Retail Trade Price Report (B)
Confidential when completed.
Collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S19. Completion of this questionnaire is a legal requirement under this Act.
Purpose of this survey
This survey is being conducted to collect prices representative of retail product and service transactions. The prices you report are essential to the production of indexes measuring the movement of prices for important industries in the Canadian economy, as well as for international comparability of productivity, inflation and trade. The resulting indexes are used in developing estimates for output of retail trade. In order to enhance the information you provide in this survey, Statistics Canada plans to combine the responses relating to your organization with the information you previously reported on this survey.
Confidentiality
Statistics Canada is prohibited by law from publishing any statistics which would divulge information relating to your business without your prior written consent. The data reported on your questionnaire 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 the Access to Information Act or by any other legislation.
Your Participation is important
Your participation is vital to ensuring that the information collected in this survey is accurate and comprehensive.
Fax or Other Electronic Transmission Disclosure
Statistics Canada advises you that there could be a risk of disclosure during the facsimile or other electronic transmission. However, upon receipt, Statistics Canada will provide the guaranteed level of protection afforded to all information collected under the authority of the Statistics Act.
Return Procedures…. Need Help?
Please return the completed questionnaire to Statistics Canada within 15 days of receipt by mail using the return envelope. You can also fax it to 1-888-883-7999 or email to business.surveys.unit.oid@statcan.gc.ca.
Lost the return envelope or need help? Call us at 1-877-604-7828 or mail to: Statistics Canada, Business Survey Section/Central Region, 150 Tunney's Pasture Driveway, Ottawa, Ontario, K1A 0T6.
If necessary, please make address label corrections in the boxes below (please print)
Legal Name:
Business Name:
Title of Contact:
First Name of contact:
Last Name of contact:
Address (number and street):
City:
Province/ territory or state:
Postal Code/Zip Code:
Country:
Language Preference: English/French
Retail Activities for this Business
Definition:
Retail establishments are primarily engaged in retailing merchandise in small quantities to the general public, generally without transformation. Retailers also render services incidental to the sale of the merchandise, including; delivery, repairs and installation, product demonstration and alterations.
The retailing process is the final step in the distribution of merchandise to the general public.
Question 1. Previously, you identified the items listed below as the main products/services sold by your business.
Product/Service 1:
Product/Service 2:
Product/Service 3:
Product/Service 4:
Product/Service 5:
Product/Service 6:
Product/Service 7:
Product/Service 8:
Product/Service 9:
Product/Service 10:
Product/Service 11:
Product/Service 12:
Question 2. Have any of these products/services changed since your last report?
If yes, please enter the necessary changes above.
Yes
No
Question 3. Which retailing activities does this business perform for the product(s)/service identified in Question 1? Please mark all that apply.
handling of warranty claims
in-store or co-op promotions
inventory management
marketing services
product training
repair and maintenance
other activity (please specify)
The next questions ask for price information for the past three months for the main products/services identified in question 1 and sold by your business.
Question 4. Price Information for Product/Service 1:
If any of the specifications for Product/Service 1 have changed since your last report, update the information on the appropriate line below (refer to Question 4 of Section E in the Guide).
Description of Product:
Manufactured By:
Product Code:
Type of Customer:
Size/Weight:
Unit of Measure:
Adjustment to Vendor Price:
Adjustment to Retail Price:
Vendor Price
Retail Price
Please report the average vendor price and the average retail price per unit for the following months.
| Month | Average Vendor Price $CAN Exclude: GST and HST , and any vendor discounts or rebates | MAIN reason for any Vendor Price change (if applicable). Please Mark ONE ONLY. | Average Retail Price $CAN Exclude: GST , HST , PST , TVQ and freight | MAIN reason for any Retail Price change (if applicable). Please Mark ONE ONLY. |
|---|---|---|---|---|
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) |
The next questions ask for price information for the past three months for the main products/services identified in question 1 and sold by your business.
Question 4. Price Information for Product/Service 2:
If any of the specifications for Product/Service 2 have changed since your last report, update the information on the appropriate line below (refer to Question 4 of Section E in the Guide).
Description of Product:
Manufactured By:
Product Code:
Type of Customer:
Size/Weight:
Unit of Measure:
Adjustment to Vendor Price:
Adjustment to Retail Price:
Vendor Price
Retail Price
Please report the average vendor price and the average retail price per unit for the following months.
| Month | Average Vendor Price $CAN Exclude: GST and HST , and any vendor discounts or rebates | MAIN reason for any Vendor Price change (if applicable). Please Mark ONE ONLY. | Average Retail Price $CAN Exclude: GST , HST , PST , TVQ and freight | MAIN reason for any Retail Price change (if applicable). Please Mark ONE ONLY. |
|---|---|---|---|---|
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) |
The next questions ask for price information for the past three months for the main products/services identified in question 1 and sold by your business.
Question 4. Price Information for Product/Service 3:
If any of the specifications for Product/Service 3 have changed since your last report, update the information on the appropriate line below (refer to Question 4 of Section E in the Guide).
Description of Product:
Manufactured By:
Product Code:
Type of Customer:
Size/Weight:
Unit of Measure:
Adjustment to Vendor Price:
Adjustment to Retail Price:
Vendor Price
Retail Price
Please report the average vendor price and the average retail price per unit for the following months.
| Month | Average Vendor Price $CAN Exclude: GST and HST , and any vendor discounts or rebates | MAIN reason for any Vendor Price change (if applicable). Please Mark ONE ONLY. | Average Retail Price $CAN Exclude: GST , HST , PST , TVQ and freight | MAIN reason for any Retail Price change (if applicable). Please Mark ONE ONLY. |
|---|---|---|---|---|
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) |
The next questions ask for price information for the past three months for the main products/services identified in question 1 and sold by your business.
Question 4. Price Information for Product/Service 4:
If any of the specifications for Product/Service 4 have changed since your last report, update the information on the appropriate line below (refer to Question 4 of Section E in the Guide).
Description of Product:
Manufactured By:
Product Code:
Type of Customer:
Size/Weight:
Unit of Measure:
Adjustment to Vendor Price:
Adjustment to Retail Price:
Vendor Price
Retail Price
Please report the average vendor price and the average retail price per unit for the following months.
| Month | Average Vendor Price $CAN Exclude: GST and HST , and any vendor discounts or rebates | MAIN reason for any Vendor Price change (if applicable). Please Mark ONE ONLY. | Average Retail Price $CAN Exclude: GST , HST , PST , TVQ and freight | MAIN reason for any Retail Price change (if applicable). Please Mark ONE ONLY. |
|---|---|---|---|---|
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) |
The next questions ask for price information for the past three months for the main products/services identified in question 1 and sold by your business.
Question 4. Price Information for Product/Service 5:
If any of the specifications for Product/Service 5 have changed since your last report, update the information on the appropriate line below (refer to Question 4 of Section E in the Guide).
Description of Product:
Manufactured By:
Product Code:
Type of Customer:
Size/Weight:
Unit of Measure:
Adjustment to Vendor Price:
Adjustment to Retail Price:
Vendor Price
Retail Price
Please report the average vendor price and the average retail price per unit for the following months.
| Month | Average Vendor Price $CAN Exclude: GST and HST , and any vendor discounts or rebates | MAIN reason for any Vendor Price change (if applicable). Please Mark ONE ONLY. | Average Retail Price $CAN Exclude: GST , HST , PST , TVQ and freight | MAIN reason for any Retail Price change (if applicable). Please Mark ONE ONLY. |
|---|---|---|---|---|
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) |
The next questions ask for price information for the past three months for the main products/services identified in question 1 and sold by your business.
Question 4. Price Information for Product/Service 6:
If any of the specifications for Product/Service 6 have changed since your last report, update the information on the appropriate line below (refer to Question 4 of Section E in the Guide).
Description of Product:
Manufactured By:
Product Code:
Type of Customer:
Size/Weight:
Unit of Measure:
Adjustment to Vendor Price:
Adjustment to Retail Price:
Vendor Price
Retail Price
Please report the average vendor price and the average retail price per unit for the following months.
| Month | Average Vendor Price $CAN Exclude: GST and HST , and any vendor discounts or rebates | MAIN reason for any Vendor Price change (if applicable). Please Mark ONE ONLY. | Average Retail Price $CAN Exclude: GST , HST , PST , TVQ and freight | MAIN reason for any Retail Price change (if applicable). Please Mark ONE ONLY. |
|---|---|---|---|---|
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) |
The next questions ask for price information for the past three months for the main products/services identified in question 1 and sold by your business.
Question 4. Price Information for Product/Service 7:
If any of the specifications for Product/Service 7 have changed since your last report, update the information on the appropriate line below (refer to Question 4 of Section E in the Guide).
Description of Product:
Manufactured By:
Product Code:
Type of Customer:
Size/Weight:
Unit of Measure:
Adjustment to Vendor Price:
Adjustment to Retail Price:
Vendor Price
Retail Price
Please report the average vendor price and the average retail price per unit for the following months.
| Month | Average Vendor Price $CAN Exclude: GST and HST , and any vendor discounts or rebates | MAIN reason for any Vendor Price change (if applicable). Please Mark ONE ONLY. | Average Retail Price $CAN Exclude: GST , HST , PST , TVQ and freight | MAIN reason for any Retail Price change (if applicable). Please Mark ONE ONLY. |
|---|---|---|---|---|
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) |
The next questions ask for price information for the past three months for the main products/services identified in question 1 and sold by your business.
Question 4. Price Information for Product/Service 8:
If any of the specifications for Product/Service 8 have changed since your last report, update the information on the appropriate line below (refer to Question 4 of Section E in the Guide).
Description of Product:
Manufactured By:
Product Code:
Type of Customer:
Size/Weight:
Unit of Measure:
Adjustment to Vendor Price:
Adjustment to Retail Price:
Vendor Price
Retail Price
Please report the average vendor price and the average retail price per unit for the following months.
| Month | Average Vendor Price $CAN Exclude: GST and HST , and any vendor discounts or rebates | MAIN reason for any Vendor Price change (if applicable). Please Mark ONE ONLY. | Average Retail Price $CAN Exclude: GST , HST , PST , TVQ and freight | MAIN reason for any Retail Price change (if applicable). Please Mark ONE ONLY. |
|---|---|---|---|---|
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) |
The next questions ask for price information for the past three months for the main products/services identified in question 1 and sold by your business.
Question 4. Price Information for Product/Service 9:
If any of the specifications for Product/Service 9 have changed since your last report, update the information on the appropriate line below (refer to Question 4 of Section E in the Guide).
Description of Product:
Manufactured By:
Product Code:
Type of Customer:
Size/Weight:
Unit of Measure:
Adjustment to Vendor Price:
Adjustment to Retail Price:
Vendor Price
Retail Price
Please report the average vendor price and the average retail price per unit for the following months.
| Month | Average Vendor Price $CAN Exclude: GST and HST , and any vendor discounts or rebates | MAIN reason for any Vendor Price change (if applicable). Please Mark ONE ONLY. | Average Retail Price $CAN Exclude: GST , HST , PST , TVQ and freight | MAIN reason for any Retail Price change (if applicable). Please Mark ONE ONLY. |
|---|---|---|---|---|
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) |
The next questions ask for price information for the past three months for the main products/services identified in question 1 and sold by your business.
Question 4. Price Information for Product/Service 10:
If any of the specifications for Product/Service 10 have changed since your last report, update the information on the appropriate line below (refer to Question 4 of Section E in the Guide).
Description of Product:
Manufactured By:
Product Code:
Type of Customer:
Size/Weight:
Unit of Measure:
Adjustment to Vendor Price:
Adjustment to Retail Price:
Vendor Price
Retail Price
Please report the average vendor price and the average retail price per unit for the following months.
| Month | Average Vendor Price $CAN Exclude: GST and HST , and any vendor discounts or rebates | MAIN reason for any Vendor Price change (if applicable). Please Mark ONE ONLY. | Average Retail Price $CAN Exclude: GST , HST , PST , TVQ and freight | MAIN reason for any Retail Price change (if applicable). Please Mark ONE ONLY. |
|---|---|---|---|---|
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) |
The next questions ask for price information for the past three months for the main products/services identified in question 1 and sold by your business.
Question 4. Price Information for Product/Service 11:
If any of the specifications for Product/Service 11 have changed since your last report, update the information on the appropriate line below (refer to Question 4 of Section E in the Guide).
Description of Product:
Manufactured By:
Product Code:
Type of Customer:
Size/Weight:
Unit of Measure:
Adjustment to Vendor Price:
Adjustment to Retail Price:
Vendor Price
Retail Price
Please report the average vendor price and the average retail price per unit for the following months.
| Month | Average Vendor Price $CAN Exclude: GST and HST , and any vendor discounts or rebates | MAIN reason for any Vendor Price change (if applicable). Please Mark ONE ONLY. | Average Retail Price $CAN Exclude: GST , HST , PST , TVQ and freight | MAIN reason for any Retail Price change (if applicable). Please Mark ONE ONLY. |
|---|---|---|---|---|
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) |
The next questions ask for price information for the past three months for the main products/services identified in question 1 and sold by your business.
Question 4. Price Information for Product/Service 12:
If any of the specifications for Product/Service 12 have changed since your last report, update the information on the appropriate line below (refer to Question 4 of Section E in the Guide).
Description of Product:
Manufactured By:
Product Code:
Type of Customer:
Size/Weight:
Unit of Measure:
Adjustment to Vendor Price:
Adjustment to Retail Price:
Vendor Price
Retail Price
Please report the average vendor price and the average retail price per unit for the following months.
| Month | Average Vendor Price $CAN Exclude: GST and HST , and any vendor discounts or rebates | MAIN reason for any Vendor Price change (if applicable). Please Mark ONE ONLY. | Average Retail Price $CAN Exclude: GST , HST , PST , TVQ and freight | MAIN reason for any Retail Price change (if applicable). Please Mark ONE ONLY. |
|---|---|---|---|---|
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) | |||
| $ | Change in supplier | $ | Change in service | |
| Change in product | Change in supplier | |||
| Inflation | Inflation | |||
| Exchange rate | Exchange rate | |||
| Other (specify) | Other (specify) |
Comments
Certification (I certify that the information contained herein is complete and correct to the best of my knowledge).
Signature of authorized person:
Date Completed:
Name of person to contact for further information (please print)
First Name:
Last Name:
Title:
Telephone Number:
Ext.:
Fax No.:
E-mail address:
Time to complete questionnaire
How long did you spend collecting and reporting the information needed to complete this questionnaire?
Minutes
Pre-filled Questionnaire
In order to facilitate the completion of next quarter's questionnaire, we can provide you with a copy of the information you provided this quarter. Do you authorize us to send a pre-filled questionnaire containing the information you provided this quarter?
Please check
Yes Please send a pre-filled questionnaire
No Please send a blank questionnaire
Date:
Signature: