_Q200

What is the highest level of education that your mother has attained? By mother, we mean the woman who mostly raised you.

Interviewer: This may be someone other than the respondent’s mother (example: sister, aunt, guardian, adoptive mother, grandmother).

  1. Earned doctorate (Ph.D., D.Sc., D.Ed.)
  2. Masters (M.A., M.Sc., M.Ed.)
  3. Degree in Medicine, Dentistry, Veterinary Medicine, or Optometry (M.D., D.D.S., D.M.D., D.V.M., O.D.)
  4. Bachelor or undergraduate degree, or teacher’s college (B.A., B.Sc., LL.B., B.Ed.)
  5. Diploma or certificate from community college, CEGEP or nursing school
  6. Diploma or certificate from trade, technical or vocational school, or business college
  7. Some university
  8. Some community college, CEGEP or nursing school
  9. Some trade, technical or vocational school, or business college
  10. High school diploma
  11. Some high school
  12. Elementary school diploma
  13. Some elementary
  14. No schooling
  15. Other – Specify (Go to EOM_S200)
  16. DK, RF

Go to EOM_END

 

Education Of respondent’s Father (EOF)

EOF_Q200

What is the highest level of education that your father has attained? By father, we mean the man who mostly raised you.

Interviewer: This may be someone other than the respondent’s father (example: brother, uncle, guardian, adoptive father, grandfather).

  1. Earned doctorate (Ph.D., D.Sc., D.Ed.)
  2. Masters (M.A., M.Sc., M.Ed.)
  3. Degree in Medicine, Dentistry, Veterinary Medicine, or Optometry (M.D., D.D.S., D.M.D., D.V.M., O.D.)
  4. Bachelor or undergraduate degree, or teacher’s college (B.A., B.Sc., LL.B., B.Ed.)
  5. Diploma or certificate from community college, CEGEP or nursing school
  6. Diploma or certificate from trade, technical or vocational school, or business college
  7. Some university
  8. Some community college, CEGEP or nursing school
  9. Some trade, technical or vocational school, or business college
  10. High school diploma
  11. Some high school
  12. Elementary school diploma
  13. Some elementary
  14. No schooling
  15. Other – Specify (Go to EOF_S200)
  16. DK, RF

Go to EOF_END

 

Self Related Health (SRH)

SRH_R110

The following set of questions asks about your day–to–day health.

Interviewer: Press <1> to continue.

By health, we mean not only the absence of disease or injury but also physical, mental and social well–being.

SRH_Q110

In general, would you say your health is...?

  1. Excellent
  2. Very good
  3. Good
  4. Fair
  5. Poor
  6. DK, RF

SRH_Q115

In general, would you say your mental health is...?

  1. Excellent
  2. Very good
  3. Good
  4. Fair
  5. Poor
  6. DK, RF
 

Disability Screening Questions – Minimum Block (DSQ)

DSQ_R01

The following questions are about difficulties you may have doing certain activities. Please tell me only about difficulties or long–term conditions that have lasted or are expected to last for six months or more.

Interviewer: Press <1> to continue.

DSQ_Q01

Do you have any difficulty seeing?

Interviewer: Read categories to respondent.

If respondent indicates that he/she uses glasses or contact lenses, ask for a response based on their ability to see when using these aids.

  1. No (Go to DSQ_Q05)
  2. Sometimes
  3. Often
  4. Always
  5. DK

RF (Go to DSQ_Q05)

DSQ_Q02

Do you wear glasses or contact lenses to improve your vision?

  1. Yes
  2. No
  3. DK, RF

DSQ_Q03

[With your glasses or contact lenses, which/Which] of the following best describes your ability to see? [You/He/She]... ?

Interviewer: Read categories to respondent.

  1. Have no difficulty seeing (Go to DSQ_Q05)
  2. Have some difficulty (seeing)
  3. Have a lot of difficulty (seeing)
  4. Are legally blind
  5. Are blind
  6. DK, RF (Go to DSQ_Q05)

DSQ_Q04

How often does this [difficulty/condition] limit your daily activities?

Interviewer: Read categories to respondent.

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

DSQ_Q05

Do you have any difficulty hearing?

Interviewer: Read categories to respondent.

If respondent indicates that he/she uses a hearing aid or a cochlear implant, ask for a response based on their ability to hear when using these aids.

  1. No (Go to DSQ_Q09)
  2. Sometimes
  3. Often
  4. Always
  5. DK

RF (Go to DSQ_Q09)

DSQ_Q06

Do you use a hearing aid or cochlear implant?

  1. Yes
  2. No
  3. DK, RF

DSQ_Q07

[With your hearing aid or cochlear implant, which/Which] of the following best describes your ability to hear? [You/He/She]... ?

Interviewer: Read categories to respondent.

  1. Have no difficulty hearing (Go to DSQ_Q09)
  2. Have some difficulty (hearing)
  3. Have a lot of difficulty (hearing)
  4. Cannot hear at all
  5. Are Deaf
  6. DK, RF (Go to DSQ_Q09)

DSQ_Q08

How often does this [difficulty/condition] limit your daily activities?

Interviewer: Read categories to respondent.

  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always

DSQ_Q09

Do you have any difficulty walking, using stairs, using your hands or fingers or doing other physical activities?

Interviewer: Read categories to respondent.

  1. No (Go to DSQ_R18)
  2. Sometimes
  3. Often
  4. Always
  5. DK

RF (Go to DSQ_R18)

DSQ_R10

The following questions are about your ability to move around, even when using an aid such as a cane.

Interviewer: Press <1> to continue.

DSQ_Q10

How much difficulty do you have walking on a flat surface for 15 minutes without resting?

Interviewer: Read categories to respondent.

This corresponds to the regular walking pace of the respondent. If the respondent uses an aid for minimal support such as a cane, walking stick or crutches, ask for a response based on their ability to walk when using these aids.

  1. No difficulty
  2. Some (difficulty)
  3. A lot (of difficulty)
  4. [You/He/She] cannot do at all
  5. DK, RF

DSQ_Q11

How much difficulty do you have walking up or down a flight of stairs, about 12 steps without resting?

Interviewer: Read categories to respondent.

This corresponds to the regular walking pace of the respondent. If the respondent uses an aid for minimal support such as a cane, walking stick or crutches, ask for a response based on their ability to walk when using these aids.

  1. No difficulty
  2. Some (difficulty)
  3. A lot (of difficulty)
  4. [You/He/She] cannot do at all
  5. DK, RF

DSQ_Q12

How often [does this difficulty walking limit/does this difficulty using stairs limit/do these difficulties limit] your daily activities?

Interviewer: Read categories to respondent.

  1. Never
  2. Rarely
  3. Sometimes (Go to DSQ_R18)
  4. Often (Go to DSQ_R18)
  5. Always (Go to DSQ_R18)
  6. DK, RF

DSQ_Q13

How much difficulty do you have bending down and picking up an object from the floor?

Interviewer: Read categories to respondent.

  1. No difficulty
  2. Some (difficulty)
  3. A lot (of difficulty)
  4. [You/He/She] cannot do at all
  5. DK, RF

DSQ_Q14

How much difficulty do you have reaching in any direction, for example, above your head?

Interviewer: Read categories to respondent.

  1. No difficulty
  2. Some (difficulty)
  3. A lot (of difficulty)
  4. [You/He/She] cannot do at all
  5. DK, RF

DSQ_Q15

How often [does this difficulty bending down and picking up an object limit/does this difficulty reaching limit/do these difficulties limit] your daily activities?

Interviewer: Read categories to respondent.

  1. Never
  2. Rarely
  3. Sometimes (Go to DSQ_R18)
  4. Often (Go to DSQ_R18)
  5. Always (Go to DSQ_R18)
  6. DK, RF

DSQ_Q16

How much difficulty do you have using your fingers to grasp small objects like a pencil or scissors?

Interviewer: Read categories to respondent.

  1. No difficulty (Go to DSQ_R18)
  2. Some (difficulty)
  3. A lot (of difficulty)
  4. [You/He/She] cannot do at all
  5. DK, RF (Go to DSQ_R18)

DSQ_Q17

How often does this difficulty using your fingers limit your daily activities?

Interviewer: Read categories to respondent.

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

DSQ_R18

Please answer for difficulties or long–term conditions that have lasted or are expected to last for six months or more.

Interviewer: Press <1> to continue.

DSQ_Q18

Do you have any difficulty learning, remembering or concentrating?

Interviewer: Read categories to respondent.

  1. No (Go to DSQ_Q25)
  2. Sometimes
  3. Often
  4. Always
  5. DK

RF (Go to DSQ_Q25)

DSQ_Q19

Do you think you have a condition that makes it difficult in general for you to learn? This may include learning disabilities such as dyslexia, hyperactivity, attention problems, etc..

  1. Yes
  2. No
  3. DK, RF

DSQ_Q20

Has a teacher, doctor or other health care professional ever said that you had a learning disability?

  1. Yes
  2. No
  3. DK, RF

DSQ_Q21

How often are your daily activities limited by this condition?

Interviewer: Read categories to respondent.

  1. Never
  2. Rarely
  3. Sometimes (Go to DSQ_Q25)
  4. Often (Go to DSQ_Q25)
  5. Always (Go to DSQ_Q25)
  6. DK, RF

DSQ_Q22

Has a doctor, psychologist or other health care professional ever said that you had a developmental disability or disorder? This may include Down syndrome, autism, Asperger syndrome, mental impairment due to lack of oxygen at birth, etc..

  1. Yes (Go to DSQ_Q25)
  2. No
  3. DK, RF

DSQ_Q23

Do you have any ongoing memory problems or periods of confusion? Please exclude occasional forgetfulness such as not remembering where you put your keys.

  1. Yes
  2. No (Go to DSQ_Q25)
  3. DK, RF (Go to DSQ_Q25)

DSQ_Q24

How often are your daily activities limited by this problem?

Interviewer: Read categories to respondent.

If respondent indicates that the problem is controlled by medication or therapy ask for a response based on when the respondent is using medication or therapy.

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

DSQ_Q25

Please remember that your answers will be kept strictly confidential.

Do you have any emotional, psychological or mental health conditions? These may include anxiety, depression, bipolar disorder, substance abuse, anorexia, etc..

Interviewer: Read categories to respondent.

  1. No (Go to DSQ_C27)
  2. Sometimes
  3. Often
  4. Always
  5. DK, RF (Go to DSQ_C27)

DSQ_Q26

How often are your daily activities limited by this condition?

Interviewer: Read categories to respondent.

If respondent indicates that the condition is controlled by medication or therapy, ask for a response based on when the respondent is using medication or therapy.

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

DSQ_R27

The following questions are about pain due to a long–term condition that has lasted or is expected to last for six months or more.

Interviewer: Press <1> to continue.

DSQ_Q27

Do you have pain that is always present?

  1. Yes
  2. No
  3. DK, RF

DSQ_Q28

Do you [also/null/blank] have periods of pain that reoccur from time to time?

  1. Yes
  2. No
  3. DK, RF

DSQ_Q29

How often does this pain limit your daily activities?

Interviewer: Read categories to respondent.

If the respondent has both pain that is always present and pain that reoccurs from time to time, ask them about the pain that bothers them the most. If respondent indicates that pain is controlled by medication or therapy, ask for a response based on when the respondent is using medication or therapy.

  1. Never
  2. Rarely
  3. Sometimes (Go to DSQ_END)
  4. Often (Go to DSQ_END)
  5. Always (Go to DSQ_END)
  6. DK, RF

DSQ_Q30

Do you have any other health problem or long–term condition that has lasted or is expected to last for six months or more?

  1. Yes
  2. No (Go to DSQ_END)
  3. DK, RF (Go to DSQ_END)

DSQ_Q31

How often does this health problem or long–term condition limit your daily activities?

Interviewer: Read categories to respondent.

If respondent indicated more than one health problem or condition, ask for a response that is based on the health problem or condition that limits the respondent’s daily activities the most.

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

Subjective Well–being Minimum Block (SLM)

Harmonized content

SLM_Q01

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. I
  3. I
  4. I
  5. I
  6. I
  7. I
  8. I
  9. I
  10. V
  11. Very satisfied
  • (MIN: 0)
  • (MAX: 10)
  • DK, RF
 

Medication of Respondent (MED)

MED_Q110

During the past month, have you used any medications that were prescribed or bought over–the–counter to:

help you sleep?

  1. Yes
  2. No
  3. DK, RF

MED_Q120

(During the past month, have you used any medications that were prescribed or bought over–the–counter to:)

help you calm down?

  1. Yes
  2. No
  3. DK, RF

MED_Q130

(During the past month, have you used any medications that were prescribed or bought over–the–counter to:)

help you get out of depression?

  1. Yes
  2. No
  3. DK, RF
 

Drinking of Respondent (DRR)

DRR_R110

The next questions pertain to the consumption of alcoholic beverages.

Interviewer: Press <1> to continue.

DRR_Q110

In the past month, how often did you drink alcoholic beverages? Was it ...?

Interviewer: Read categories to respondent.

Use of alcohol is a measure of a person’s health.

  1. Every day
  2. 4–6 times a week
  3. 2–3 times a week
  4. Once a week
  5. Once or twice in the past month
  6. Not in the past month (Go to DRR_END)
  7. Never drinks (Go to DRR_END)
  8. DK, RF (Go to DRR_END)

Go to DRR_Q120

DRR_Q120

How many times in the past month have you had 5 or more drinks on the same occasion?

Interviewer: Consider a drink to be one beer, one glass of wine or 1ݠoz. of liquor.

  • (MIN: 0)
  • (MAX: 31)
  • DK, RF
 

Drinking of spouse/Partner (DRP)

DRP_Q110

In the past month, how often did your [spouse/partner] drink alcoholic beverages? Was it...?

Interviewer: Read categories to respondent.

Use of alcohol is a measure of a person’s health.

  1. Every day
  2. 4–6 times a week
  3. 2–3 times a week
  4. Once a week
  5. Once or twice in the past month
  6. Not in the past month (Go to DRP_END)
  7. Never drinks (Go to DRP_END)
  8. DK, RF (Go to DRP_END)

Go to DRP_Q120

DRP_Q120

How many times in the past month has your [spouse/partner] had 5 or more drinks on the same occasion?

Interviewer: Consider a drink to be one beer, one glass of wine or 1ݠoz. of liquor.

  • (MIN: 0)
  • (MAX: 31)
  • DK, RF
 

Drug Use of Respondent (DUR)

DUR_R100

The following questions ask about the use of drugs. Please do not include medications that are taken (on a doctor’s prescription) or bought over–the–counter. Remember that all information provided is strictly confidential

Interviewer: Press <1> to continue.

DUR_Q100

In the past month, did you use marijuana, hashish, hash oil or other cannabis derivatives?

  1. Yes (Go to DUR_Q105)
  2. No
  3. DK, RF

Go to DUR_Q110

DUR_Q105

How often (in the past month, did you use marijuana, hashish, hash oil or other cannabis derivatives)?

Interviewer: Read categories to respondent.

  1. Every day
  2. 4–6 times a week
  3. 2–3 times a week
  4. Once a week
  5. Once or twice in the past month
  6. DK, RF

DUR_Q110

In the past month, did you use any other non prescribed drugs for example magic mushrooms, cocaine, speed, methamphetamine, ecstasy, PCP, mescaline or heroin?

  1. Yes (Go to DUR_Q115)
  2. No
  3. DK, RF

Go to DUR_END

DUR_Q115

How often (in the past month, did you use any other non prescribed drugs for example magic mushrooms, cocaine, speed, methamphetamine, ecstasy, PCP, mescaline or heroin)?

Interviewer: Read categories to respondent.

  1. Every day
  2. 4–6 times a week
  3. 2–3 times a week
  4. Once a week
  5. Once or twice in the past month
  6. DK, RF
 

Drug Use of spouse/Partner (DUP)

DUP_Q100

In the past month, did your [spouse/partner] use marijuana, hashish, hash oil or other cannabis derivatives?

  1. Yes (Go to DUP_Q105)
  2. No
  3. DK, RF

Go to DUP_Q110

DUP_Q105

How often (in the past month, did your [spouse/partner] use marijuana, hashish, hash oil or other cannabis derivatives)?

Interviewer: Read categories to respondent.

  1. Every day
  2. 4–6 times a week
  3. 2–3 times a week
  4. Once a week
  5. Once or twice in the past month
  6. DK, RF

DUP_Q110

In the past month, did your [spouse/partner] use any other non prescribed drugs for example magic mushrooms, cocaine, speed, methamphetamine, ecstasy, PCP, mescaline or heroin?

  1. Yes (Go to DUP_Q115)
  2. No
  3. DK, RF

Go to DUP_END

DUP_Q115

How often (in the past month, did your [spouse/partner] use any other non prescribed drugs for example magic mushrooms, cocaine, speed, methamphetamine, ecstasy, PCP, mescaline or heroin)?

Interviewer: Read categories to respondent.

  1. Every day
  2. 4–6 times a week
  3. 2–3 times a week
  4. Once a week
  5. Once or twice in the past month
  6. DK, RF
 

Homeless (HOM)

HOM_Q10

Have you ever been homeless; that is, having to live in a shelter, on the street, or in an abandoned building?

Interviewer: Examples could include individuals living in emergency temporary shelters, in other locations not intended for human habitation (e.g. laneways, sidewalks, etc.).

Please do not include individuals living with family/friends, strangers, in hotels, hostels or rented accommodations. Do not include homelessness outside of Canada.

  1. Yes (Go to HOM_Q20)
  2. No
  3. DK, RF

Go to HOM_Q30

HOM_Q20

What is the longest period of time for which you have been homeless?

  1. Less than 1 month
  2. 1 month to less than 1 year
  3. 1 year and over
  4. DK, RF

HOM_Q30

Have you ever had to temporarily live with family or friends, in your car or anywhere else because you had nowhere else to live?

Interviewer: Examples could include individuals that are \u201Ccouch surfing\u201D or without a regular or stable dwelling.

Please do not include individuals living in hotels, hostels or rented accommodations.

  1. Yes (Go to HOM_Q40)
  2. No
  3. DK, RF

Go to HOM_END

HOM_Q40

What is the longest period of time for which you had to live with family, friends, in your car or anywhere else because you had nowhere else to live?

  1. Less than 1 month
  2. 1 month to less than 1 year
  3. 1 year and over
  4. DK, RF
 

Immigration extended block (BPR)

Harmonized content

Overview: This is the extended CATI–CAPI version of the Place of birth, Place of birth of parents and grandparents, Year of first arrival in Canada, Landed immigrant status, Year of immigration in Canada and Country of citizenship.

BPR_Q02

In which province or territory were you born?

Interviewer: Ask the respondent to specify province or territory of birth according to current boundaries.

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

BPR_Q04

In which province or territory was your mother born?

Interviewer: Ask the respondent to specify province or territory of birth according to current boundaries.

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

BPR_Q10

In which province or territory was your father born?

Interviewer: Ask the respondent to specify province or territory of birth according to current boundaries.

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

BPR_Q15

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

Interviewer: The respondent may have first come to live in Canada on a work or study permit or by claiming refugee status.

If the respondent moved to Canada more than once, enter the first year they arrived in Canada (excluding vacation time spent in Canada).

If the respondent cannot give the exact year of arrival in Canada, ask for a best estimate of the year.

  • (MIN: 1,871)
  • (MAX: 2,100)
  • DK, RF

BPR_Q16

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

Interviewer: A landed immigrant, or permanent resident, is a person who has been granted the right to live in Canada permanently by immigration authorities.

  1. Yes (Go to BPR_Q17)
  2. No
  3. DK, RF

Go to BPR_B18

BPR_Q17

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

Interviewer: If respondent cannot give exact year of immigration, ask for a best estimate of the year.

  • (MIN: 1,871)
  • (MAX: 2,100)
  • DK, RF
 

Birthplace of spouse/Partner (BPP)

BPP_Q10

In what country was your ^DT_MSTATUS_E born?

Interviewer: Ask the respondent to specify country of birth according to current boundaries.

Start typing the name of the country to activate function.

Enter "CAN" to select Canada.

Enter "Other – Specify" if the country is not part of the list.

  1. Search
  2. Other – Specify (Go to BPP_S10)
  3. DK, RF (Go to BPP_END)

Go to BPP_C10C

BPP_Q20

In which province or territory?

Interviewer: Report place of birth according to current boundaries.

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

Aboriginal Minimum (AMB)

Harmonized content

Overview: This is the CATI–CAPI version of the minimal Aboriginal Group block.

*Please note that the skip for Country of birth should be done outside this block*

If General population target and Place of birth of respondent is Canada, USA, Germany or Greenland, then call the AMB block otherwise, skip this block.

AMB_Q01

Are you an Aboriginal person, that is, First Nations, Métis or Inuk (Inuit)? First Nations includes Status and Non–Status Indians.

Interviewer: The terms "First Nations" and "North American Indian" can be interchanged. Some respondents may prefer one term over the other.

"Inuit" is the plural form of "Inuk".

  1. Yes (Go to AMB_Q02)
  2. No
  3. DK, RF

Go to AMB_END

AMB_Q02

Interviewer: If the respondent has already specified the Aboriginal group(s), select the group(s) from the list below; if not, ask:

Are you First Nations, Métis or Inuk (Inuit)?

Interviewer: Mark all that apply.

First Nations (North American Indian) includes Status and Non–Status Indians.

The terms "First Nations" and "North American Indian" can be interchanged. Some respondents may prefer one term over the other.

"Inuit" is the plural form of "Inuk".

  1. First Nations (North American Indian)
  2. Métis
  3. Inuk (Inuit)
  4. DK, RF
 

Aboriginal Identity of spouse/Partner (AIP)

AIP_Q01

Is your [spouse/partner] an Aboriginal person (that is, First Nations, Métis or Inuk [Inuit])?

Interviewer: The terms "First Nations" and "North American Indian" can be interchanged. First Nations includes Status and Non–Status Indians. Some respondents may prefer one term over the other.

"Inuit" is the plural form of "Inuk".

  1. Yes (Go to AIP_Q02)
  2. No
  3. DK, RF

Go to AIP_END

AIP_Q02

Interviewer: If the respondent has already specified the Aboriginal group(s), select the group(s) from the list below; if not, ask:

Is your [spouse/partner] First Nations, Métis or Inuk (Inuit)?

Interviewer: Mark all that apply.

First Nations (North American Indian) includes Status and Non–Status Indians.

The terms "First Nations" and "North American Indian" can be interchanged. Some respondents may prefer one term over the other.

"Inuit" is the plural form of "Inuk".

  1. First Nations (North American Indian)
  2. Métis
  3. Inuk (Inuit)
  4. DK, RF
 

PG block Driver (PGD)

Population Group (PG)

Harmonized content

Overview: This is the CATI–CAPI version of the Population group Block.

Surveys with a preceding aboriginal question block, will skip the Population Group question if the respondent answered \u201CYes\u201D to being an aboriginal person.

PG_Q01

You may belong to one or more racial or cultural groups on the following list.

Are you... ?

Interviewer: Read categories to respondent and mark up to 4 responses that apply.

If respondent answers "mixed", "bi–racial" or "multi–racial", etc, probe for specific groups and mark each one separately (e.g., White, Black, Chinese).

Aboriginal people or First Nations are not included in the list of response categories because the Employment Equity Act defines visible minorities as "persons, other than Aboriginal persons, who are non–Caucasian in race or non–white in colour". Guidelines state that "Due to their status as First Nation people, Aboriginal peoples are specifically excluded from the definition".

Under the Employment Equity Act, Aboriginal Peoples are considered to be a separate designated group.

  1. White
  2. South Asian (e.g., East Indian, Pakistani, Sri Lankan)
  3. Chinese
  4. Black
  5. Filipino
  6. Latin American
  7. Arab
  8. Southeast Asian (e.g., Vietnamese, Cambodian,
  9. Malaysian, Laotian)
  10. West Asian (e.g., Iranian, Afghan)
  11. Korean
  12. Japanese
  13. Other – Specify (Go to PG_S01)
  14. DK, RF

Go to PG_END

 

Visible Minority status of respondent’s spouse/Partner (VMP)

VMP_Q110

Is your ^DT_MARSTATUS_E ...?

Interviewer: Read categories to respondent.

Mark up to 4 responses.

  1. White
  2. South Asian (e.g., East Indian, Pakistani, Sri Lankan)
  3. Chinese
  4. Black
  5. Filipino
  6. Latin American
  7. Arab
  8. Southeast Asian (e.g., Vietnamese, Cambodian, Malaysian, Laotian)
  9. West Asian (e.g., Iranian, Afghan)
  10. Korean
  11. Japanese
  12. Other – Specify (Go to VMP_S110)
  13. DK, RF
 

Discrimination (DIS)

DIS_Q10

In the past 5 years, have you experienced discrimination or been treated unfairly by others in Canada because of:

your sex?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

  1. Yes
  2. No
  3. DK, RF

DIS_Q15

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:)

your ethnicity or culture?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

  1. Yes
  2. No
  3. DK, RF

DIS_Q20

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:)

your race or colour?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

  1. Yes
  2. No
  3. DK, RF

DIS_Q25

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:)

your physical appearance (other than skin colour)?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc. Physical appearance includes weight, height, hair style/colour, clothing, jewelry, tattoos and other physical characteristics excluding skin colour.

  1. Yes
  2. No
  3. DK, RF

DIS_Q30

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:)

your religion?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

  1. Yes
  2. No
  3. DK, RF

DIS_Q35

In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:

your sexual orientation?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

  1. Yes
  2. No
  3. DK, RF

DIS_Q40

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:)

your age?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

  1. Yes
  2. No
  3. DK, RF

DIS_Q45

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:)

a disability (physical or mental)?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

  1. Yes
  2. No
  3. DK, RF

DIS_Q50

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:)

your language?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

  1. Yes
  2. No
  3. DK, RF

DIS_Q55

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada:)

for some other reason?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

  1. Yes – Specify (Go to DIS_S55)
  2. No
  3. DK, RF

Go to DIS_END

 

Discrimination – Types of Situations experienced by respondent (DTS)

DTS_Q20

In what types of situations have you experienced discrimination in the past 5 years? Was it:

in a store, bank or restaurant?

  1. Yes
  2. No
  3. DK, RF

DTS_Q25

(In what types of situations have you experienced discrimination in the past 5 years? Was it:)

at work or when applying for a job or promotion?

  1. Yes
  2. No
  3. DK, RF

DTS_Q30

(In what types of situations have you experienced discrimination in the past 5 years? Was it:)

when dealing with the police?

  1. Yes
  2. No
  3. DK, RF

DTS_Q35

(In what types of situations have you experienced discrimination in the past 5 years? Was it:)

when dealing with the courts?

  1. Yes
  2. No
  3. DK, RF

DTS_Q60

(In what types of situations have you experienced discrimination in the past 5 years? Was it:)

when crossing the border into Canada?

Interviewer: Do not include incidences of discrimination upon leaving Canada.

  1. Yes
  2. No
  3. Have not crossed the border into Canada in past 5 years
  4. DK, RF

DTS_Q65

(In what types of situations have you experienced discrimination in the past 5 years? Was it:)

any other situation?

  1. Yes – Specify (Go to DTS_S65)
  2. No
  3. DK, RF

Go to DTS_END

 

Religion Extended (REE)

Harmonized content

Overview: This is the CATI–CAPI extended version of Religion, Religious Participation with Other People and Religious Participation on One’s Own.

REE_Q01

What is your religion?

Specify one denomination or religion only, even if you are not currently a practicing member of that group.

Interviewer: For infants or children, religion refers to the specific religious group, denomination, or system of beliefs in which they will be raised, if any.

Respondent does not have to be practicing.

If respondent answers "Catholic", ask "by Catholic do you mean Roman Catholic, Ukrainian Catholic or something else?"

If respondent answers Christian, Protestant or Orthodox, ask "Which denomination or church?" If no specific denomination or church can be given, record original response. If respondent provides more than one response, ask about the religion which is most important to them or which they practice most often.

Start typing the name of the religion to activate the search function.

Enter "Other – Specify" if the name of the religion is not part of the list.

If no religion, enter "No religion".

  1. Search
  2. Other – Specify (Go to REE_S01)
  3. DK, RF

REE_Q02

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?

Interviewer: Read categories to respondent.

Exclude events such as weddings, funerals, baptisms, bar mitzvahs or other rites of passage.

All respondents should be asked the religious participation question, even if they said that they were not affiliated with a religion. For example, some respondents who said that they had "no religion", may attend religious services with family or friends on holidays such as Christmas, Easter, Chanukkah or Ramadan.

  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

REE_Q03

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

Interviewer: Read categories to respondent.

  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
 

Importance of Religion (RLR)

RLR_Q110

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

Interviewer: Read categories to respondent.

  1. Very important
  2. Somewhat important
  3. Not very important
  4. Not at all important
  5. DK, RF
 

Religion of spouse/Partner (ROP)

ROP_Q01

What is your [spouse/partner]’s religion?

Interviewer: Specify one denomination or religion only, even if he or she is not currently a practicing member of that group.

If respondent answers "Catholic", ask "by Catholic do you mean Roman Catholic, Ukrainian Catholic or something else?"

If respondent answers Christian, Protestant or Orthodox, ask "Which denomination or church?" If no specific denomination or church can be given, record original response in "Other –Specify". If respondent provides more than one response, ask about the religion which is most important to them or which they practice most often.

Start typing the name of the religion to activate the search function.

Enter "Other – Specify" if the name of the religion is not part of the list.

If no religion, enter "No religion".

  1. Search
  2. Other – Specify (Go to ROP_S01)
  3. DK, RF
 

Language Minimum (LAN)

Harmonized content

Overview: This is the minimum CATI–CAPI version of:

  • Knowledge of Official Languages (English and French)
  • Home Language spoken most often
  • Mother tongue

LAN_Q01

Of English or French, which language(s) do you speak well enough to conduct a conversation? Is it... ?

Interviewer: Read categories to respondent.

  1. English only
  2. French only
  3. Both English and French
  4. Neither English nor French
  5. DK, RF
 

Sexual Orientation of Respondent (SOR)

SOR_R110

The following question asks about sexual orientation.

Interviewer: Press <1> to continue.

SOR_Q110

Do you consider yourself to be ...?

Interviewer: Read categories to respondent.

  1. Heterosexual (sexual relations with people of the opposite sex)
  2. Homosexual, that is lesbian or gay (sexual relations with people of your own sex)
  3. Bisexual (sexual relations with people of both sexes)
  4. DK, RF
Date modified: