National Cannabis Survey
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For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
Household information (DEM)
Household information (DEM) - Question identifier:DEM_Q05
Including yourself, how many people live in your household?
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20 or more
Household information (DEM) - Question identifier:DEM_Q10
Including yourself, how many of these people are 15 years of age or more?
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20 or more
Household information (DEM) - Question identifier:DEM_Q15
What is your gender?
- 1: Male
- 2: Female
- 3: Or please specify
Household information (DEM) - Question identifier:DEM_Q20
What is your age group?
- 1: 15 to 24 years
- 2: 25 to 34 years
- 3: 35 to 44 years
- 4: 45 to 54 years
- 5: 55 to 64 years
- 6: 65 years and over
Household information (DEM) - Question identifier:DEM_Q25
Select your exact age.
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20
- 21: 21
- 22: 22
- 23: 23
- 24: 24
Household information (DEM) - Question identifier:DEM_Q30
To determine which geographic region you live in, please provide your postal code.
Long Answer Length = 6
Cannabis Use and Spending (CAN)
Cannabis Use and Spending (CAN) - Question identifier:CAN_R05
The following questions are about cannabis use. In this series of questions when we use the term cannabis, we mean the use of cannabis (marijuana), hashish, hash oil or any other preparation of the cannabis plant.
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q05
During the past three months, how often did you use cannabis?
- 1: Not in the past three months
- 2: Once or twice
- 3: Monthly
- 4: Weekly
- 5: Daily or almost daily
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q10
Did you start using cannabis in the past three months?
- 1: Yes
- 2: No, I started more than three months ago
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q15
Did you use or try cannabis for the first time because [it will soon be legal/it is now legal] ?
- 1: Yes
- 2: No
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q20
In the past three months, where did you get the cannabis you used?
- 01: I grow my own
- 02: Someone grows it for me
- 03: From an authorized retailer
- 04: From a compassion club, dispensary or storefront
- 05: Online from a licensed producer
- 06: Online from another source
- 07: It was shared around a group of friends
- 08: From an acquaintance
- 09: From a family member or friend
- 10: From a dealer
- 11: Other
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q25
In the past three months did you intend to obtain or purchase cannabis products from a legal source but were unable to do so?
- 1: Yes
- 2: No
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q30
What was the main reason that you were not able to obtain or purchase it legally?
- 1: I was not sure where to obtain it
- 2: There are no retail outlets near me
- 3: The type of cannabis I wanted was not available or not legal yet
- 4: I did not have a medical document
- 5: Other
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q35
How much did you spend on cannabis in the past three months?
- 01: Nothing, got it free or traded something for it
- 02: Between $1 and $10
- 03: Between $11 and $25
- 04: Between $26 and $50
- 05: Between $51 and $100
- 06: Between $101 and $150
- 07: Between $151 and $250
- 08: Between $251 and $500
- 09: Between $501 and $750
- 10: Between $751 and $1,000
- 11: Between $1,001 and $1,250
- 12: Over $1,250
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40A_2
How much cannabis did you use in the past three months?
Dried flower or leaf (smoked or vaporized)
e.g., grass, weed
- 13: Grams
- 30: 1/8 of an ounce
- 31: 1/4 of an ounce
- 32: 1/2 of an ounce
- 33: Ounces
- 40: Joints
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40A_1
How much cannabis did you use in the past three months?
Dried flower or leaf (smoked or vaporized)
e.g., grass, weed
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40B_2
How much cannabis did you use in the past three months?
Hashish or kief
- 10: Milligrams
- 13: Grams
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40B_1
How much cannabis did you use in the past three months?
Hashish or kief
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40C_2
How much cannabis did you use in the past three months?
Liquid concentrate
e.g., hash oil, butane honey oil
- 10: Milligrams
- 13: Grams
- 30: 1/8 of an ounce
- 31: 1/4 of an ounce
- 32: 1/2 of an ounce
- 33: Ounces
- 46: Drops
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40C_1
How much cannabis did you use in the past three months?
Liquid concentrate
e.g., hash oil, butane honey oil
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40D_2
How much cannabis did you use in the past three months?
Cannabis oil cartridges or disposable vape pens
- 10: Milligrams
- 43: Cartridges
- 44: Pens
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40D_1
How much cannabis did you use in the past three months?
Cannabis oil cartridges or disposable vape pens
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40E_2
How much cannabis did you use in the past three months?
Solid concentrate
e.g., shatter, budder
- 10: Milligrams
- 13: Grams
- 30: 1/8 of an ounce
- 31: 1/4 of an ounce
- 32: 1/2 of an ounce
- 33: Ounces
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40E_1
How much cannabis did you use in the past three months?
Solid concentrate
e.g., shatter, budder
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40F_2
How much cannabis did you use in the past three months?
Edibles
e.g., prepared food products
- 10: Milligrams
- 13: Grams
- 41: Packages
- 42: Servings
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40F_1
How much cannabis did you use in the past three months?
Edibles
e.g., prepared food products
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40G_2
How much cannabis did you use in the past three months?
Liquid
e.g., cola, tea
- 20: Millilitres
- 23: Litres
- 42: Servings
- 45: Cups
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40G_1
How much cannabis did you use in the past three months?
Liquid
e.g., cola, tea
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40H_2
How much cannabis did you use in the past three months?
Other
e.g., tinctures, topical ointments, fresh flower or leaf for juicing
- 10: Milligrams
- 13: Grams
- 20: Millilitres
- 23: Litres
- 30: 1/8 of an ounce
- 31: 1/4 of an ounce
- 32: 1/2 of an ounce
- 33: Ounces
- 40: Joints
- 41: Packages
- 42: Servings
- 43: Cartridges
- 44: Pens
- 45: Cups
- 46: Drops
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q40H_1
How much cannabis did you use in the past three months?
Other
e.g., tinctures, topical ointments, fresh flower or leaf for juicing
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45A_1
What was the price you paid for your last purchase?
Dried flower or leaf (smoked or vaporized)
e.g., grass, weed
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45A_2
What was the price you paid for your last purchase?
Dried flower or leaf (smoked or vaporized)
e.g., grass, weed
- 13: Per gram
- 30: Per 1/8 of an ounce
- 31: Per 1/4 of an ounce
- 32: Per 1/2 of an ounce
- 33: Per ounce
- 40: Per joint
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45B_1
What was the price you paid for your last purchase?
Hashish or kief
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45B_2
What was the price you paid for your last purchase?
Hashish or kief
- 10: Per milligram
- 13: Per gram
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45C_1
What was the price you paid for your last purchase?
Liquid concentrate
e.g., hash oil, butane honey oil
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45C_2
What was the price you paid for your last purchase?
Liquid concentrate
e.g., hash oil, butane honey oil
- 10: Per milligram
- 13: Per gram
- 30: Per 1/8 of an ounce
- 31: Per 1/4 of an ounce
- 32: Per 1/2 of an ounce
- 33: Per ounce
- 46: Per drop
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45D_1
What was the price you paid for your last purchase?
Cannabis oil cartridges or disposable vape pens
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45D_2
What was the price you paid for your last purchase?
Cannabis oil cartridges or disposable vape pens
- 10: Per milligram
- 43: Per cartridge
- 44: Per pen
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45E_1
What was the price you paid for your last purchase?
Solid concentrate
e.g., shatter, budder
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45E_2
What was the price you paid for your last purchase?
Solid concentrate
e.g., shatter, budder
- 10: Per milligram
- 13: Per gram
- 30: Per 1/8 of an ounce
- 31: Per 1/4 of an ounce
- 32: Per 1/2 of an ounce
- 33: Per ounce
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45F_1
What was the price you paid for your last purchase?
Edibles
e.g., prepared food products
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45F_2
What was the price you paid for your last purchase?
Edibles
e.g., prepared food products
- 10: Per milligram
- 13: Per gram
- 41: Per package
- 42: Per serving
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45G_1
What was the price you paid for your last purchase?
Liquid
e.g., cola, tea
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45G_2
What was the price you paid for your last purchase?
Liquid
e.g., cola, tea
- 20: Per millilitre
- 23: Per litre
- 42: Per serving
- 45: Per cup
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45H_1
What was the price you paid for your last purchase?
Other
e.g., tinctures, topical ointments, fresh flower or leaf for juicing
Min = 0; Max = 99999.99
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q45H_2
What was the price you paid for your last purchase?
Other
e.g., tinctures, topical ointments, fresh flower or leaf for juicing
- 10: Per milligram
- 13: Per gram
- 20: Per millilitre
- 23: Per litre
- 30: Per 1/8 of an ounce
- 31: Per 1/4 of an ounce
- 32: Per 1/2 of an ounce
- 33: Per ounce
- 40: Per joint
- 41: Per package
- 42: Per serving
- 43: Per cartridge
- 44: Per pen
- 45: Per cup
- 46: Per drop
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q50A
[When cannabis consumption becomes legal] for non-medical purposes, will you be more likely to use it or change your consumption?
I would be more likely to try it or to increase my consumption
- 1: Yes
- 2: No
- 3: Maybe
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q50B
[When cannabis consumption becomes legal] for non-medical purposes, will you be more likely to use it or change your consumption?
I would be more likely to try or consume different types of cannabis products
- 1: Yes
- 2: No
- 3: Maybe
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q50C
[When cannabis consumption becomes legal] for non-medical purposes, will you be more likely to use it or change your consumption?
I would be more likely to obtain or purchase it from another source
- 1: Yes
- 2: No
- 3: Maybe
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q52
In the past three months, have you driven a motor vehicle within two hours of using cannabis?
- 1: Yes
- 2: No
- 3: Do not have a valid driver's license
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q53
In the past three months, have you been a passenger in a motor vehicle driven by someone who had been using cannabis in the previous two hours?
- 1: Not in the past three months
- 2: Yes, once
- 3: Yes, more than once
- 4: Don't know
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q55
What is your marital status?
- 1: Married
- 2: Living common-law
- 3: Widowed
- 4: Separated
- 5: Divorced
- 6: Single, never married
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q60A
In general, how would you rate
your health?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q60B
In general, how would you rate
your mental health?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q65
Last week, what was your main activity?
- 01: Working at a paid job or business
- 02: Vacation (From paid work)
- 03: Looking for paid work
- 04: Going to school
- 05: Caring for children
- 06: Household work
- 07: Retired
- 08: Maternity/paternity or parental leave
- 09: Long-term illness
- 10: Volunteering or care-giving other than for children
- 11: Other
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q70
What is the highest certificate, diploma or degree that you have completed?
- 1: Less than high school diploma or its equivalent
- 2: High school diploma or a high school equivalency certificate
- 3: Trade certificate or diploma
- 4: College, CEGEP or other non-university certificate or diploma (Other than trades certificates or diplomas)
- 5: University certificate or diploma below the bachelor's level
- 6: Bachelor's degree (e.g., B.A., B.Sc., LL.B.)
- 7: University certificate, diploma, degree above the bachelor's level
Cannabis Use and Spending (CAN) - Question identifier:CAN_Q75
What was your total personal income during the year ending December 31, [2017]?
- 01: Less than $20,000
- 02: $20,000 to less than $30,000
- 03: $30,000 to less than $40,000
- 04: $40,000 to less than $50,000
- 05: $50,000 to less than $60,000
- 06: $60,000 to less than $70,000
- 07: $70,000 to less than $80,000
- 08: $80,000 to less than $90,000
- 09: $90,000 to less than $100,000
- 10: $100,000 and over
Cannabis Use and Spending (CAN) - Question identifier:CAN_R100
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