The purpose of this survey
Statistics Canada, in partnership with Natural Resources Canada and Environment Canada, is conducting this survey to collect detailed information on the energy consumption patterns of Canadian buildings. This survey collects data on the types and quantities of energy (such as electricity, natural gas etc.) consumed by buildings in Canada. One of the principal goals of Natural Resources Canada is to continually improve energy efficiency in Canada through various measures. Improving energy efficiency reduces greenhouse gas emissions that contribute to climate change. Given the current energy situation, this survey will be used to assess how well Canada is fulfilling its commitment both to increasing energy efficiency and reducing greenhouse gas emissions.
This worksheet is designed to help you gather the required information prior to our personal interview that will take place. Gathering this information prior to your personal interview is crucial to the success of this initiative. You will be contacted shortly to set up an interview time that works for you.
Your participation is important
This survey is conducted under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S19. Completion of this survey is mandatory and your co-operation is essential to ensure the accuracy of the information collected.
The data you report are confidential
Statistics Canada is prohibited by law from publishing or releasing any statistics which would divulge information obtained from this survey that relates to any identifiable business, organization or institution without the previous consent of that business or institution.The data reported on the worksheet will be treated in strict confidence, used for statistical purposes and published in aggregate form only.The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation.
Data sharing agreements
For information on data-sharing agreements, please refer to the letter included in this package.
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For the purpose of this worksheet, please indicate the 12 month period in which you are reporting. The target of this survey is to capture data for 2009. If a fiscal period is being reported, please report for the fiscal year in which the most months are in 2009.
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Please indicate the month and year of the start and end of the period.
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As of December 2009, what was the total rentable floor area occupied by your organization?
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Exclude indoor parking, and areas occupied by other organizations.
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If your organization occupies space in more than one building, the total rentable area should include the space occupied by your organization in all buildings.
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If you don’t know the exact area, please provide your best estimate.
Please provide the specific area:
What is the area measured in?- Square meters
- Square feet
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What percentage of the floor space occupied by this organization was heated to at least 10 degrees Celsius (50 degrees Fahrenheit) during 2009, including basements?
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Please report for the total rentable floor area for your entire organization (i.e. include all locations).
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What percentage of the floor space occupied by this organization was air conditioned during 2009, including basements?
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Please report for the total rentable floor area for your entire organization (i.e. include all locations).
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In what year was construction completed for the building where the majority of your organization is located?
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If portions of the building were constructed at different times, please provide the age of the largest portion.
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Please indicate the number of the following devices used by your organization as of December 2009.
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Computers including laptops and other electronic devices with a micro-processor (Exclude cash registers and battery-operated hand-held devices)
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Computer Servers, e.g. a computer system that provides essential services over a computer network (Do not include personal computers or laptops)
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Vending machines
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Cash Registers
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Medical diagnosis or treatment machines (e.g. X-ray, CAT scan, MRI, dialysis, ultrasound)
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Printers, photocopiers, fax machines and multi-functional devices (e.g. combined printer, copier and fax)
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Automated Teller Machines (ATMs or bank machines)
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Major domestic appliances (appliances such as stoves, microwave ovens, refrigerators, freezers, or dishwashers)
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Commercial food preparation appliances (e.g. stoves, ovens, refrigerators, freezers and dishwashers found in a cafeteria or restaurant)
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Laundry washers and dryers
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Sterilisation equipment
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For the 2009 calendar year, please indicate the main source of energy used to heat your organization as well as any alternate sources used.
- Main energy source for space heating (Mark one only):
- None
- Electricity
- Natural Gas
- Light Fuel Oil
- Diesel
- Kerosene
- Propane or Other Bottled Gas
- District Steam purchased from an off-site plant
- District hot water purchased from an off-site plant
- District chilled water purchased from an off-site plant
- Wood or wood by-products (e.g. hog fuel, waste wood, bark, pellets)
- On-site electricity generation (e.g. solar)
- Other (please specify)
- Alternate energy sources for space heating (Mark all that apply):
- None
- Electricity
- Natural Gas
- Light Fuel Oil
- Diesel
- Kerosene
- Propane or Other Bottled Gas
- District Steam purchased from an off-site plant
- District hot water purchased from an off-site plant
- District chilled water purchased from an off-site plant
- Wood or wood by-products (e.g. hog fuel, waste wood, bark, pellets)
- On-site electricity generation (e.g. solar)
- Other (please specify)
- Main energy source for space heating (Mark one only):
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For the 2009 calendar year, please indicate the only the main source of energy used to cool your organization. Also for 2009, please indicate the main source of energy used for domestic water heating (water used for consumption, not for space heating).
- Main energy source for space cooling (Mark one only):
- None
- Electricity
- Natural Gas
- Light Fuel Oil
- Diesel
- Kerosene
- Propane or Other Bottled Gas
- District Steam purchased from an off-site plant
- District hot water purchased from an off-site plant
- District chilled water purchased from an off-site plant
- Wood or wood by-products (e.g. hog fuel, waste wood, bark, pellets)
- On-site electricity generation (e.g. solar)
- Other (please specify)
- Main energy source for domestic water heating (Mark one only):
- None
- Electricity
- Natural Gas
- Light Fuel Oil
- Diesel
- Kerosene
- Propane or Other Bottled Gas
- District Steam purchased from an off-site plant
- District hot water purchased from an off-site plant
- District chilled water purchased from an off-site plant
- Wood or wood by-products (e.g. hog fuel, waste wood, bark, pellets)
- On-site electricity generation (e.g. solar)
- Other (please specify)
- Main energy source for space cooling (Mark one only):
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For the 2009 calendar year, please indicate the total quantity of energy consumed, the unit of measure, and the total amount spent for each source of energy consumed by your organization.
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Please indicate only the energy consumed at the physical location of your building, relating to the floor area you have reported in question 2. If your landlord pays your energy bills please forward this question to the appropriate person
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Do not include fuel or energy used for transportation.
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For amount spent, please report in Canadian dollars the total including taxes, service charges and any rebates.
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Electricity. (Exclude electricity generated at your building):
Unit: kWh, MWh, GJ, Other:
Amount Spent: $
Natural Gas:
Unit: m3, L, ft3, GJ, MMBtu, Other:
Amount Spent: $
Light Fuel Oil:
Unit: L, GJ, Gallons (US), Gallons (UK), Other:
Amount Spent: $
Diesel:
Unit: L, GJ, Gallons (US), Gallons (UK), Other:
Amount Spent: $
Kerosene:
Unit: L, GJ, Gallons (US), Gallons (UK), Other:
Amount Spent: $
Propane or Other Bottle Gas:
Unit: L, kg, GJ, lbs, MMBtu, Other:
Amount Spent: $
District Steam purchased from an offsite plant:
Unit: GJ, MMBtu, Other:
Amount Spent: $
District hot water purchased from an offsite plant:
Unit: GJ, MMBtu, Other:
Amount Spent: $
District chilled water purchased from an offsite plant:
Unit: GJ, MMBtu, Other:
Amount Spent: $
Wood and wood by-products:
Unit: Full cords, Pellets (tonnes), Tonnes (metric), lbs, Other:
Amount Spent: $
Electricity generated on-site including emergency generator use:
Unit: kWh, GJ, Other:
Domestic Water Consumed:
Unit: L, m3, Not Metered, Other: