Mental Health and Access to Care Survey, 2022

1. In which province or territory do you live?

48 Alberta
59 British Columbia
46 Manitoba
13 New Brunswick
10 Newfoundland and Labrador
61 Northwest Territories
12 Nova Scotia
62 Nunavut
35 Ontario
11 Prince Edward Island
24 Quebec
47 Saskatchewan
60 Yukon
77 Outside of Canada

2. To determine which geographic region you live in, provide your postal code.

3. Please confirm your postal code. Is it [postal code]?

4. What is your correct postal code?

5. Are you a full time member of the regular Canadian Armed Forces?

Marital status

6. What is your marital status?

Is it:

Married
- For Quebec residents only, select "Married" category if your marital status is "civil union".
Living common law
- Two people who live together as a couple but who are not married to each other.
Never married (not living common law)
Separated (not living common law)
Divorced (not living common law)
Widowed (not living common law)

Survey Introduction

Your answers will be kept strictly confidential and will not be shared or disclosed without your consent. Statistics Canada will use your answers only for statistical purposes and will publish the information from this survey in aggregate form. While participation is voluntary, your assistance is essential if the results are to be accurate. Included with the introduction letter for this survey, there was a sheet providing information on how to learn more about mental health or find resources to help yourself or someone you know. I have a copy of that sheet and can provide you with this information at any time during the survey.

Age of respondent

For some of the questions I'll be asking, I need to know your exact date of birth.

7. What is your date of birth?

8. What is your age?

Age in years
Don't know, refusal

Sex and Gender

The following questions are about sex at birth and gender. Sex refers to sex assigned at birth. Gender refers to current gender which may be different from sex assigned at birth and may be different from what is indicated on legal documents.

9. What was your sex at birth?

Male
Female
Refusal
Don't know

What is your gender?

Male
Female
Or please specify
- Specify your gender
Refusal
Don't know

General Health

This survey deals with various aspects of your health. The following questions ask about physical activity, social relationships and health status. By health, we mean not only the absence of disease or injury but also physical, mental and social well-being.

11. In general, how is your health?

Would you say:

Excellent
Very good
Good
Fair
Poor
Don't know, refusal

12. Compared to one year ago, how would you say your health is now?

Much better now than 1 year ago
Somewhat better now (than 1 year ago)
About the same as 1 year ago
Somewhat worse now (than 1 year ago)
Much worse now (than 1 year ago)
Don't know, refusal

13. In general, how is your mental health?

Would you say:

Excellent
Very good
Good
Fair
Poor
Don't know, refusal

14. Compared to one year ago, how would you say your mental health is now?

Much better now than 1 year ago
Somewhat better now (than 1 year ago)
About the same as 1 year ago
Somewhat worse now (than 1 year ago)
Much worse now (than 1 year ago)
Don't know, refusal

15. How often do you have trouble going to sleep or staying asleep?

None of the time
A little of the time
Some of the time
Most of the time
All of the time
Don't know, refusal

16. 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?

00 Very dissatisfied
01
02
03
04
05
06
07
08
09
10 Very satisfied
Don't know, refusal

17. Thinking about the amount of stress in your life, how would you describe most of your days?

Not at all stressful
Not very stressful
A bit stressful
Quite a bit stressful
Extremely stressful
Don't know, refusal

18. Have you worked at a job or business at any time in the past 12 months?

Yes
No
Don't know, refusal

19. The next question is about your main job or business in the past 12 months. Would you say that most days at work were...?

Not at all stressful
Not very stressful
A bit stressful
Quite a bit stressful
Extremely stressful
Don't know, refusal

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

Very strong
Somewhat strong
Somewhat weak
Very weak
Don't know, refusal

Screening section

The next questions are about your well-being and areas of your life that could affect your physical and emotional health. Take your time to think about each question before answering.

21. Have you ever in your life had a period lasting several days or longer when most of the day you felt sad, empty or depressed?

Yes
No
Don't know, refusal

22. Have you ever had a period lasting several days or longer when most of the day you were very discouraged about how things were going in your life?

Yes
No
Don't know, refusal

Have you ever had a period lasting several days or longer when you lost interest in most things you usually enjoy like work, hobbies and personal relationships?

Yes
No
Don't know, refusal

Some people have periods lasting several days or longer when they feel much more excited and full of energy than usual. Their minds go too fast. They talk a lot. They are very restless or unable to sit still and they sometimes do things that are unusual for them. For example, they may drive too fast or spend too much money.

24. During your life, have you ever had a period like this lasting several days or longer?

Yes
No
Don't know, refusal

25. Have you ever had a period lasting several days or longer when most of the time you were very irritable, grumpy or in a bad mood?

Yes
No
Don't know, refusal

26. Have you ever had a period lasting several days or longer when most of the time you were so irritable that you either started arguments, shouted at people or hit people?

Yes
No
Don't know, refusal

27. Did you ever have a time in your life when you were a "worrier"; that is, when you worried a lot more about things than other people with the same problems as you?

Yes
No
Don't know, refusal

28. Did you ever have a time in your life when you were much more nervous or anxious than most other people with the same problems as you?

Yes
No
Don't know, refusal

29. Did you ever have a period lasting 6 months or longer when you were anxious and worried most days?

Yes
No
Don't know, refusal

30. Was there ever a time in your life when you felt very afraid or really, really shy with people, for example meeting new people, going to parties, going on a date or using a public bathroom?

Yes
No
Don't know, refusal

31. Was there ever a time in your life when you felt very afraid or uncomfortable when you had to do something in front of a group of people, like giving a speech or speaking in class?

Yes
No
Don't know, refusal

32.Was there ever a time in your life when you became very upset or nervous when you had to do something in front of a group?

33. Because of your fear, did you ever stay away from situations where you had to do something in front of a group whenever you could?

Yes
No
Don't know, refusal

Do you think your fear was much stronger than it should have been?

Yes
No
Don't know, refusal

Chronic Conditions

Now I'd like to ask about certain long-term health conditions which you may have. We are interested in "long-term conditions" which are expected to last or have already lasted 6 months or more and that have been diagnosed by a health professional.

35. Do you have asthma?

Yes
No
Don't know, refusal

36. Remember, we're interested in conditions diagnosed by a health professional and are expected to last or have already lasted 6 months or more.

Do you have arthritis, excluding fibromyalgia?

Yes
No
Don't know, refusal

37. Do you have: back problems, excluding fibromyalgia and arthritis?

Yes
No
Don't know, refusal

38. Do you have: fibromyalgia?

Yes
No
Don't know, refusal

39. Remember, we're interested in conditions diagnosed by a health professional and are expected to last or have already lasted 6 months or more.

Do you have high blood pressure?

Yes
No
Don't know, refusal

40. Have you ever been diagnosed with high blood pressure?

Yes
No
Don't know, refusal

41. Remember, we're interested in conditions diagnosed by a health professional and are expected to last or have already lasted 6 months or more.

Do you have migraine headaches?

Yes
No
Don't know, refusal

42. Do you have: chronic bronchitis, emphysema or chronic obstructive pulmonary disease (COPD)?

Yes
No
Don't know, refusal

43. Do you have: diabetes?

Yes
No
Don't know, refusal

44. Do you have: heart disease?

Yes
No
Don't know, refusal

45. Do you have: cancer?

Yes
No
Don't know, refusal

46. Have you ever been diagnosed with cancer?

Yes
No
Don't know, refusal

47. Do you have a bowel disorder such as Crohn's Disease, ulcerative colitis, Irritable Bowel Syndrome or bowel incontinence?

Yes
No
Don't know, refusal

48. What kind of bowel disease do you have?

Crohn's Disease
Ulcerative colitis
Irritable Bowel Syndrome
Bowel incontinence
Other
Don't know, refusal

49.Remember, we're interested in conditions diagnosed by a health professional and are expected to last or have already lasted 6 months or more.

Do you have chronic fatigue syndrome?

Yes
No
Don't know, refusal

50. Do you have multiple chemical sensitivities?

Yes
No
Don't know, refusal

51. Do you have schizophrenia?

Yes
No
Don't know, refusal

52. Have you ever been diagnosed with schizophrenia?

Yes
No
Don't know, refusal

53. Do you have any other psychosis?

Yes
No
Don't know, refusal

54. Have you ever been diagnosed with any other psychosis?

Yes
No
Don't know, refusal

55. Remember, we're interested in conditions diagnosed by a health professional and are expected to last or have already lasted 6 months or more.

Do you have a mood disorder such as depression, bipolar disorder, mania or dysthymia?

Yes
No
Don't know, refusal

56. What kind of mood disorder do you have?

Depression
Bipolar disorder (manic depression)
Mania
Dysthymia
Other
Don't know, refusal

57. Do you have an anxiety disorder such as a phobia, obsessive-compulsive disorder or a panic disorder?

Yes
No
Don't know, refusal

58. What kind of anxiety disorder do you have?

Phobia
Obsessive-compulsive disorder (OCD)
Panic disorder
Other
Don't know, refusal

59. Do you have post-traumatic stress disorder?

Yes
No
Don't know, refusal

60. Remember, we're interested in conditions diagnosed by a health professional and are expected to last or have already lasted 6 months or more.

Yes
No
Don't know, refusal

61. Do you have: Attention Deficit Disorder?

Yes
No
Don't know, refusal

62. Do you have: an eating disorder such as anorexia or bulimia?

Yes
No
Don't know, refusal

63. Do you have any other long-term physical or mental health condition that has been diagnosed by a health professional?

Yes
No
Don't know, refusal

Pain and discomfort

The next set of questions asks about the level of pain or discomfort you usually experience. They are not about illnesses like colds that affect people for short periods of time.

64. Are you usually free of pain or discomfort?

Yes
No
Don't know, refusal

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

Mild
Moderate
Severe
Don't know, refusal

66. How many activities does your pain or discomfort prevent?

None
A few
Some
Most
Don't know, refusal

Physical Activity - Short Form

The next questions are about physical activity done for leisure, work, housework, or for transportation.

67. In the past 7 days, how many times did you participate in moderate or vigorous physical activity?

68. About how much time did you spend on each occasion?

0 to 15 minutes
16 to 30 minutes
31 to 60 minutes
61 minutes to 2 hours
More than 2 hours
Don't know, refusal

69. Have you experienced any of the following impacts due to the COVID-19 pandemic?

Loss of job or income
Difficulty meeting financial obligations or essential needs (e.g, rent or mortgage payments, utilities and groceries)
Difficulty accessing required childcare services
Difficulty accessing required medications
Difficulty accessing required health care services
Diagnosed with COVID-19
Hospitalized due to COVID-19
Severe illness of a family member, friend or someone you care about
Death of a family member, friend or someone you care about
Feelings of loneliness or isolation
Emotional distress (e.g, grief, anger, worry, etc.)
Physical health problems (e.g, weight gain or loss, high blood pressure, headaches, sleep problems, etc.)
Challenges in personal relationships with members of your household (e.g, children, spouse, parent, grandparents, etc.)
Other
None of the above
Don't know, refusal

Positive Mental Health

The following questions are about how you have been feeling during the past month.

70. In the past month, how often did you feel happy?

Every day
Almost every day
About 2 or 3 times a week
About once a week
Once or twice
Never
Don't know, refusal

71. In the past month, how often did you feel interested in life?

Every day
Almost every day
About 2 or 3 times a week
About once a week
Once or twice
Never
Don't know, refusal

72. In the past month, how often did you feel satisfied with your life?

Every day
Almost every day
About 2 or 3 times a week
About once a week
Once or twice
Never
Don't know, refusal

73. In the past month, how often did you feel that you had something important to contribute to society?

Every day
Almost every day
About 2 or 3 times a week
About once a week
Once or twice
Never
Don't know, refusal

74. In the past month, how often did you feel that you belonged to a community (like a social group, your neighbourhood, your city, your school)?

Every day
Almost every day
About 2 or 3 times a week
About once a week
Once or twice
Never
Don't know, refusal

75. In the past month, how often did you feel that our society is becoming a better place for people like you?

Every day
Almost every day
About 2 or 3 times a week
About once a week
Once or twice
Never
Don't know, refusal

76. In the past month, how often did you feel that people are basically good?

Every day
Almost every day
About 2 or 3 times a week
About once a week
Once or twice
Never
Don't know, refusal

77. In the past month, how often did you feel that the way our society works makes sense to you?

Every day
Almost every day
About 2 or 3 times a week
About once a week
Once or twice
Never
Don't know, refusal

78. In the past month, how often did you feel that you liked most parts of your personality?

Every day
Almost every day
About 2 or 3 times a week
About once a week
Once or twice
Never
Don't know, refusal

79. In the past month, how often did you feel good at managing the responsibilities of your daily life?

Every day
Almost every day
About 2 or 3 times a week
About once a week
Once or twice
Never
Don't know, refusal

80. In the past month, how often did you feel that you had warm and trusting relationships with others?

Every day
Almost every day
About 2 or 3 times a week
About once a week
Once or twice
Never
Don't know, refusal

81. In the past month, how often did you feel that you had experiences that challenge you to grow and become a better person?

Every day
Almost every day
About 2 or 3 times a week
About once a week
Once or twice
Never
Don't know, refusal

82. In the past month, how often did you feel confident to think or express your own ideas and opinions?

Every day
Almost every day
About 2 or 3 times a week
About once a week
Once or twice
Never
Don't know, refusal

83. In the past month, how often did you feel that your life has a sense of direction or meaning to it?

Every day
Almost every day
About 2 or 3 times a week
About once a week
Once or twice
Never
Don't know, refusal

Stress - Sources

Now a few questions about the stress in your life.

84. In general, how would you rate your ability to handle unexpected and difficult problems, for example, a family or personal crisis?

Excellent
Very good
Good
Fair
Poor
Don't know, refusal

85. In general, how would you rate your ability to handle the day-to-day demands in your life, for example, handling work, family and volunteer responsibilities?

Excellent
Very good
Good
Fair
Poor
Don't know, refusal

86. Thinking about stress in your day-to-day life, what would you say is the most important thing contributing to feelings of stress you may have?

Time pressures / not enough time
Own physical health problem or condition
Own emotional or mental health problem or condition
Financial situation (e.g., not enough money, debt
Own work situation (e.g., hours of work, working conditions)
School
Employment status (e.g, unemployment)
Caring for - own children
Caring for - others
Other personal or family responsibilities
Personal relationships
Discrimination
Personal and family's safety
Health of family members
Other - Specify
Nothing
Don't know, refusal

87. Now think about this biggest source of stress in your day-to-day life. Please tell me how much you agree with the following statements.
When faced with this source of stress, you can count on people that you know to help you deal with the situation. Do you...?

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Don't know, refusal

88. When faced with this source of stress, you have the personal ability to deal with the situation. Do you...?

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Don't know, refusal

Distress

The following questions deal with feelings you may have had during the past month.

89. During the past month, that is, from January 24, 2022 to yesterday, about how often did you feel tired out for no good reason?

All of the time
Most of the time
Some of the time
A little of the time
None of the time
Don't know, refusal

90. During the past month, that is, from January 24, 2022 to yesterday, about how often did you feel nervous?

All of the time
Most of the time
Some of the time
A little of the time
None of the time
Don't know, refusal

91. During the past month, that is, from January 24, 2022 to yesterday, about how often did you feel so nervous that nothing could calm you down?

All of the time
Most of the time
Some of the time
A little of the time
None of the time
Don't know, refusal

92. During the past month, that is, from January 24, 2022 to yesterday, about how often did you feel hopeless?

All of the time
Most of the time
Some of the time
A little of the time
None of the time
Don't know, refusal

93. During the past month, that is, from January 24, 2022 to yesterday, about how often did you feel restless or fidgety?

All of the time
Most of the time
Some of the time
A little of the time
None of the time
Don't know, refusal

94. During the past month, that is, from January 24, 2022 to yesterday, about how often did you feel so restless you could not sit still?

All of the time
Most of the time
Some of the time
A little of the time
None of the time
Don't know, refusal

95. During the past month, that is, from January 24, 2022 to yesterday, about how often did you feel sad or depressed?

All of the time
Most of the time
Some of the time
A little of the time
None of the time
Don't know, refusal

96. During the past month, that is, from January 24, 2022 to yesterday, about how often did you feel so depressed that nothing could cheer you up?

All of the time
Most of the time
Some of the time
A little of the time
None of the time
Don't know, refusal

97. During the past month, that is, from January 24, 2022 to yesterday, about how often did you feel that everything was an effort?

All of the time
Most of the time
Some of the time
A little of the time
None of the time
Don't know, refusal

98. During the past month, that is, from January 24, 2022 to yesterday, about how often did you feel worthless?

All of the time
Most of the time
Some of the time
A little of the time
None of the time
Don't know, refusal

99. We just talked about feelings that occurred to different degrees during the past month. Taking them altogether, did these feelings occur more often in the past month than is usual for you, less often than usual or about the same as usual?

More often
Less often
About the same
Never have had any
Don't know, refusal

100. Is that a lot more, somewhat more or only a little more often than usual?

A lot
Somewhat
A little
Don't know, refusal

101. Is that a lot less, somewhat less or only a little less often than usual?

A lot
Somewhat
A little
Don't know, refusal

102. During the past month, how much did these feelings usually interfere with your life or activities?

A lot
Somewhat
A little
Don't know, refusal

Depression

103. Earlier, you mentioned having periods that lasted several days or longer when you felt sad, empty or depressed most of the day. During such episodes, did you ever feel discouraged about how things were going in your life?

Yes
No
Don't know, refusal

104. During the episodes of being sad, empty or depressed, did you ever lose interest in most things like work, hobbies or other things you usually enjoyed?

Yes
No
Don't know, refusal

105. During the episodes of being sad, empty or depressed, did you ever lose interest in most things like work, hobbies or other things you usually enjoyed?

Yes
No
Don't know, refusal

106. Earlier, you mentioned having periods that lasted several days or longer when you felt discouraged about how things were going in your life.

During such episodes, did you ever lose interest in most things like work, hobbies or other things you usually enjoy?

Yes
No
Don't know, refusal

107. Earlier, you mentioned having periods that lasted several days or longer when you lost interest in most things like work, hobbies or other things you usually enjoy.

Did you ever have such a period that lasted for most of the day, nearly every day, for 2 weeks or longer?

Yes
No
Don't know, refusal

108. Did you ever have a period of being sad or discouraged that lasted for most of the day, nearly every day, for 2 weeks or longer?

Yes
No
Don't know, refusal

109. Think of periods lasting 2 weeks or longer when these problems with your mood were most severe and frequent. During those periods, did your feelings of being sad or discouraged usually last …?

Less than one hour
1 hour to less than 3 hours
3 hours to less than 5 hours
5 hours or more
Don't know, refusal

110. During those periods, how severe was your emotional distress?

Mild
Moderate
Severe
Very severe
Don't know, refusal

111. During those periods, how often was your emotional distress so severe that nothing could cheer you up

Often
Sometimes
Rarely
Never
Don't know, refusal

112. During those periods, how often was your emotional distress so severe that you could not carry out your daily activities?

Often
Sometimes
Rarely
Never
Don't know, refusal

People with episodes of being sad or discouraged often have other problems at the same time. These include things like feelings of low self-worth and changes in sleep, appetite, energy and ability to concentrate and remember.

113. Did you ever have problems like this during one of your episodes of being sad or discouraged?

Yes
No
Don't know, refusal

114. Please think of an episode of being sad or discouraged that lasted 2 weeks or longer when, at the same time, you also had the largest number of these other problems. Is there one particular episode that stands out as the worst one you ever had?

Yes
No
Don't know, refusal

115. How old were you when that worst episode started?

Age in years
Don't know, refusal

116. How long did it last (in terms of days, weeks, months or years)?

Number

Days
Weeks
Months
Years
Don't know, refusal

117. Think of the last time you had a bad episode of being sad or discouraged like this. How old were you when that last episode occurred?

Age in years
Don't know, refusal

118. How long did that episode last?

Number

Days
Weeks
Months
Years
Don't know, refusal

In answering the next questions, think about the period of 2 weeks or longer when your feelings of being sad or discouraged and other problems were most severe and frequent. During that period, tell me which of the following problems you had for most of the day, nearly every day.

119. Did you feel sad, empty or depressed most of the day, nearly every day, during that period of 2 weeks or longer?

Yes
No
Don't know, refusal

120. Nearly every day, did you feel so sad that nothing could cheer you up?

Yes
No
Don't know, refusal

121. During that period of 2 weeks or longer, did you feel discouraged most of the day, nearly every day, about how things were going in your life?

Yes
No
Don't know, refusal

122. Did you feel hopeless about the future nearly every day?

Yes
No
Don't know, refusal

123. During that period of 2 weeks or longer, did you lose interest in almost all things like work, hobbies and things you like to do for fun?

Yes
No
Don't know, refusal

124. Did you feel like nothing was fun even when good things were happening?

Yes
No
Don't know, refusal

125. During that period of 2 weeks or longer, did you, nearly every day, have a much smaller appetite than usual?

Yes
No
Don't know, refusal

126. Did you have a much larger appetite than usual nearly every day?

Yes
No
Don't know, refusal

127. During that period of 2 weeks or longer, did you gain weight without trying to?

Yes
No
Don't know, refusal

128. Was this weight gain due to a physical growth ?

Yes
No
Don't know, refusal

129. How much did you gain?

Weight
Don't know, refusal
Pounds
Kilograms
(Don't know, refusal not allowed)

130. Did you lose weight without trying to?

Yes
No
Don't know, refusal

131. Was this weight loss a result of a diet or a physical illness?

Yes
No
Don't know, refusal

132. How much did you lose?

Weight
Don't know, refusal
Pounds
Kilograms
(Don't know, refusal not allowed)

133. During that period of 2 weeks or longer, did you have a lot more trouble than usual either falling asleep, staying asleep or waking up too early nearly every night?

Yes
No
Don't know, refusal

134. During that period of 2 weeks or longer, did you sleep a lot more than usual nearly every night?

Yes
No
Don't know, refusal

135. Did you sleep much less than usual and still not feel tired or sleepy?

Yes
No
Don't know, refusal

136. During that period of 2 weeks or longer, did you feel tired or low in energy nearly every day, even when you had not been working very hard?

Yes
No
Don't know, refusal

137. During that period of 2 weeks or longer, did you have a lot more energy than usual nearly every day?

Yes
No
Don't know, refusal

138. Did you talk or move more slowly than is normal for you nearly every day?

Yes
No
Don't know, refusal

139. Did anyone else notice that you were talking or moving slowly?

Yes
No
Don't know, refusal

140. Were you so restless or jittery nearly every day that you paced up and down or couldn't sit still?

Yes
No
Don't know, refusal

141. Did anyone else notice that you were restless?

Yes
No
Don't know, refusal

142. During that period of 2 weeks or longer, did your thoughts come much more slowly than usual or seem mixed up nearly every day?

Yes
No
Don't know, refusal

143. Did your thoughts seem to jump from one thing to another or race through your head so fast you couldn't keep track of them?

Yes
No
Don't know, refusal

144. Nearly every day, did you have a lot more trouble concentrating than is normal for you?

Yes
No
Don't know, refusal

145. Were you unable to make up your mind about things you ordinarily have no trouble deciding about?

Yes
No
Don't know, refusal

146. Did you lose your self-confidence?

Yes
No
Don't know, refusal

147. Nearly every day, did you feel that you were not as good as other people?

Yes
No
Don't know, refusal

148. Did you feel totally worthless nearly every day?

Yes
No
Don't know, refusal

149. Did you feel guilty nearly every day?

Yes
No
Don't know, refusal

150. Did you feel irritable, grouchy or in a bad mood nearly every day?

Yes
No
Don't know, refusal

151. Did you feel nervous or anxious most days?

Yes
No
Don't know, refusal

152. During that period of 2 weeks or longer, did you have any sudden attacks of intense fear or panic?

Yes
No
Don't know, refusal

153. Did you feel that you could not cope with your everyday responsibilities?

Yes
No
Don't know, refusal

154. Did you feel like you wanted to be alone rather than spend time with friends or relatives?

Yes
No
Don't know, refusal

155. Did you feel less talkative than usual?

Yes
No
Don't know, refusal

156. Were you often in tears?

Yes
No
Don't know, refusal

157. Did you often think a lot about death, either your own, someone else's or death in general?

Yes
No
Don't know, refusal

158. During that period, did you ever think that it would be better if you were dead?

Yes
No
Don't know, refusal

159. Think of the period of 2 weeks or longer when your feelings of being sad or discouraged and other problems were most severe and frequent. During that time, did you seriously think about suicide or taking your own life?

Yes
No
Don't know, refusal

Suicide

160. Did you ever seriously think about suicide or taking your own life?

Yes
No
Don't know, refusal

161. In the past 12 months, did you seriously think about suicide or taking your own life?

Yes
No
Don't know, refusal

162. How old were you the last time you seriously thought about suicide or taking your own life?

Age in years
Don't know, refusal

163. During that period of 2 weeks or longer, did you make a plan for attempting suicide?

Yes
No
Don't know, refusal

164. Did you ever make a plan for attempting suicide?

Yes
No
Don't know, refusal

165. Did you make a plan for attempting suicide at any time in the past 12 months?

Yes
No
Don't know, refusal

166. How old were you the last time you made a plan for attempting suicide?

Age in years
Don't know, refusal

167. During that period of 2 weeks or longer, did you attempt suicide or try to take your own life?

Yes
No
Don't know, refusal

168. Have you ever attempted suicide or tried to take your own life?

Yes
No
Don't know, refusal

169. How many times, in your lifetime, did you ever attempt suicide or try to take your own life?

Number of times
Don't know, refusal

170. During the last 12 months, did you attempt suicide or try to take your own life?

Yes
No
Don't know, refusal

171. How old were you the last time you attempted suicide or tried to take your own life?

Age in years
Don't know, refusal

172. Did it result in an injury or poisoning?

Yes
No
Don't know, refusal

173. Did it require medical attention following the most recent time you attempted suicide or tried to take your own life?

Yes
No
Don't know, refusal

174. Were you hospitalized overnight or longer following this most recent time since you attempted suicide or tried to take your own life?

Yes
No
Don't know, refusal

175. During the past 12 months, have you talked to a professional about your serious thoughts of suicide or taking your own life?

Yes
No
Don't know, refusal

176. During the past 12 months, have you talked to a professional about your serious thoughts of suicide or taking your own life, or attempting suicide or trying to take your own life?

Yes
No
Don't know, refusal

177. You mentioned having a number of the problems that I just asked you about. During that episode, how much did your feelings of being sad or discouraged and having these other problems interfere with either your work, your social life or your personal relationships?

Not at all
A little
Some
A lot
Extremely
Don't know, refusal

178. Earlier, you mentioned having a number of problems during the period of 2 weeks or longer when your feelings of being discouraged or uninterested were most frequent and severe. During that episode, how much did your feelings of being discouraged or uninterested and having these other problems interfere with either your work, your social life or your personal relationships?

Not at all
A little
Some
A lot
Extremely
Don't know, refusal

179. During that episode, how often were you unable to carry out your daily activities because of your feelings of being sad or discouraged?

Often
Sometimes
Rarely
Never
Don't know, refusal

180. Episodes of this sort sometimes occur as a result of a physical illness or injury or the use of medication, drugs or alcohol. Do you think your episodes of feeling sad or discouraged ever occurred as the result of physical causes, medication, drugs or alcohol?

Yes
No
Don't know, refusal

181. Do you think your episodes were always the result of physical causes, medication, drugs or alcohol?

Yes
No
Don't know, refusal

182. What were the causes?

Exhaustion
Hyperventilation
Hypochondria
Menstrual cycle
Pregnancy / postpartum
Thyroid disease
Cancer
Overweight
Medication (excluding illicit drugs)
Illicit drugs
Alcohol
Chemical Imbalance / Serotonin Imbalance
Chronic Pain
Caffeine
No specific diagnosis
Accident / Injury
Emotional, social or economic reason
Other - Specify
Don't know, refusal

183. Did your episodes of feeling sad or discouraged ever occur just after someone close to you died?

Yes
No
Don't know, refusal

184. Did your episodes of feeling sad or discouraged always occur just after someone close to you died?

Yes
No
Don't know, refusal

In the next questions, the word "episode" means a period lasting 2 weeks or longer when, nearly every day, you were sad or discouraged and you also had some of the other problems we just mentioned. The end of an episode is when you no longer have the problems for two weeks in a row.

185. During your life, how many episodes of feeling sad or discouraged with some other problems lasting two weeks or longer have you ever had?

Number of episodes
Don't know, refusal

186. Was that episode brought on by some stressful experience or did it happen out of the blue?

Brought on by stress
Out of the blue
Don't remember
Don't know, refusal

187. At any time in the past 12 months, did you have an episode lasting 2 weeks or longer when you felt discouraged or uninterested and also had some of the other problems already mentioned?

Yes
No
Don't know, refusal

188. How recently was it?

During the past month
Between 1 and 6 months ago
More than 6 months ago
Don't know, refusal

189. During the past 12 months, about how many days out of 365 were you in such an episode? You may use any number between 1 and 365 to answer.

Number of episodes
Don't know, refusal

190. How old were you the last time you had one of these episodes?

Age in years
Don't know, refusal

191. What is the longest episode you ever had when, most of the day, nearly everyday, you were feeling discouraged or uninterested and you also had some of the other problems we just mentioned?

Number

Days
Weeks
Months
Years
Don't know, refusal

192. Earlier, you mentioned that you had several episode(s) of feeling discouraged or uninterested with some other problems lasting 2 weeks or longer in your life.

How many of these episodes were brought on by some stressful experience?

Number of episodes
Don't know, refusal

193. During this period, how often did you feel cheerful?

Often
Sometimes
Rarely
Never
Don't know, refusal

194. How often did you feel as if you were slowed down?

Often
Sometimes
Occasionally
Never
Don't know, refusal

195. How often could you enjoy a good book or radio or TV program?

Often
Sometimes
Occasionally
Never
Don't know, refusal

196. During this period, how often did you still enjoy the things you used to enjoy?

As much as usual
Not quite as much as usual
Only a little
Not at all
Don't know, refusal

197. How often could you laugh and see the bright side of things?

As much as usual
Not quite as much as usual
Only a little
Not at all
Don't know, refusal

198. How often did you take interest in your physical appearance?

As much as usual
Not quite as much as usual
Only a little
Not at all
Don't know, refusal

199. How often did you look forward to enjoying things?

As much as usual
Not quite as much as usual
Only a little
Not at all
Don't know, refusal

200. In the past 12 months, how much did your feelings of being discouraged or uninterested in things interfere with your home responsibilities, like cleaning, shopping and taking care of the house or apartment?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

201. How much did your feelings interfere with your ability to attend school?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

202. How much did they interfere with your ability to work at a job?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

203. Again thinking about that period of time lasting one month or longer during the past 12 months when your feelings of being discouraged or uninterested in things were most severe, how much did they interfere with your ability to form and maintain close relationships with other people? Remember that 0 means "no interference" and 10 "very severe interference".

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

204. How much did they interfere with your social life?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

205. In the past 12 months, about how many days out of 365 were you totally unable to work or carry out your normal activities because of your feelings of being discouraged or uninterested in things? You may use any number between 0 and 365 to answer.

Number of days
Don't know, refusal

206. Did you ever in your life talk to a medical doctor or other professional about your feelings of being discouraged or uninterested in things? By other professional, we mean psychologists, psychiatrists, social workers, counsellors, spiritual advisors, homeopaths, acupuncturists, self-help groups or other health professionals.

Yes
No
Don't know, refusal

207. During the past 12 months, did you receive professional treatment for your feelings of being discouraged or uninterested in things?

Yes
No
Don't know, refusal

208. During your life, were you ever hospitalized overnight for your feelings of being discouraged or uninterested in things?

Yes
No
Don't know, refusal

Mania

Earlier, you mentioned having a period lasting several days or longer when you felt much more excited and full of energy than usual. During this same period, your mind also went too fast.

209. People who have periods like this often have changes in their thinking and behaviour at the same time, like being more talkative, needing very little sleep, being very restless, going on buying sprees, and behaving in ways they would normally think are inappropriate.

Tell me, did you ever have any of these changes during the periods when you were excited and full of energy?

Yes
No
Don't know, refusal

210. Please think of the period of several days or longer when you were very excited and full of energy and you had the largest number of changes like these at the same time. Is there one episode of this sort that stands out in your mind?

Yes
No
Don't know, refusal

211. How old were you when that episode occurred?

Age in years
Don't know, refusal

212. How long did that episode last (in terms of hours, days, weeks, months or years)?

Number

Days
Weeks
Months
Years
Don't know, refusal

213. Then think of the most recent time you had an episode like this. How old were you when that most recent episode occurred?

Age in years
Don't know, refusal

214. How long did that episode last in terms of hours, days, weeks, months or years?

Number

Days
Weeks
Months
Years
Don't know, refusal

During that episode, tell me which of the following changes you experienced.

215. Were you so irritable or grouchy that you started arguments, shouted at people or hit people?

Yes
No
Don't know, refusal

Earlier, you mentioned having a period lasting several days or longer when you became so irritable or grouchy that you either started arguments, shouted at people or hit people.

216. People who have periods of irritability like this often have changes in their thinking and behaviour at the same time, like being more talkative, needing very little sleep, being very restless, going on buying sprees, and behaving in ways they would normally think are inappropriate.

Tell me, did you ever have any of these changes during the periods when you were very irritable or grouchy?

Yes
No
Don't know, refusal

217. Please think of the period of several days or longer when you were very irritable or grouchy and you had the largest number of changes like these at the same time. Is there one episode of this sort that stands out in your mind?

Yes
No
Don't know, refusal

218. How old were you when that episode occurred?

Age in years
Don't know, refusal

219. How long did that episode last in terms of hours, days, weeks, months or years?

Number
Don't know, refusal

Hours
Days
Weeks
Months
Years
(Don't know, refusal not allowed)

220. Then think of the most recent time you had an episode like this. How old were you when that most recent episode occurred?

Age in years
Don't know, refusal

221. How long did that episode last (in terms of hours, days, weeks, months or years)?

Number
Don't know, refusal

Hours
Days
Weeks
Months
Years
(Don't know, refusal not allowed)

222. Did you become so restless or fidgety that you paced up and down or couldn't stand still?

Yes
No
Don't know, refusal

223. Did you become overly friendly or outgoing with people?

Yes
No
Don't know, refusal

224. Did you behave in any other way that you would ordinarily think is inappropriate, like talking about things you would normally keep private or acting in ways that you would usually find embarrassing?

Yes
No
Don't know, refusal

225. Were you a lot more interested in sex than usual, or did you want to have sexual encounters with people you wouldn't ordinarily be interested in?

Yes
No
Don't know, refusal

226. Did you try to do things that were impossible to do, like taking on large amounts of work?

Yes
No
Don't know, refusal

227. Did you talk a lot more than usual or feel a need to keep talking all the time?

Yes
No
Don't know, refusal

228. Did you constantly keep changing your plans or activities?

Yes
No
Don't know, refusal

229. Were you so easily distracted that any little interruption could get your thinking "off track"?

Yes
No
Don't know, refusal

230. Did your thoughts seem to jump from one thing to another or race through your head so fast that you couldn't keep track of them?

Yes
No
Don't know, refusal

231. Did you sleep far less than usual and still not get tired or sleepy?

Yes
No
Don't know, refusal

232. Did you get involved in foolish investments or schemes for making money?

Yes
No
Don't know, refusal

233. Did you spend so much more money than usual that it caused you to have financial trouble?

Yes
No
Don't know, refusal

234. Were you interested in seeking pleasure in ways that you would usually consider risky, like having casual or unsafe sex, going on buying sprees or driving recklessly?

Yes
No
Don't know, refusal

235. Did you have a greatly exaggerated sense of self-confidence or believe you could do things you really couldn't do?

Yes
No
Don't know, refusal

236. Did you have the idea that you were actually someone else, or that you had a special connection with a famous person that you really didn't have?

Yes
No
Don't know, refusal

237. How many episodes lasting several days or longer have you ever had when you felt excited and full of energy and also had some other problems we just mentioned?

Number
Don't know, refusal

You just mentioned that you had episodes when you were very excited and full of energy and you also had some other problems.

238. How much did these episodes ever interfere with either your work, your social life or your personal relationships?

Not at all
A little
Some
A lot
Extremely
Don't know, refusal

239. During these episodes, how often were you unable to carry out your normal daily activities?

Often
Sometimes
Rarely
Never
Don't know, refusal

240. Episodes of this sort sometimes occur as a result of a physical illness or injury or the use of medication, drugs or alcohol.

Do you think your episodes ever occurred as the result of physical causes, medication, drugs or alcohol?

Yes
No
Don't know, refusal

241. Do you think all of your episodes were the result of physical causes, medication, drugs, or alcohol?

Yes
No
Don't know, refusal

242. What were the causes?

Exhaustion
Hyperventilation
Hypochondria
Menstrual cycle
Pregnancy / postpartum
Thyroid disease
Cancer
Overweight
Medication (excluding illicit drugs)
Illicit drugs
Alcohol
Chemical Imbalance / Serotonin Imbalance
Chronic Pain
Caffeine
No specific diagnosis
Accident / Injury
Emotional, social or economic reason
Other - Specify
Don't know, refusal

243. At any time in the past 12 months, did you have one of these episodes?

Yes
No
Don't know, refusal

244. Did your episode occur at any time in the past 12 months?

Yes
No
Don't know, refusal

245. How recently was it?

During the past month
Between 1 and 6 months ago
More than 6 months ago
Don't know, refusal

246. How many episodes did you have in the past 12 months?

Number of episodes
Don't know, refusal

247. How many weeks in the past 12 months were you having one of these episodes?

Number of weeks
Don't know, refusal

248. How old were you the last time you had one of these episodes?

Age in years
Don't know, refusal

249. During your life, how many episodes lasting a full week or longer have you ever had?

Number of episodes
Don't know, refusal

250. How many of these episodes were brought on by some stressful experience?

Number of episodes
Don't know, refusal

251. Was this episode brought on by some stressful experience or did it happen out of the blue?

Brought on by stress
Out of the blue
Don't remember
Don't know, refusal

252. How long was the longest episode you ever had?

Number
Don't know, refusal

Hours
Days
Weeks
Months
Years
(Don't know, refusal not allowed)

253. Was your episode brought on by some stressful experience or did it happen out of the blue?

Brought on by stress
Out of the blue
Don't remember
Don't know, refusal

In the past 12 months, think about the period of time lasting one month or longer when your episodes of being very excited and full of energy were most severe. Please tell me, what number best describes how much your episodes interfered with each of the following activities. For each activity, please answer with a number between 0 and 10; 0 means "no interference" while 10 means "very severe interference".

254. In the past 12 months, how much did your episodes interfere with your home responsibilities, like cleaning, shopping and taking care of the house or apartment?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

255. How much did your episodes interfere with your ability to attend school?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

256. How much did they interfere with your ability to work at a job?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

257. Again thinking about that period of time lasting one month or longer when your episodes were most severe, how much did they interfere with your ability to form and maintain close relationships with other people? Remember that 0 means "no interference" and 10 "very severe interference".

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

258. How much did they interfere with your social life?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

260. Did you ever in your life talk to a medical doctor or other professional about your episodes of being very excited and full of energy? By other professional, we mean psychologists, psychiatrists, social workers, counsellors, spiritual advisors, homeopaths, acupuncturists, self-help groups or other health professionals.

Yes
No
Don't know, refusal

261. Did you receive professional treatment for your episodes of being very excited and full of energy at any time in the past 12 months?

Yes
No
Don't know, refusal

262. Were you ever hospitalized overnight for your episodes of being very excited and full of energy?

Yes
No
Don't know, refusal

Generalized Anxiety Disorder

263. Now, tell me which of these things were you worried, nervous or anxious about during that time?

Worrying about everything
Worrying about nothing in particular
Finances
Success at school or work
Social life
Love life
Relationships at school or work
Relationships with family
Physical appearance
Own physical health
Own mental health
Alcohol or drug use
Being away from home or apart from loved ones
The health or welfare of loved ones
Social phobias (e.g., meeting people)
Agoraphobia (e.g., leaving home alone)
Specific phobias (e.g., fears of bugs, heights or closed spaces)
Obsessions (e.g., worry about germs)
Compulsions (e.g., repetitive hand washing)
Crime / violence
Economy
Environment (e.g., global warming, pollution)
Moral decline of society (e.g., capitalism, decline of the family)
War / revolution
Other - Specify
Don't know, refusal

264. Is there anything else which you were worried, nervous or anxious about during that time?

Yes
- Specify
No
Don't know, refusal

265. Is there anything else which you were worried, nervous or anxious about during that time?

Yes
- Specify
No
Don't know, refusal

266. Do you think your feelings of being worried, nervous or anxious were ever excessive, unreasonable, or a lot stronger than they should have been?

Yes
No
Don't know, refusal

267. How often did you find it difficult to control your worry, nervousness or anxiety?

Often
Sometimes
Rarely
Never
Don't know, refusal

268. How often were you so nervous or worried that you could not think about anything else, no matter how hard you tried?

Often
Sometimes
Rarely
Never
Don't know, refusal

269. During your life, what is the longest period of months or years in a row when you were feeling worried, nervous or anxious most days?

Number
Don't know, refusal

Months
Years
(Don't know, refusal not allowed)

270. Did you ever have a period that lasted 6 months or longer?

Yes
No
Don't know, refusal

Think of your worst period lasting 6 months or longer when you were worried, nervous or anxious. During that episode, tell me if you had any of the following problems.

271. Did you often feel restless, keyed up or on edge?

Yes
No
Don't know, refusal

272. Did you often get tired easily?

Yes
No
Don't know, refusal

273. Were you often more irritable than usual?

Yes
No
Don't know, refusal

274. Did you often have difficulty concentrating or keeping your mind on what you were doing?

Yes
No
Don't know, refusal

275. Did you often have tense, sore or aching muscles?

Yes
No
Don't know, refusal

276. (During this worst episode lasting 6 months or longer,) did you often have trouble falling or staying asleep?

Yes
No
Don't know, refusal

277. Did your heart often pound or race?

Yes
No
Don't know, refusal

278. Transpiriez-vous souvent?

Yes
No
Don't know, refusal

279. Did you often tremble or shake?

Yes
No
Don't know, refusal

280. Avez-vous souvent eu la bouche sèche?

Yes
No
Don't know, refusal

281. Were you sad or depressed most of the time?

Yes
No
Don't know, refusal

282. During this episode lasting 6 months or longer, did you often feel dizzy or lightheaded?

Yes
No
Don't know, refusal

283. Were you often short of breath?

Yes
No
Don't know, refusal

284. Did you often feel like you were choking?

Yes
No
Don't know, refusal

285. Did you often have pain or discomfort in your chest?

Yes
No
Don't know, refusal

286. Did you often have pain or discomfort in your chest?

Yes
No
Don't know, refusal

287. During this episode lasting 6 months or longer, did you often have nausea?

Yes
No
Don't know, refusal

288. Did you often feel that you were unreal?

Yes
No
Don't know, refusal

289. Did you often feel that things around you were unreal?

Yes
No
Don't know, refusal

290. Were you often afraid that you might lose control or go crazy?

Yes
No
Don't know, refusal

291. Were you often afraid that you might pass out?

Yes
No
Don't know, refusal

292. During this episode lasting 6 months or longer, were you often afraid that you might die?

Yes
No
Don't know, refusal

293. Did you often have hot flashes or chills?

Yes
No
Don't know, refusal

294. Did you often have numbness or tingling sensations?

Yes
No
Don't know, refusal

295. Did you often feel like you had a lump in your throat?

Yes
No
Don't know, refusal

296. Were you easily startled?

Yes
No
Don't know, refusal

297. How much emotional distress did you ever experience because you felt worried, nervous or anxious?

None
Mild
Moderate
Severe
Very severe
Don't know, refusal

298. How much did your feelings of being worried, nervous or anxious ever interfere with either your work, your social life or your personal relationships?

Not at all
A little
Some
A lot
Extremely
Don't know, refusal

299. How often were you unable to carry out your daily activities because you felt worried, nervous or anxious?

Often
Sometimes
Rarely
Never
Don't know, refusal

300. Feelings of being worried, nervous or anxious sometimes occur as a result of a physical illness or injury or the use of medication, drugs or alcohol. Do you think these feelings ever occurred as the result of physical causes, medication, drugs or alcohol?

Yes
No
Don't know, refusal

301. Do you think your worry, nervousness or anxiety was always the result of physical causes, medication, drugs, or alcohol?

Yes
No
Don't know, refusal

302. What were the causes?

Exhaustion
Hyperventilation
Hypochondria
Menstrual cycle
Pregnancy / postpartum
Thyroid disease
Cancer
Overweight
Medication (excluding illicit drugs)
Illicit drugs
Alcohol
Chemical Imbalance / Serotonin Imbalance
Chronic Pain
Caffeine
No specific diagnosis
Accident / Injury
Emotional, social or economic reason
Other - Specify
Don't know, refusal

In the next questions, the word "episode" means a period lasting 6 months or longer when, nearly every day, you were worried, nervous or anxious, and you also had some of the other problems we just mentioned. The end of an episode is when you no longer have these feelings for a full month.

303. During your life, how many episodes lasting 6 months or longer have you ever had when you felt worried, nervous or anxious?

Number
Don't know, refusal?

304. During the past 12 months, did you have an episode of being worried, nervous or anxious that lasted at least six months or longer?

Yes
No
Don't know, refusal

305. How recently was it?

During the past month
Between 1 and 6 months ago
More than 6 months ago
Don't know, refusal

306. How old were you the last time you one of these episodes?

Age in years
Don't know, refusal

307. How many of these episodes were brought on by some stressful experience?

Number
Don't know, refusal?

308. Was this episode brought on by some stressful experience or did it happen out of the blue?

Brought on by stress
Out of the blue
Don't remember
Don't know, refusal

Think about the period of time lasting one month or longer when your feelings of being worried, nervous or anxious were most severe in the past 12 months. Please tell me what number best describes how much these feelings interfered with each of the following activities. For each activity, please answer with a number between 0 and 10; 0 means "no interference" while 10 means "very severe interference".

309. In the past 12 months, how much did your feelings of being worried, nervous or anxious interfere with your home responsibilities, like cleaning, shopping, and taking care of the house or apartment?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

310. How much did these feelings interfere with your ability to attend school?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

311. How much did these feelings interfere with your ability to work at a job?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

312. Again, thinking about the period of time that lasted one month or longer when your feelings of being worried, nervous or anxious were most severe, how much did these feelings interfere with your ability to form and maintain close relationships with other people? Remember that 0 means "no interference" and 10 means "very severe interference".

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

313. How much did these feelings interfere with your social life?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

314. In the past 12 months, about how many days out of 365 were you totally unable to work or carry out your normal activities because of your feelings of being worried, nervous or anxious? (You may use any number between 0 and 365 to answer.)

Number
Don't know, refusal?

315. Did you ever in your life talk to a medical doctor or other professional about your feelings of being worried, nervous or anxious? (By other professional, we mean psychologists, psychiatrists, social workers, counsellors, spiritual advisors, homeopaths, acupuncturists, self-help groups or other health professionals.)

Yes
No
Don't know, refusal

316. During the past 12 months, did you receive professional treatment for being anxious?

Yes
No
Don't know, refusal

317. Were you ever hospitalized overnight for being anxious?

Yes
No
Don't know, refusal

Social Phobia

318. Meeting new people?

Yes
No
Don't know, refusal

319. Talking to people in authority?

Yes
No
Don't know, refusal

320. Speaking up in a meeting or class?

Yes
No
Don't know, refusal

321. Going to parties or other social gatherings?

Yes
No
Don't know, refusal

322. Have you ever felt very shy, afraid or uncomfortable when you were performing or giving a talk in front of an audience?

Yes
No
Don't know, refusal

323. Taking an important exam or interviewing for a job, even though you were well prepared?

Yes
No
Don't know, refusal

324. Working while someone watches you?

Yes
No
Don't know, refusal

325. Entering a room when others are already present?

Yes
No
Don't know, refusal

326. Talking with people you don't know very well?

Yes
No
Don't know, refusal

327. Expressing disagreement to people you don't know very well?

Yes
No
Don't know, refusal

328. Writing, eating or drinking while someone watches?

Yes
No
Don't know, refusal

329. Have you ever felt very shy, afraid or uncomfortable when using a public bathroom or a bathroom away from home?

Yes
No
Don't know, refusal

330. When going on a date?

Yes
No
Don't know, refusal

331. In any other social or performance situation where you could be the centre of attention or where something embarrassing might happen?

Yes
No
Don't know, refusal

Think of the time in your life when your fear or avoidance of these situations was most severe. When you were faced with these situations, or thought you would have to be, did you have any of the following experiences?

332. Did you ever blush or shake?

Yes
No
Don't know, refusal

When you were faced with these situations, tell me if you ever had any of the following reactions.

333. Did you ever fear that you might lose control of your bowels or bladder?

Yes
No
Don't know, refusal

334. Did you ever fear that you might vomit?

Yes
No
Don't know, refusal

335. Did your heart ever pound or race?

Yes
No
Don't know, refusal

336. Did you sweat?

Yes
No
Don't know, refusal

337. Did you tremble?

Yes
No
Don't know, refusal

338. Did you feel sick to your stomach?

Yes
No
Don't know, refusal

339. Did you have a dry mouth?

Yes
No
Don't know, refusal

340. Did you have hot flushes or chills?

Yes
No
Don't know, refusal

341. Did you feel numbness or have tingling sensations?

Yes
No
Don't know, refusal

342. Did you have trouble breathing normally?

Yes
No
Don't know, refusal

343. Did you feel like you were choking?

Yes
No
Don't know, refusal

344. Did you have pain or discomfort in your chest?

Yes
No
Don't know, refusal

345. Did you feel dizzy or faint?

Yes
No
Don't know, refusal

346. Were you afraid that you might die?

Yes
No
Don't know, refusal

347. When you were faced with this situation did you ever fear that you might lose control, go crazy or pass out?

Yes
No
Don't know, refusal

348. Did you feel like you were "not really there", like you were watching a movie of yourself?

Yes
No
Don't know, refusal

349. Did you feel that things around you were not real or like a dream?

Yes
No
Don't know, refusal

350. When you were in these situations, were you ever afraid that you might have a panic attack?

Yes
No
Don't know, refusal

351. Did you ever have a panic attack in these situations?

Yes
No
Don't know, refusal

352. Were you afraid that you might be trapped or unable to escape?

Yes
No
Don't know, refusal

353. When you were in these situations, were you ever afraid that you might do something embarrassing or humiliating?

Yes
No
Don't know, refusal

354. Were you afraid that you might embarrass other people?

Yes
No
Don't know, refusal

355. Were you afraid that people might look at you, talk about you or think negative things about you?

Yes
No
Don't know, refusal

356. Were you afraid that you might be the focus of attention?

Yes
No
Don't know, refusal

357. There are several reasons why people are afraid when faced with different situations. Tell me, what was it you feared most about this situation? Did you think it was:

a real danger, like the danger associated with a car accident or a bank robbery?
or another reason?
Don't know, refusal

358. What was this danger?

359. What was this reason?

360. Was your fear related to embarrassment about having a physical, emotional or mental health problem or condition?

Yes
No
Don't know, refusal

361. What was the problem or condition?

Emotional or mental health problem or condition
Alcohol or drug problem
Speech, vision or hearing problem
Movement or coordination problem
Facial or body disfigurement, weight or body image problem
Bad odour or sweating
Other physical health problem
Pregnancy
Don't know, refusal

362. How much did your fear or avoidance of these situations interfere with either your work, your social life or your personal relationships?

Not at all
A little
Some
A lot
Extremely
Don't know, refusal

363. Was there ever a time in your life when you felt emotionally upset, worried or disappointed with yourself because of your fear or avoidance of these situations?

Yes
No
Don't know, refusal

364. When was the last time you either strongly feared or avoided any of these situations? Was it:

During the past month?
Between 1 and 6 months ago?
Between 7 and 12 months ago?
More than 12 months ago?
Don't know, refusal

365. How old were you the last time you either strongly feared or avoided this situation?

|_|_|_| Age in years
Don't know, refusal

366. What if you were faced with one of these situations today? How strong would your fear be?

No fear
Mild
Moderate
Severe
Very severe
Don't know, refusal

367. During the past 12 months, how often did you avoid this situation?

All of the time
Most of the time
Some of the time
A little of the time
None of the time
Don't know, refusal

Think about the period of time that lasted one month or longer when your fear or avoidance of social and performance situations was most severe in the past 12 months. Please tell me what number best describes how much your fear or avoidance of situations interfered with each of the following activities. For each activity, please answer with a number between 0 and 10; 0 means "no interference" while 10 means "very severe interference".

368. In the past 12 months, how much did your fear or avoidance of social and performance situations interfere with your home responsibilities, like cleaning, shopping and taking care of the house or apartment?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

369. How much did it interfere with your ability to attend school?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

370. How much did it interfere with your ability to work at a job?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

371. Again, thinking about that period lasting one month or longer during the past 12 months when your fear or avoidance of social or performance situations was most severe, how much did this fear or avoidance interfere with your ability to form and maintain close relationships with other people? Remember that 0 means "no interference" and 10 means "very severe interference".

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

372. How much did it interfere with your social life?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

373. In the past 12 months, about how many days out of 365 were you totally unable to work or carry out your normal activities because of your fear or avoidance of situations? You may use any number between 0 and 365 to answer.

Number of days
Don't know, refusal

374. Did you ever see or talk on the phone to a medical doctor or other professional about your fear or avoidance of these situations? (By other professional, we mean psychologists, psychiatrists, social workers, counsellors, spiritual advisors, homeopaths, acupuncturists, self-help groups or other health professionals.)

Yes
No
Don't know, refusal

375. During the past 12 months, did you receive professional treatment for your fear?

Yes
No
Don't know, refusal

376. Were you ever hospitalized overnight for your fear?

Yes
No
Don't know, refusal

Smoking

The next questions are about smoking.

377. In your lifetime, have you smoked a total of 100 or more cigarettes (about 4 packs)?

Yes
No
Don't know, refusal

378. Have you ever smoked a whole cigarette?

Yes
No
Don't know, refusal

379. At what age did you smoke your first whole cigarette?

Age in years
Don't know, refusal

380. At the present time, do you smoke cigarettes daily, occasionally or not at all?

Daily
Occasionally
Not at all
Don't know, refusal

381. At what age did you begin to smoke cigarettes daily

Age in years
Don't know, refusal

382. How many cigarettes do you smoke each day now?

Cigarettes
Don't know, refusal

383. On the days that you do smoke, how many cigarettes do you usually smoke?

Cigarettes
Don't know, refusal

384. In the past month, on how many days have you smoked 1 or more cigarettes?

Cigarettes
Don't know, refusal

385. Have you ever smoked cigarettes daily?

Yes
No
Don't know, refusal

386. When did you stop smoking? Was it... ?

Less than one year ago
1 year to less than 2 years ago
2 years to less than 3 years ago
3 or more years ago
Don't know, refusal

387. In what month did you stop?

January
February
March
April
May
June
July
August
September
October
November
December
Don't know, refusal

388. How many years ago was it?

Years
Don't know, refusal

389. At what age did you begin to smoke (cigarettes) daily?

Age in years
DK (RF not allowed)

390. How many cigarettes did you usually smoke each day?

Cigarettes
Don't know, refusal

391. When did you stop smoking daily? Was it... ?

Less than one year ago
1 year to less than 2 years ago
2 years to less than 3 years ago
3 or more years ago
Don't know, refusal

391. When did you stop smoking daily? Was it... ?

Less than one year ago
1 year to less than 2 years ago
2 years to less than 3 years ago
3 or more years ago
Don't know, refusal

392. In what month did you stop?

January
February
March
April
May
June
July
August
September
October
November
December
Don't know, refusal

393. How many years ago was it?

Years
Don't know, refusal

394. Was that when you completely quit smoking?

Yes
No
Don't know, refusal

395. When did you stop smoking completely? Was it... ?

Less than one year ago
1 year to less than 2 years ago
2 years to less than 3 years ago
3 or more years ago
Don't know, refusal

396. In what month did you stop?

January
February
March
April
May
June
July
August
September
October
November
December
Don't know, refusal

397. How many years ago was it?

Years
Don't know, refusal

Alcohol Use, Abuse and Dependence

Now, some questions about your alcohol consumption.

When we use the word "drink" it means:

one bottle or can of beer or a glass of draft
one glass of wine or a wine cooler (one whole bottle of wine counts as 5 drinks)
one drink or cocktail with 1 and a 1/2 ounces of liquor

398. During the past 12 months, that is, from [date one year ago] to yesterday, have you had a drink of beer, wine, liquor or any other alcoholic beverage?

Yes
No
Don't know, refusal

399. During the past 12 months, how often did you drink alcoholic beverages?

Less than once a month
Once a month
2 to 3 times a month
Once a week
2 to 3 times a week
4 to 6 times a week
Every day
Don't know, refusal

400. How often in the past 12 months have you had 5 or more drinks on one occasion?

Less than once a month
Once a month
2 to 3 times a month
Once a week
2 to 3 times a week
4 to 6 times a week
Every day
Don't know, refusal

401. Have you ever had a drink?

Yes
No
Don't know, refusal

402. Have you ever had 12 or more drinks in a year?

Yes
No
Don't know, refusal

403. Les jours où vous avez bu au cours des 12 derniers mois, environ combien de verres avez-vous habituellement pris par jour?

Drinks
Don't know, refusal

404. Was there ever a year in your life when you drank more than you did in the past 12 months?

Yes
No
Don't know, refusal

The next questions are about problems you may have had because of drinking at any time in your life.

405. Think about the years in your life when you drank most. During those years, how often did you usually have at least one drink?

Less than once a month
Once a month
2 to 3 times a month
Once a week
2 to 3 times a week
4 to 6 times a week
Every day
Don't know, refusal

406. On the days you drank during those years, about how many drinks did you usually have per day?

Drinks
Don't know, refusal

407. First, was there ever a time in your life when your drinking or being hung over frequently interfered with your work or responsibilities at school, on a job, or at home?

Yes
No
Don't know, refusal

408. Was there ever a time in your life when your drinking caused arguments or other serious or repeated problems with your family, friends, neighbours, or co-workers?

Yes
No
Don't know, refusal

409. Did you continue to drink even though it caused problems with these people?

Yes
No
Don't know, refusal

410. Were there times in your life when you were often under the influence of alcohol in situations where you could get hurt, for example when riding a bicycle, driving, or operating a machine?

Yes
No
Don't know, refusal

411. Were you ever arrested or stopped by the police because of drunk driving or drunken behavior?

Yes
No
Don't know, refusal

The next questions are about some other problems you may have had because of drinking.

412. How many times were you arrested or stopped by the police due to drinking?

Number of times
Don't know, refusal

413. You just reported that:

your drinking interfered with your responsibilities
your drinking caused problems with family, friends or others
you continued to drink even though it caused problems
you drank in situations where you could get hurt
your drinking resulted in problems with the police.

How recently did you have [problem] because of drinking?

In the past 30 days
1 month to less than 6 months ago
6 to 12 months ago
More than 12 months ago
Don't know, refusal

414. How old were you the last time you had any of these problems because of drinking?

Age in years
Don't know, refusal

415. Was there ever a time in your life when you often had such a strong desire to drink that you couldn't stop yourself from taking a drink or found it difficult to think of anything else?

Yes
No
Don't know, refusal

Substance Use, Abuse and Dependence

The next questions are about substances that are often used non-medically. By "used non-medically" we mean:

either used without the recommendation of a health professional,
or used in greater amounts than your health professional told you to use them,
or used for any reason other than what a health professional said you should use them for.

416. Did you ever need to drink a larger amount of alcohol to get an effect, or did you ever find that you could no longer get a "buzz" or a high on the amount you used to drink?

Yes
No
Don't know, refusal

417. Did you ever have times when you stopped, cut down, or went without drinking and then experienced withdrawal symptoms like fatigue, headaches, diarrhea, the shakes, or emotional problems?

Yes
No
Don't know, refusal

418. Did you ever have times when you took a drink to keep from having problems like these?

Yes
No
Don't know, refusal

419. Did you ever have times when you started drinking even though you promised yourself you wouldn't, or when you drank a lot more than you intended?

Yes
No
Don't know, refusal

420. Were there ever times when you drank more frequently or for more days in a row than you intended?

Yes
No
Don't know, refusal

421. Did you have times when you started drinking and became drunk when you didn't want to?

Yes
No
Don't know, refusal

422. Were there times when you tried to stop or cut down on your drinking and found that you were not able to do so?

Yes
No
Don't know, refusal

423. Did you ever have periods of several days or more when you spent so much time drinking or recovering from the effects of alcohol that you had little time for anything else?

Yes
No
Don't know, refusal

424. Did you ever have a time when you gave up or greatly reduced important activities because of your drinking, like sports, work, or seeing friends and family?

Yes
No
Don't know, refusal

425. Did you ever continue to drink when you knew you had a serious physical or emotional problem that might have been caused by or made worse by drinking?

Yes
No
Don't know, refusal

You reported having a number of alcohol problems.

426. Did you ever have three or more of these problems in the same 12-month period?

Yes
No
Don't know, refusal

427. How recently did you have any of these problems?

In the past 30 days
1 month to less than 6 months ago
6 to 12 months ago
More than 12 months ago
Don't know, refusal

428. How old were you the last time you had any of these problems?

Age in years
Don't know, refusal

429. Starting from the time you first began having any of these problems, about how many different times did you ever make a serious attempt to quit drinking?

Number of times
Don't know, refusal

Think about the period of time that lasted one month or longer in the past 12 months when you were drinking the most. Please tell me what number best describes how much your drinking interfered with each of the following activities. For each activity, answer with a number between 0 and 10; 0 means "no interference" while 10 means "very severe interference."

430. In the past 12 months, how much did your drinking interfere with your home responsibilities, like cleaning, shopping and taking care of the house or apartment?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

431. How much did your drinking interfere with your ability to attend school?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

432. How much did your drinking interfere with your ability to work at a job?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

433. Again, thinking about that period lasting one month or longer during the past 12 months when you were drinking the most, how much did your drinking interfere with your ability to form and maintain close relationships with other people? Remember that 0 means "no interference" and 10 means "very severe interference".

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

434. How much did your drinking interfere with your social life?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

435. About how many days out of 365 in the past 12 months were you totally unable to work or carry out your normal activities because of your drinking?

Number of days
Don't know, refusal

436. Did you ever in your life talk to a medical doctor or other professional about your use of alcohol? By other professional, we mean psychologists, psychiatrists, social workers, counsellors, spiritual advisors, homeopaths, acupuncturists, self-help groups or other health professionals.

Yes
No
Don't know, refusal

437. During the past 12 months, did you receive professional treatment for your use of alcohol?

Yes
No
Don't know, refusal

438. During your life, were you ever hospitalized overnight for your use of alcohol?

Yes
No
Don't know, refusal

439. The first group is sedatives or tranquilizers, sometimes called downers, benzos or tranks. These are substances people sometimes use to help them stay calm and relaxed or to sleep. Examples include Valium, Ativan, Xanax, Z-drugs, Rohypnol and GHB. Have you ever used a sedative or tranquilizer non-medically?

Yes, just once
Yes, more than once
No
Don't know, refusal

440. Have you ever used a sedative or tranquilizer that a doctor prescribed for you?

Yes
No
Don't know, refusal

441. Was your use ever so regular that you felt that you could not stop using the sedative or tranquilizer prescribed for you?

Yes
No
Don't know, refusal

442. Have you used it in the past 12 months?

Yes
No
Don't know, refusal

443. How often did you use a sedative or tranquilizer in the past 12 months?

Less than once a month
Once a month
2 to 3 times a month
Once a week
2 to 3 times a week
4 to 6 times a week
Every day
Don't know, refusal

444. The second group is stimulants, sometimes called pep pills or uppers. These are substances people sometimes use to stay awake, to improve their low mood, to concentrate or to lose weight. Examples include Ritalin, Concerta, Adderall, Dexedrine, methamphetamine, amphetamines, meth, speed, ice, glass, crystal and crank. Have you ever used a stimulant non-medically?

Yes, just once
Yes, more than once
No
Don't know, refusal

445. Have you ever used a stimulant that a doctor prescribed for you?

Yes
No
Don't know, refusal

446. Was your use ever so regular that you felt that you could not stop using the stimulant prescribed for you?

Yes
No
Don't know, refusal

447. Have you used it in the past 12 months?

Yes
No
Don't know, refusal

448. How often did you use a stimulant in the past 12 months?

Less than once a month
Once a month
2 to 3 times a month
Once a week
2 to 3 times a week
4 to 6 times a week
Every day
Don't know, refusal

449. The third group is opioid analgesics. These are substances people usually take as pain killers that contain codeine, morphine or oxycodone. Examples include Percocet, Vicodin, Tylenol 3, Abstral, Duragesic and Onsolis. Have you ever used a pain killer non-medically? Do not include Aspirin, Advil, regular Tylenol, etc.

Yes, just once
Yes, more than once
No
Don't know, refusal

450. Have you ever used a pain killer that a doctor prescribed for you?

Yes
No
Don't know, refusal

451. Was your use ever so regular that you felt that you could not stop using the pain killer prescribed for you?

Yes
No
Don't know, refusal

452. Have you used it in the past 12 months?

Yes
No
Don't know, refusal

453. How often did you use a pain killer in the past 12 months?

Less than once a month
1 to 3 times a month
Once a week
More than once a week
Every day
Don't know, refusal

The next questions are about your experience with several other types of substances.

454. Have you ever used or tried cannabis sometimes called marijuana, pot, weed, hash, budder, shatter or any other preparation of the cannabis plant such as edibles, concentrates or liquids or other products?

Yes, just once
Yes, more than once
No
Don't know, refusal

455. Have you used it in the past 12 months?

Yes
No
Don't know, refusal

456. How often did you use cannabis in the past 12 months?

Less than once a month
1 to 3 times a month
Once a week
More than once a week
Every day
Don't know, refusal

457. Did you ever have a period where you used cannabis more than you did in the past 12 months?

Yes
No
Don't know, refusal

458. Thinking of the year when you used cannabis most, how often did you use it?

Less than once a month
1 to 3 times a month
Once a week
More than once a week
Every day
Don't know, refusal

459. In your lifetime, how many times have you used cannabis?

Number of times
Don't know, refusal

460. Have you used cannabis more than 50 times in your lifetime?

Yes
No
Don't know, refusal

461. Have you ever used or tried cocaine, sometimes called powder, crack, freebase, coke, blow or snow?

Yes, just once
Yes, more than once
No
Don't know, refusal

462. Have you used it in the past 12 months?

Yes
No
Don't know, refusal

463. How often (did you use cocaine in the past 12 months)?

Less than once a month
1 to 3 times a month
Once a week
More than once a week
Every day
Don't know, refusal

464. Have you ever used or tried club drugs such as ecstasy, MDMA, E, X, molly, ketamine or K?

Yes, just once
Yes, more than once
No
Don't know, refusal

465. Have you used it in the past 12 months?

Yes
No
Don't know, refusal

466. How often did you use club drugs in the past 12 months?

Less than once a month
1 to 3 times a month
Once a week
More than once a week
Every day
Don't know, refusal

467. Have you ever used or tried hallucinogens including LSD, PCP, angel dust, mushrooms, mescaline/peyote or acid?

Yes, just once
Yes, more than once
No
Don't know, refusal

468. Have you used it in the past 12 months?

Yes
No
Don't know, refusal

469. How often did you use hallucinogens in the past 12 months?

Less than once a month
1 to 3 times a month
Once a week
More than once a week
Every day
Don't know, refusal

470. Have you ever used or tried heroin, fentanyl or down, sometimes called horse, junk, smack, apache, China white, murder 8 or TNT?

Yes, just once
Yes, more than once
No
Don't know, refusal

471. Have you used it in the past 12 months?

Yes
No
Don't know, refusal

472. How often did you use heroin, fentanyl or down in the past 12 months?

Less than once a month
1 to 3 times a month
Once a week
More than once a week
Every day
Don't know, refusal

473. Have you ever used any inhalants or solvents such as nitrous oxide/whippets, glue, paint, gasoline or poppers?

Yes, just once
Yes, more than once
No
Don't know, refusal

474. Have you used it in the past 12 months?

Yes
No
Don't know, refusal

475. How often (did you use inhalants or solvents in the past 12 months)?

Less than once a month
1 to 3 times a month
Once a week
More than once a week
Every day
Don't know, refusal

476. Have you ever used any other illegal drug?

Yes, just once
Yes, more than once
No
Don't know, refusal

477. Have you used in the past 12 months?

Yes
No
Don't know, refusal

478. How often (did you use in the past 12 months)?

Less than once a month
1 to 3 times a month
Once a week
More than once a week
Every day
Don't know, refusal

Earlier, you reported using cannabis. The next questions are about any problems you ever had because of your use of cannabis

479. Was there ever a time in your life when your use of cannabis frequently interfered with your work or responsibilities at school, on a job, or at home?

Yes
No
Don't know, refusal

480. Was there ever a time in your life when your use of cannabis caused arguments or other serious or repeated problems with your family, friends, neighbours, or co-workers?

Yes
No
Don't know, refusal

481. Did you continue to use cannabis even though it caused problems with these people?

Yes
No
Don't know, refusal

482. Were there times in your life when you were often under the influence of cannabis in situations where you could have gotten hurt, for example when riding a bicycle, driving, or operating a machine?

Yes
No
Don't know, refusal

483. Were you arrested or stopped by the police more than once because of driving under the influence of cannabis or because of your behaviour while you were under the influence of cannabis?

Yes
No
Don't know, refusal

484. Your use of cannabis:

interfered with your work or responsibilities at school, on a job, or at home
occurred in situations where you could have gotten hurt
resulted in problems with the police

How recently did you have any of these problems because of using cannabis?

In the past 30 days
1 month to less than 6 months ago
6 months to 12 months ago
More than 12 months ago
Don't know, refusal

485. How old were you the last time you had [problem] because of cannabis?

Age in years
Don't know, refusal

The next questions are about some other problems you may have had due to your use of cannabis.

486. Was there ever a time in your life when you often had such a strong desire to use cannabis that you couldn't stop using or found it difficult to think of anything else?

Yes
No
Don't know, refusal

487. Did you ever need larger amounts of cannabis to get an effect, or did you ever find that you could no longer get high on the amount you used to use?

Yes
No
Don't know, refusal

488. Did you ever have times when you stopped, cut down or went without using cannabis and then experienced withdrawal symptoms?

Yes
No
Don't know, refusal

489. Did you ever have times when you used cannabis to keep from having problems like these?

Yes
No
Don't know, refusal

490. Did you ever have times when you used cannabis even though you planned not to or when you used a lot more than you intended?

Yes
No
Don't know, refusal

491. Were there ever times when you used cannabis more frequently or for more days in a row than you intended?

Yes
No
Don't know, refusal

492. Were there times when you tried to stop or cut down on your use of cannabis and found that you were not able to do so?

Yes
No
Don't know, refusal

493. Did you ever have several days or more when you spent so much time using or recovering from the effects of cannabis use that you had little time for anything else?

Yes
No
Don't know, refusal

494. Did you ever have a time when you gave up or greatly reduced important activities because of your cannabis use - like sports, work, or seeing friends and family?

Yes
No
Don't know, refusal

495. Did you ever continue to use cannabis when you knew you had a serious physical or emotional problem that might have been caused by or made worse by using cannabis?

Yes
No
Don't know, refusal

496. Did you ever have three or more of these problems in the same 12 month period during the time you were using cannabis?

Yes
No
Don't know, refusal

497. How recently did you have either of these problems because of using cannabis?

In the past 30 days
1 month to less than 6 months ago
6 to 12 months ago
More than 12 months ago
Don't know, refusal

498. How old were you the last time you had any of these problems because of using cannabis?

Age in years
Don't know, refusal

499. Was there ever a time in your life when your use of drugs frequently interfered with your work or responsibilities at school, on a job, or at home?

Yes
No
Don't know, refusal

500. Was there ever a time in your life when your use of drugs caused arguments or other serious or repeated problems with your family, friends, neighbours, or co-workers?

Yes
No
Don't know, refusal

501. Did you continue to use drugs even though it caused problems with these people?

Yes
No
Don't know, refusal

502. Were there times in your life when you were often under the influence of drugs in situations where you could have gotten hurt, for example when riding a bicycle, driving, or operating a machine?

Yes
No
Don't know, refusal

503. Were you arrested or stopped by the police more than once because of driving under the influence of drugs or because of your behaviour while you were under the influence of drugs?

Yes
No
Don't know, refusal

504. Your use of drugs, excluding cannabis:

interfered with your work or responsibilities at school, on a job, or at home
caused problems with family or friends
occurred in situations where you could have gotten hurt
resulted in problems with the police

How recently did you have any of these problems because of using drugs?

In the past 30 days
1 month to less than 6 months ago
6 months to 12 months ago
More than 12 months ago
Don't know, refusal

505. How old were you the last time you had any of these problems because of drugs?

Age in years
Don't know, refusal

506. Was there ever a time in your life when you often had such a strong desire to use drugs that you couldn't stop using or found it difficult to think of anything else?

Yes
No
Don't know, refusal

507. Did you ever need larger amounts of drugs to get an effect, or did you ever find that you could no longer get high on the amount you used to use?

Yes
No
Don't know, refusal

508. Did you ever have times when you stopped, cut down or went without using drugs and then experienced withdrawal symptoms?

Yes
No
Don't know, refusal

509. Did you ever have times when you used drugs to keep from having problems like these?

Yes
No
Don't know, refusal

510. Did you ever have times when you used drugs even though you planned not to or when you used a lot more than you intended?

Yes
No
Don't know, refusal

511. Were there ever times when you used drugs more frequently or for more days in a row than you intended?

Yes
No
Don't know, refusal

512. Were there times when you tried to stop or cut down on your use of drugs and found that you were not able to do so?

Yes
No
Don't know, refusal

513. Did you ever have several days or more when you spent so much time using or recovering from the effects of using drugs that you had little time for anything else?

Yes
No
Don't know, refusal

514. Did you ever have a time when you gave up or greatly reduced important activities because of your use of drugs - like sports, work, or seeing friends and family?

Yes
No
Don't know, refusal

515. Did you ever continue to use drugs when you knew you had a serious physical or emotional problem that might have been caused by or made worse by using drugs?

Yes
No
Don't know, refusal

516. Did you ever have three or more of these problems in the same 12 month period during the time you were using drugs, excluding cannabis?

Yes
No
Don't know, refusal

517. How recently did you have any of these problems because of using drugs?

In the past 30 days
1 month to less than 6 months ago
6 to 12 months ago
More than 12 months ago
Don't know, refusal

518. How old were you the last time you had any of these problems because of using drugs?

Age in years
Don't know, refusal

Think about the period of time that lasted one month or longer in the past 12 months when you were using any of these drugs, including cannabis the most. Please tell me what number best describes how much your use of any of these drugs, including cannabis interfered with each of the following activities. For each activity, answer with a number between 0 and 10; 0 means "no interference" while 10 means "very severe interference."

519. In the past 12 months, how much did your use of drugs interfere with your home responsibilities, like cleaning, shopping and taking care of the house or apartment?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

520. How much did your use interfere with your ability to attend school?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

521. How much did your use interfere with your ability to work at a job?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

522. Again, think about the period lasting one month or longer in the past 12 months when you were using any of these drugs, including cannabis the most. How much did your use of drugs interfere with your ability to form and maintain close relationships with other people? (Remember that 0 means "no interference" and 10 means "very severe interference".)

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

523. How much did your use of drugs interfere with your social life?

00 No interference

01
02
03
04
05
06
07
08
09
10 Very severe interference
Don't know, refusal

524. About how many days out of 365 in the past 12 months were you totally unable to work or carry out your normal activities because of your use of any of these drugs, including cannabis?

Number of days
Don't know, refusal

525. Now, think about all of the drugs you have used in your lifetime. Did you ever in your life talk to a medical doctor or other professional about your drug use including cannabis? (By other professional, we mean psychologists, psychiatrists, social workers, counsellors, spiritual advisors, homeopaths, acupuncturists, self-help groups or other health professionals.)

Yes
No
Don't know, refusal

526. During the past 12 months, did you receive professional treatment for your drug use?

Yes
No
Don't know, refusal

527. During your life, were you ever hospitalized overnight for your drug use?

Yes
No
Don't know, refusal

WHO Disability Assessment Schedule 2.0

The following questions are about the difficulties people may have because of any short or long lasting health condition related to diseases or illnesses, injuries, mental or emotional problems and problems with alcohol or drugs.

When reporting any difficulties, please think about the average amount of: increased effort, discomfort or pain, slowness, or changes in the way you do the activity over the last 30 days.

You may feel that some of these questions do not apply to you, but it is important that we ask the same questions of everyone.

528. In the last 30 days, how much difficulty did you have in:
... standing for long periods such as 30 minutes?

None
Mild
Moderate
Severe
Extreme/Cannot do
Don't know, refusal

529. (In the last 30 days, how much difficulty did you have in:)
… taking care of your household responsibilities?

None
Mild
Moderate
Severe
Extreme/Cannot do
Don't know, refusal

530. (In the last 30 days, how much difficulty did you have in:)
… learning a new task, for example, learning how to get to a new place?

None
Mild
Moderate
Severe
Extreme/Cannot do
Don't know, refusal

531. In the last 30 days, how much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?

None
Mild
Moderate
Severe
Extreme/Cannot do
Don't know, refusal

532. In the last 30 days, how much have you been emotionally affected by your health problems?

None
Mild
Moderate
Severe
Extreme/Cannot do
Don't know, refusal

533. In the last 30 days, how much difficulty did you have in:
… concentrating on doing something for 10 minutes?

None
Mild
Moderate
Severe
Extreme/Cannot do
Don't know, refusal

534. In the last 30 days, how much difficulty did you have in:
… walking a long distance such as a kilometre (or 0.6 miles)?

None
Mild
Moderate
Severe
Extreme/Cannot do
Don't know, refusal

535. In the last 30 days, how much difficulty did you have in:
… washing your whole body?

None
Mild
Moderate
Severe
Extreme/Cannot do
Don't know, refusal

536. In the last 30 days, how much difficulty did you have in:
… getting dressed?

None
Mild
Moderate
Severe
Extreme/Cannot do
Don't know, refusal

537. In the last 30 days, how much difficulty did you have in:
… dealing with people you do not know?

None
Mild
Moderate
Severe
Extreme/Cannot do
Don't know, refusal

538. In the last 30 days, how much difficulty did you have in:
… maintaining a friendship?

None
Mild
Moderate
Severe
Extreme/Cannot do
Don't know, refusal

539. In the last 30 days, how much difficulty did you have in:
...your day-to-day work or school activities?

None
Mild
Moderate
Severe
Extreme/Cannot do
Don't know, refusal

540. In the last 30 days, overall, how much did these difficulties interfere with your life?

None
Mild
Moderate
Severe
Extreme/Cannot do
Don't know, refusal

Mental Health Services

Now I would like to ask you some questions about your contacts with health professionals as well as other people about problems with your emotions, mental health or use of alcohol or drugs.

541. During the past 12 months, were you hospitalized overnight or longer for problems with your emotions, mental health or use of alcohol or drugs?

Yes
No
Don't know, refusal

542. During the past 12 months, how many times were you hospitalized overnight or longer for these problems?

Number of times
Don't know, refusal

543. How long did you stay in the hospital for these problems (during the past 12 months)?

Nights in hospital
Don't know, refusal

544. During the past 12 months, have you seen or talked on the telephone or over the Internet to any of the following people about problems with your emotions, mental health or use of alcohol or drugs?

Psychiatrist
Family doctor or general practitioner
Psychologist
Nurse
Social worker, counsellor, or psychotherapist
Family member
Friend
Co-worker, supervisor, or boss
Other - Specify
None
Don't know, refusal

545. How did you talk with a psychiatrist? Was it… ?

In person
Over the telephone (voice only)
Using video on a phone, tablet or computer
Text message or written chat
Don't know, refusal

546. Think of the psychiatrist you talked to the most often during the past 12 months.

How many times did you talk to this psychiatrist (about your problems with your emotions, mental health, or use of alcohol or drugs)?

Number of times
Don't know, refusal

547. (During the past 12 months,) about how long did each consultation with this psychiatrist last (in minutes)?

Number of minutes
Don't know, refusal

548. In general, how much would you say the psychiatrist helped you (for your problems with your emotions, mental health, or use of alcohol or drugs)?

A lot
Some
A little
Not at all
Don't know, refusal

549. Have you stopped talking to the psychiatrist?

Yes
No
Don't know, refusal

550. Why did you stop?

You felt better
You completed the recommended treatment
You thought it was not helping
You thought the problem would get better without more professional help
You couldn't afford to pay
You were too embarrassed to see the professional
You wanted to solve the problem without professional help
You had problems with things like transportation, childcare or your schedule
The service or program was no longer available
You were not comfortable with the professional's approach
Because of discrimination or unfair treatment
Other - Specify
Don't know, refusal

551. How did you talk with a family doctor? Was it… ?

In person
Over the telephone (voice only)
Using video on a phone, tablet or computer
Text message or written chat
Don't know, refusal

552. Think of the family doctor or the general practitioner you talked to the most often during the past 12 months.

How many times did you talk to this family doctor or general practitioner about your problems with your emotions, mental health or use of alcohol or drugs?

Number of times
Don't know, refusal

553. (During the past 12 months,) about how long did each consultation with this family doctor or general practitioner last (for your problems with your emotions, mental health or use of alcohol or drugs) (in minutes)?

Number of minutes
Don't know, refusal

554. In general, how much would you say this family doctor or general practitioner helped you (for your problems with your emotions, mental health or use of alcohol or drugs)?

A lot
Some
A little
Not at all
Don't know, refusal

555. Have you stopped talking to this family doctor or general practitioner about your problems with your emotions, mental health or use of alcohol or drugs?

Yes
No
Don't know, refusal

556. Why did you stop?

You felt better
You completed the recommended treatment
You thought it was not helping
You thought the problem would get better without more professional help
You couldn't afford to pay
You were too embarrassed to see the professional
You wanted to solve the problem without professional help
You had problems with things like transportation, childcare or your schedule
The service or program was no longer available
You were not comfortable with the professional's approach
Because of discrimination or unfair treatment
Other - Specify
Don't know, refusal

557. How did you talk with a psychologist? Was it… ?

In person
Over the telephone (voice only)
Using video on a phone, tablet or computer
Text message or written chat
Don't know, refusal

558. Think of the psychologist you talked to the most often during the past 12 months.

How many times did you talk to this psychologist (about your problems with your emotions, mental health or use of alcohol or drugs)?

Number of times
Don't know, refusal

559. (During the past 12 months,) about how long did each consultation with this psychologist last (in minutes)?

Number of minutes
Don't know, refusal

560. In general, how much would you say this psychologist helped you (for your problems with your emotions, mental health, or use of alcohol or drugs)?

Not at all
A little
Some
A lot
Extremely
Don't know, refusal

561. Have you stopped talking to this psychologist?

Yes
No
Don't know, refusal

562. Why did you stop?

You felt better
You completed the recommended treatment
You thought it was not helping
You thought the problem would get better without more professional help
You couldn't afford to pay
You were too embarrassed to see the professional
You wanted to solve the problem without professional help
You had problems with things like transportation, childcare or your schedule
The service or program was no longer available
You were not comfortable with the professional's approach
Because of discrimination or unfair treatment
Other - Specify
Don't know, refusal

563. How did you talk with a nurse? Was it… ?

In person
Over the telephone (voice only)
Using video on a phone, tablet or computer
Text message or written chat
Don't know, refusal

564. Think of the nurse you talked to the most often during the past 12 months.

How many times did you talk to this nurse about your problems with your emotions, mental health or use of alcohol or drugs?

Number of times
Don't know, refusal

565. (During the past 12 months,) about how long did each consultation with this nurse last (for your problems with your emotions, mental health or use of alcohol or drugs)(in minutes)?

Number of minutes
Don't know, refusal

566. In general, how much would you say this nurse helped you (for your problems with your emotions, mental health or use of alcohol or drugs)?

A lot
Some
A little
Not at all
Don't know, refusal

567. Have you stopped talking to this nurse about your problems with your emotions, mental health or use of alcohol or drugs?

Yes
No
Don't know, refusal

568. Why did you stop?

You felt better
You completed the recommended treatment
You thought it was not helping
You thought the problem would get better without more professional help
You couldn't afford to pay
You were too embarrassed to see the professional
You wanted to solve the problem without professional help
You had problems with things like transportation, childcare or your schedule
The service or program was no longer available
You were not comfortable with the professional's approach
Because of discrimination or unfair treatment
Other - Specify
Don't know, refusal

569. How did you talk with a social worker, counsellor, (case worker,) or psychotherapist? Was it… ?

In person
Over the telephone (voice only)
Using video on a phone, tablet or computer
Text message or written chat
Don't know, refusal

570. Think of the social worker, counsellor, (case worker,) or psychotherapist you talked to the most often during the past 12 months.

How many times did you talk to this professional (about your problems with your emotions, mental health or use of alcohol or drugs)?

Number of times
Don't know, refusal

571. (During the past 12 months) about how long did each consultation with this professional last (in minutes)?

Number of minutes
Don't know, refusal

572. In general, how much would you say this professional helped you (for your problems with your emotions, mental health or use of alcohol or drugs)?

A lot
Some
A little
Not at all
Don't know, refusal

573. Have you stopped talking to this professional about your problems with your emotions, mental health or use of alcohol or drugs?

Yes
No
Don't know, refusal

574. Why did you stop?

You felt better
You completed the recommended treatment
You thought it was not helping
You thought the problem would get better without more professional help
You couldn't afford to pay
You were too embarrassed to see the professional
You wanted to solve the problem without professional help
You had problems with things like transportation, childcare or your schedule
The service or program was no longer available
You were not comfortable with the professional's approach
Because of discrimination or unfair treatment
Other - Specify
Don't know, refusal

575. How did you talk with a family member? Was it… ?

In person
Over the telephone (voice only)
Using video on a phone, tablet or computer
Text message or written chat
Don't know, refusal

576. Think of the family member you talked to the most often during the past 12 months.

How many times did you talk to this family member about your problems with your emotions, mental health or use of alcohol or drugs?

Number of times
Don't know, refusal

577. In general, how much would you say this family member helped you for your problems with your emotions, mental health or use of alcohol or drugs?

A lot
Some
A little
Not at all
Don't know, refusal

578. How did you talk with a friend? Was it… ?

In person
Over the telephone (voice only)
Using video on a phone, tablet or computer
Text message or written chat
Don't know, refusal

579. Think of the friend you talked to the most often during the past 12 months.
How many times did you talk to this friend about your problems with your emotions, mental health or use of alcohol or drugs?

|_|_|_| Number of times
Don't know, refusal

580. In general, how much would you say this friend helped you (for your problems with your emotions, mental health or use of alcohol or drugs)?

A lot
Some
A little
Not at all
Don't know, refusal

581. How did you talk with a co-worker, supervisor or boss? Was it… ?

In person
Over the telephone (voice only)
Using video on a phone, tablet or computer
Text message or written chat
Don't know, refusal

582. Think of the co-worker, supervisor or boss you talked to the most often during the past 12 months.
How many times did you talk to this co-worker, supervisor or boss about your problems with your emotions, mental health or use of alcohol or drugs?

Number of times
Don't know, refusal

583. In general, how much would you say this co-worker, supervisor or boss helped you (for your problems with your emotions, mental health or use of alcohol or drugs)?

A lot
Some
A little
Not at all
Don't know, refusal

584. How did you talk with other people? Was it… ?

In person
Over the telephone (voice only)
Using video on a phone, tablet or computer
Text message or written chat
Don't know, refusal

585. Think of the other person you talked to the most often during the past 12 months.

How many times did you talk to this person (about your problems with your emotions, mental health or use of alcohol or drugs)?

Number of times
Don't know, refusal

586. In general, how much would you say this person helped you (for your problems with your emotions, mental health or use of alcohol or drugs)?

A lot
Some
A little
Not at all
Don't know, refusal

587. During the past 12 months, did you receive help or services provided by your employer for problems with your emotions, mental health or use of alcohol or drugs, such as consultations with an Employee Assistance Program (EAP)?

Yes
No
Don't know, refusal

588. During the past 12 months, did you use the Internet to get information, help or support for problems with your emotions, mental health or use of alcohol or drugs?

Yes
No
Don't know, refusal

589. Did you use the Internet (for problems with your emotions, mental health or use of alcohol or drugs)…?

To learn about symptoms (e.g. get an online diagnosis)
To find out where you could get help
To discuss with others through forums, support groups or Internet social networks
To get online therapy (e.g. e-therapy, online counselling)
Other - Specify
Don't know, refusal

590. During the past 12 months, (not counting internet support groups) did you go to a self-help group for help with problems with your emotions, mental health or use of alcohol or drugs?

Yes
No
Don't know, refusal

591. What type of self-help group did you go to?

Emotional or mental health (e.g. groups for eating disorders, bipolar disorder, bereavement, etc.)
Alcohol or drug use (e.g. Alcoholics Anonymous, Narcotics Anonymous, etc.)
Other - Specify
Don't know, refusal

592. (During the past 12 months), how many times did you go to a meeting of a self-help group?

Number of times
Don't know, refusal

593. During the past 12 months, did you use a telephone or texting helpline for problems with your emotions, mental health or use of alcohol or drugs?

Yes
No
Don't know, refusal

594. (During the past 12 months), how many times did you use a telephone or texting helpline?

Number of times
Don't know, refusal

595. During the past 12 months, was there ever a time when you felt that you needed help for your emotions, mental health or use of alcohol or drugs, but you didn't receive it?

Yes
No
Don't know, refusal

The next question is about the money you spent over the past 12 months for services and products to help you with your problems with your emotions, mental health or use of alcohol or drugs. This includes all the money you and your family members paid "out-of-pocket" for visits, medications, tests and services associated with these problems.

596. Not counting any costs that were covered by insurance, about how much money have you and your family spent on such services and products during the past 12 months?

Dollars
Don't know, refusal

597. (During the past 12 months, did you feel that any health professional or other service provider held negative opinions about you or treated you unfairly:)
...because of your past or current problems with your emotions, mental health or use of alcohol or drugs?

Yes
No
Don't know, refusal

598. During the past 12 months, did you feel that any health professional or other service provider held negative opinions about you or treated you unfairly:
...because of visible or non-visible characteristics such as your ethnicity, culture, race, skin colour, language or accent, religion or sexual orientation?

Yes
No
Don't know, refusal

Medication use

Now I'd like to ask a few questions about your use of medication, both prescription and over-the-counter.

599. In the past 12 months, that is, from February 27, 2021 to yesterday, did you take any medication to help you with problems with your emotions, mental health or use of alcohol or drugs?

Yes
No
Don't know, refusal

600. Now, think about the last 2 days, that is, yesterday and the day before yesterday. During those 2 days, how many different medications did you take for problems with your emotions, mental health, or use of alcohol or drugs?

Medications
Don't know, refusal

601. Do you have insurance that covers all or part of the cost of your prescription medication? Include any private, government or employee-paid insurance plans.

Yes
No
Don't know, refusal

602. Many people use other health products such as herbs, minerals or homeopathic products for problems with emotions, alcohol or drug use, energy, concentration, sleep or ability to deal with stress.

In the past 12 months, have you used any of these health products?

Yes
No
Don't know, refusal

Perceived Need for Care

The following questions deal with the different kinds of help you received, or thought you needed, for problems with your emotions, mental health or use of alcohol or drugs.

603. During the past 12 months, did you receive the following kinds of help because of problems with your emotions, mental health or use of alcohol or drugs?

Information about these problems, treatments or available services
Medication
Counselling, therapy, or help for problems with personal
relationships
Other - Specify
None
Don't know, refusal

604. You mentioned that you received:

Information about these problems, treatments or available services
Counselling, therapy, or help for problems with personal relationships

Do you think you got as much of each of these kinds of help as you needed (during the past 12 months)?

Yes
No
Don't know, refusal

605. Which kind of help did you need more of (during the past 12 months)?

Information about these problems, treatments or available services
Medication
Counselling, therapy, or help for problems with personal
relationships
Other - Specify
None
Don't know, refusal

606. Why didn't you get more information about these problems, treatments or available services (during the past 12 months)?

You preferred to manage yourself
You didn't know how or where to get this kind of help
You haven't gotten around to it (e.g., too busy)
Your job interfered (e. g., workload, hours of work or no cooperation from supervisor)
Help was not readily available
You didn't have confidence in health care system or social services
You couldn't afford to pay
Insurance did not cover
You were afraid of what others would think of you
Language problems
Help is ongoing
Other - Specify
Don't know, refusal

607. Which of the following best describes why you preferred to manage yourself rather than seek help (during the past 12 months)?

You didn't think they knew how to help
You were uncomfortable talking about these problems
You relied on faith and spirituality
You relied on family and friends
You felt you'd be treated differently if people thought you had these problems
You didn't feel ready to seek help
You couldn't get this kind of help where you live
Other - Specify
Don't know, refusal

608. Why didn't you get more medication (during the past 12 months)?

You preferred to manage yourself
You didn't know how or where to get this kind of help
You haven't gotten around to it (e.g., too busy)
Your job interfered (e. g., workload, hours of work or no cooperation from supervisor)
Help was not readily available
You didn't have confidence in health care system or social services
You couldn't afford to pay
Insurance did not cover
You were afraid of what others would think of you
Language problems
Help is ongoing
Other - Specify
Don't know, refusal

609. Which of the following best describes why you preferred to manage yourself rather than seek help (during the past 12 months)?

You didn't think they knew how to help
You were uncomfortable talking about these problems
You relied on faith and spirituality
You relied on family and friends
You felt you'd be treated differently if people thought you had these problems
You didn't feel ready to seek help
You couldn't get this kind of help where you live
Other - Specify
Don't know, refusal

610. Why didn't you get more counselling, therapy, or help for problems with personal relationships (during the past 12 months)?

You preferred to manage yourself
You didn't know how or where to get this kind of help
You haven't gotten around to it (e.g., too busy)
Your job interfered (e. g., workload, hours of work or no cooperation from supervisor)
Help was not readily available
You didn't have confidence in health care system or social services
You couldn't afford to pay
Insurance did not cover
You were afraid of what others would think of you
Language problems
Help is ongoing
Other - Specify
Don't know, refusal

611. Which of the following best describes why you preferred to manage yourself rather than seek help (during the past 12 months)?

You didn't think they knew how to help
You were uncomfortable talking about these problems
You relied on faith and spirituality
You relied on family and friends
You felt you'd be treated differently if people thought you had these problems
You didn't feel ready to seek help
You couldn't get this kind of help where you live
Other - Specify
Don't know, refusal

612. Why didn't you get more of the other kind of help you mentioned during the past 12 months?

You preferred to manage yourself
You didn't know how or where to get this kind of help
You haven't gotten around to it (e.g., too busy)
Your job interfered (e. g., workload, hours of work or no cooperation from supervisor)
Help was not readily available
You didn't have confidence in health care system or social services
You couldn't afford to pay
Insurance did not cover
You were afraid of what others would think of you
Language problems
Help is ongoing
Other - Specify
Don't know, refusal

613. Which of the following best describes why you preferred to manage yourself rather than seek help during the past 12 months?

You didn't think they knew how to help
You were uncomfortable talking about these problems
You relied on faith and spirituality
You relied on family and friends
You felt you'd be treated differently if people thought you had these problems
You didn't feel ready to seek help
You couldn't get this kind of help where you live
Other - Specify
Don't know, refusal

614. You mentioned that you did not receive:

Information about these problems, treatments or available services
Medication
Counselling, therapy, or help for problems with personal relationships
Other - Specify

Do you think you needed any of these kinds of help (during the past 12 months)?

Yes
No
Don't know, refusal

615. Which kind of help did you need more of during the past 12 months?

Information about these problems, treatments or available services
Medication
Counselling, therapy, or help for problems with personal
relationships
Other - Specify
None
Don't know, refusal

616. Why didn't you get counselling, therapy, or help for problems with personal relationships during the past 12 months?

You preferred to manage yourself
You didn't know how or where to get this kind of help
You haven't gotten around to it (e.g., too busy)
Your job interfered (e. g., workload, hours of work or no cooperation from supervisor)
Help was not readily available
You didn't have confidence in health care system or social services
You couldn't afford to pay
Insurance did not cover
You were afraid of what others would think of you
Language problems
Help is ongoing
Other - Specify
Don't know, refusal

617. Which of the following best describes why you preferred to manage yourself rather than seek help during the past 12 months?

You didn't think they knew how to help
You were uncomfortable talking about these problems
You relied on faith and spirituality
You relied on family and friends
You felt you'd be treated differently if people thought you had these problems
You didn't feel ready to seek help
You couldn't get this kind of help where you live
Other - Specify
Don't know, refusal

618. Why didn't you get information about these problems, treatments or available services (during the past 12 months)?

You preferred to manage yourself
You didn't know how or where to get this kind of help
You haven't gotten around to it (e.g., too busy)
Your job interfered (e. g., workload, hours of work or no cooperation from supervisor)
Help was not readily available
You didn't have confidence in health care system or social services
You couldn't afford to pay
Insurance did not cover
You were afraid of what others would think of you
Language problems
Help is ongoing
Other - Specify
Don't know, refusal

619. Which of the following best describes why you preferred to manage yourself rather than seek help (during the past 12 months)?

You didn't think they knew how to help
You were uncomfortable talking about these problems
You relied on faith and spirituality
You relied on family and friends
You felt you'd be treated differently if people thought you had these problems
You didn't feel ready to seek help
You couldn't get this kind of help where you live
Other - Specify
Don't know, refusal

620. Why didn't you get medication (during the past 12 months)?

You preferred to manage yourself
You didn't know how or where to get this kind of help
You haven't gotten around to it (e.g., too busy)
Your job interfered (e. g., workload, hours of work or no cooperation from supervisor)
Help was not readily available
You didn't have confidence in health care system or social services
You couldn't afford to pay
Insurance did not cover
You were afraid of what others would think of you
Language problems
Help is ongoing
Other - Specify
Don't know, refusal

621. Which of the following best describes why you preferred to manage yourself rather than seek help (during the past 12 months)?

You didn't think they knew how to help
You were uncomfortable talking about these problems
You relied on faith and spirituality
You relied on family and friends
You felt you'd be treated differently if people thought you had these problems
You didn't feel ready to seek help
You couldn't get this kind of help where you live
Other - Specify
Don't know, refusal

622. Why didn't you get counselling, therapy, or help for problems with personal relationships (during the past 12 months)?

You preferred to manage yourself
You didn't know how or where to get this kind of help
You haven't gotten around to it (e.g., too busy)
Your job interfered (e. g., workload, hours of work or no cooperation from supervisor)
Help was not readily available
You didn't have confidence in health care system or social services
You couldn't afford to pay
Insurance did not cover
You were afraid of what others would think of you
Language problems
Help is ongoing
Other - Specify
Don't know, refusal

623. Which of the following best describes why you preferred to manage yourself rather than seek help (during the past 12 months)?

You didn't think they knew how to help
You were uncomfortable talking about these problems
You relied on faith and spirituality
You relied on family and friends
You felt you'd be treated differently if people thought you had these problems
You didn't feel ready to seek help
You couldn't get this kind of help where you live
Other - Specify
Don't know, refusal

Mental Health Experiences

The following questions ask about your personal experiences with people who have had emotional or mental health problems. By this, we mean emotional or mental conditions that may need treatment from a health professional.

624. Have you ever received treatment for an emotional or mental health problem?

Yes
No
Don't know, refusal

625. Was this in the past 12 months?

Yes
No
Don't know, refusal

626. During the past 12 months, did you feel that anyone held negative opinions about you or treated you unfairly because of your past or current emotional or mental health problem?

Yes
No
Don't know, refusal

Please tell me how this affected you. For each question, answer with a number between 0 and 10; where 0 means you have not been affected while 10 means you have been severely affected.

627. During the past 12 months, on a scale of 0 to 10, how much did these negative opinions or unfair treatment affect:
… your family relationships?

Don't know, refusal.

628. During the past 12 months, on a scale of 0 to 10, how much did these negative opinions or unfair treatment affect:
… your romantic life?

Don't know, refusal

629. During the past 12 months, on a scale of 0 to 10, how much did these negative opinions or unfair treatment affect:
…your work or school life?

Don't know, refusal.

630. During the past 12 months, on a scale of 0 to 10, how much did these negative opinions or unfair treatment affect:
…your financial situation?

Don't know, refusal.

631. During the past 12 months, on a scale of 0 to 10, how much did these negative opinions or unfair treatment affect:
…your housing situation?

Don't know, refusal.

632. During the past 12 months, on a scale of 0 to 10, how much did these negative opinions or unfair treatment affect:
… your health care for physical health problems?

Don't know, refusal.

Family Mental Health Impact

The next few questions are about the problems of your family members. These include your spouse or partner, children, parents, parents-in-law, grandparents, brothers and sisters, cousins, aunts, uncles, nieces, or nephews.

633. Do any of your family members have problems with their emotions, mental health or use of alcohol or drugs?

Yes
No
Not applicable / No family members
Don't know, refusal

634. Taking into consideration your time, energy, emotions, finances, and daily activities, would you say that their problems affect your life... ?

A lot
Some
A little
Not at all
Don't know, refusal

Social Provisions Scale 10 Items

The next questions are about your current relationships with friends, family members, co-workers, community members, and so on. Please indicate to what extent each statement describes your current relationships with other people.

635. There are people I can depend on to help me if I really need it.

Strongly agree
Agree
Disagree
Strongly disagree
Don't know, refusal

636. There are people who enjoy the same social activities I do.

Strongly agree
Agree
Disagree
Strongly disagree
Don't know, refusal

637. I have close relationships that provide me with a sense of emotional security and well-being.

Strongly agree
Agree
Disagree
Strongly disagree
Don't know, refusal

638. There is someone I could talk to about important decisions in my life.

Strongly agree
Agree
Disagree
Strongly disagree
Don't know, refusal

639. I have relationships where my competence and skill are recognized.

Strongly agree
Agree
Disagree
Strongly disagree
Don't know, refusal

640. There is a trustworthy person I could turn to for advice if I were having problems.

Strongly agree
Agree
Disagree
Strongly disagree
Don't know, refusal

641. I feel part of a group of people who share my attitudes and beliefs.

Strongly agree
Agree
Disagree
Strongly disagree
Don't know, refusal

642. I feel a strong emotional bond with at least one other person.

Strongly agree
Agree
Disagree
Strongly disagree
Don't know, refusal

643. There are people who admire my talents and abilities.

Strongly agree
Agree
Disagree
Strongly disagree
Don't know, refusal

644. There are people I can count on in an emergency.

Strongly agree
Agree
Disagree
Strongly disagree
Don't know, refusal

Negative Social Interactions

The contact we have with others is not always pleasant. The next questions are about negative interaction with others.

645. Are there persons with whom you are in regular contact that are detrimental to your well-being because they are a source of discomfort and stress?

Yes
No
Don't know, refusal

646. During the past month, how often have you felt that others made too many demands on you?

Never
Once in a while
Fairly often
Very often
Don't know, refusal

647. During the past month, how often have you felt that others were critical of you and things you did?

Never
Once in a while
Fairly often
Very often
Don't know, refusal

648. During the past month, how often have you felt that others did things that were thoughtless or inconsiderate?

Never
Once in a while
Fairly often
Very often
Don't know, refusal

649. During the past month, how often have you felt that others acted angry or upset with you?

Never
Once in a while
Fairly often
Very often
Don't know, refusal

Childhood Experiences

The next few questions are about things that may have happened to you before you were 16 in your school, in your neighbourhood, or in your family. Your responses are important whether or not you have had any of these experiences. Remember that all information provided is strictly confidential.

650. Before age 16, how many times did you see or hear any one of your parents, step-parents or guardians hit each other or another adult in your home? By adult, I mean anyone 18 years and over.

Never
1 or 2 times
3 to 5 times
6 to 10 times
More than 10 times
Don't know, refusal

651. Before age 16, how many times did an adult slap you on the face, head or ears or hit or spank you with something hard to hurt you?

Never
1 or 2 times
3 to 5 times
6 to 10 times
More than 10 times
Don't know, refusal

652. Before age 16, how many times did an adult push, grab, shove or throw something at you to hurt you?

Never
1 or 2 times
3 to 5 times
6 to 10 times
More than 10 times
Don't know, refusal

653. Before age 16, how many times did an adult kick, bite, punch, choke, burn you, or physically attack you in some way?

Never
1 or 2 times
3 to 5 times
6 to 10 times
More than 10 times
Don't know, refusal

654. Before age 16, 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?

Never
1 or 2 times
3 to 5 times
6 to 10 times
More than 10 times
Don't know, refusal

655. Before age 16, 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.

Never
1 or 2 times
3 to 5 times
6 to 10 times
More than 10 times
Don't know, refusal

656. Before age 16, did you ever see or talk to anyone from a child protection organization about difficulties at home?

Yes
No
Don't know, refusal

Spirituality
The following question is about your religious or spiritual beliefs.

657. In general, how important are religious or spiritual beliefs in your daily life?

Very important
Somewhat important
Not very important
Not at all important
Don't know, refusal

Labour market activities minimal

658. Last week, did you work at a job or business?

Select "Yes" if you worked at least one hour:

for pay (wages, salary, etc.)
in self-employment.

Select "No" if you:

were away from work for the entire week for a reason such as vacation, illness, work schedule or layoff
did not have a job or business.

659. Last week, did you have a job or business from which you were absent?

Select "Yes" if you:

were away from work for the entire week for a reason such as vacation, illness, parental leave or work schedule
were self-employed with a business, but no work was available.

Select "No" if you:

did not have a job or business
had a casual job, but no work was available.

660. What was the main reason you were absent from work last week?

Vacation
Own illness or disability
Caring for own children
Caring for elder relative
Help text: 60 years of age or older
Maternity or parental leave
Other personal or family responsibilities
Labour dispute (strike or lockout)
Help text: Employees only
Temporary layoff due to business conditions
Help text: Employees only
Seasonal layoff
Help text: Employees only
Casual job, no work available
Help text: Employees only
Work schedule
Help text: e.g., 10 days on, 10 days off, employees only
Self-employed, no work available
Help text: Self-employed only
Seasonal business
Help text: Excluding employees
Other
(Don't know, refusal not allowed)

661. What kind of work were you doing?

Examples: legal secretary, plumber, fishing guide, wood furniture assembler, secondary school teacher, computer programmer

(50 spaces)
(Don't know, refusal not allowed)

662. What were your most important activities or duties?

Examples: prepared legal documents, installed residential plumbing, guided fishing parties, made wood furniture products, taught mathematics, developed software

(50 spaces)
(Don't know, refusal not allowed)

663. Your job required that you learn new things.

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Don't know, refusal

664. Your job required a high level of skill.

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Don't know, refusal

665. Your job allowed you freedom to decide how you did your job.

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Don't know, refusal

666. Your job required that you do things over and over.

Strongly agree
Agree
Disagree
Strongly disagree
Don't know, refusal

667. Your job was very hectic.

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Don't know, refusal

668. You were free from conflicting demands that others made.

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Don't know, refusal

669. Your job security was good.

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Don't know, refusal

670. Your job required a lot of physical effort.

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Don't know, refusal

671. You had a lot to say about what happened in your job.

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Don't know, refusal

672. You were exposed to hostility or conflict from the people you worked with.

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Don't know, refusal

673. Your supervisor was helpful in getting the job done.

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Don't know, refusal

674. The people you worked with were helpful in getting the job done.

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Don't know, refusal

675. How satisfied were you with your job?

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Don't know, refusal

Socio-demographic characteristics

Now, some general questions which will help us compare the health of people in Canada.

676. Have you ever served in the Canadian military?

Yes
No
Don't know, refusal

677. What is your sexual orientation?

Heterosexual
Lesbian or gay
Bisexual
Or please specify

Place of birth, immigration and citizenship

678. Where were you born?

Born in Canada
Born outside Canada

Specify the province or territory

10 Newfoundland and Labrador
11 Prince Edward Island
12 Nova Scotia
13 New Brunswick
24 Quebec
35 Ontario
46 Manitoba
47 Saskatchewan
48 Alberta
59 British Columbia
60 Yukon
61 Northwest Territories
62 Nunavut
(Don't know, refusal not allowed)

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

Year of arrival
Year

680. Are you now, or have you ever been a landed immigrant?

681. In what year did you first become a landed immigrant?

Year of immigration
Year

Indigenous Identity

682. Are you First Nations, Métis or Inuk (Inuit)?

No, not First Nations, Métis, or Inuk (Inuit)
Yes, First Nations (North American Indian)
Yes, Métis
Yes, Inuk (Inuit)
(Don't know, refusal not allowed)

Population group

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

White
South Asian
Help text: e.g., East Indian, Pakistani, Sri Lankan
Chinese
Black
Filipino
Arab
Latin American
Southeast Asian
Help text: e.g., Vietnamese, Cambodian, Laotian, Thai
West Asian
Help text: e.g., Iranian, Afghan
Korean
Japanese
Other
(Don't know, refusal not allowed)

Education

684. What is the highest certificate, diploma or degree that you have completed?

Less than high school diploma or its equivalent
High school diploma or a high school equivalency certificate
Trades certificate or diploma
College, CEGEP or other non-university certificate or diploma (other than trades certificates or diplomas)
University certificate or diploma below the bachelor's level
Bachelor's degree
Help text: e.g., B.A., B.A. (Hons), B.Sc., B.Ed., LL.B.
University certificate, diploma or degree above the bachelor's level
(Don't know, refusal not allowed)

Administrative information

To enhance the data from this survey and to minimize the reporting burden for respondents, Statistics Canada will combine your responses with information from the tax data of all members of your household. Statistics Canada and your provincial ministry of health may also add information from other surveys or administrative sources.

685. Having a provincial or territorial health number will assist us in linking to this other information.

Do you have a [Province] health number?

686. What is your health number?

Health number

(12 spaces)

To avoid duplication of surveys, Statistics Canada has signed agreements to share the data from this survey with provincial and territorial ministries of health, Health Canada and the Public Health Agency of Canada. Provincial or territorial ministries of health may make the data available to local health authorities.

Data shared with your ministry of health may also include identifiers such as name, address, telephone number and health card number. Health Canada, the Public Health Agency of Canada, and local health authorities would receive only survey responses and the postal code.

687. These organizations have agreed to keep the data confidential and use it only for statistical purposes.

Do you agree to share the information provided?

688. To reduce the number of questions in this questionnaire, Statistics Canada will use information from your tax forms submitted to the Canada Revenue Agency. With your consent, Statistics Canada will share this information from your tax forms with provincial and territorial ministries of health, Health Canada and the Public Health Agency of Canada. These organizations have agreed to keep the information confidential and to use it only for statistical and research purposes.

Do you give Statistics Canada permission to share your tax information with provincial and territorial ministries of health, Health Canada and the Public Health Agency of Canada?

689. What is your telephone number?

(80 spaces)

690. What email address could we use to contact your household, if applicable?

(80 spaces)

691. Please confirm your email address.

(80 spaces)

692. Please verify that the following address is correct. You can change this address if it does not correspond to this dwelling.

Address line 1
(80 spaces)

Address line 2
(80 spaces)

City, municipality, town, village, Indian reserve
(80 spaces)

Province/territory
(80 spaces)

Postal code
(80 spaces)

693. Is the mailing address of this dwelling different from the one specified in the previous question?

694. Do you have any comments about this questionnaire?

Language selection

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Mental Health and Access to Care Survey, 2022

Marital status

Survey Introduction

Age of respondent

Sex and Gender

General Health

Screening section

Chronic Conditions

Pain and discomfort

Physical Activity - Short Form

Positive Mental Health

Stress - Sources

Distress

Depression

Suicide

Mania

Generalized Anxiety Disorder

Social Phobia

Smoking

Alcohol Use, Abuse and Dependence

Substance Use, Abuse and Dependence

WHO Disability Assessment Schedule 2.0

Mental Health Services

Medication use

Perceived Need for Care

Mental Health Experiences

Family Mental Health Impact

Social Provisions Scale 10 Items

Negative Social Interactions

Childhood Experiences

Labour market activities minimal

Socio-demographic characteristics

Place of birth, immigration and citizenship

Population group

Education

Administrative information