An interviewer will call you on:
Your completed diary will be picked up on:
At:
Thank you!
We greatly appreciate your participation.
Collected under the authority of the Statistics Act,
Revised Statutes of Canada, 1985, Chapter S-19.
Confidential when completed
If you spent money today, you have two options to record each expense:
- Provide the receipt in the pocket and explain abbreviations or short forms on the receipt.
OR
- Transcribe the expense in the diary. Do not forget to record expenses for which you do not have a receipt.
If you did NOT spend any money today...
Write the date and the words "no spending" in the "Goods and services including food from stores" section (see example on page 1).
Respondent's first name
Diary Start Date
DD MM
Diary End Date
DD MM
Goods and services including food from stores
Item #
Date of expense
dd/mm
Example: 21/06
Description of item
Write one item per line. Please print. See page 6 in the Diary Guide for help with this section.
Reminder: Please enter snacks, beverages and meals purchased from restaurants or fast-food outlets in the section that begins on page 7.
Cost
Do not include taxes. $ ¢
For example:
21/06 NO SPENDING
22/06 GAS 36.00
If you need more space, use the Comments section (page 12).
Snacks, beverages and meals purchased from restaurants or fast-food outlets
Item #
Date of expense
dd/mm
Example: 22/06
Restaurant code
A = Table Service
B = Fast Food
C = Cafeteria
D = Other
See page 9 in the Diary Guide for full descriptions.
Check (✓) the meal type
Breakfast
Lunch
Dinner
Snack or Beverage
Number of meals paid
Include meals paid for people who do not live with you.
Total cost
Include all taxes, tips and alcoholic beverages. $ ¢
Alcoholic beverages
If alcoholic beverages are included in the total cost, please provide an estimated cost. $ ¢
For example:
22/06 A (✓) 02 45.78 12.50
22/06 D (✓) 00 5.25
If you need more space, use the Comments section (page 12).
For office use only
Please do not write on this page.
Your interviewer will ask you the following questions when he/she returns to pick up your Diary of daily expenses.
1. Did you write "no spending" in the diary for the days with no spending for all members of your household?
- Yes
- No
- Sometimes
- Had expenses every day
2. Respondent comments: @DI
3. Some expenses such as gas and other related vehicle costs, lottery tickets, cigarettes and newspapers, meals and beverages bought outside your home, alcoholic beverages, leisure activities, postal services or goods and services purchased via Internet are easily forgotten. Did you, or any member of your household, forget to record any of these expenses or any other expense in the diary?
- Yes - go to #4
- No - go to #5.
4. Please list the items that have been missed. Interviewer: Enter the description used by the respondent.
Description
Cost
5. During the 14 days when you were recording your expenses in the diary, were any members of your household away from home for overnight or longer?
- Yes - go to #6
- No - Thank you for participating in this survey.
6. Did you remember to include in the diary, expenses made while away from home such as gas, grocery, restaurant meals, snacks and beverages, alcoholic beverages purchased from stores, admittance fees to tourist attractions and souvenirs?
- Yes – Thank you for participating in this survey.
- No – go to #7
7. Please list all the items. Do not include expenses that will be reimbursed. Interviewer: Enter the description used by the respondent.
Description
Cost