Canadian Perspectives Survey Series - Sign-Up (CPSS)
For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
Record linkages (LINK)
Record linkages (LINK) - Question identifier:LINK_R01
To enhance the data from this survey and to reduce the reporting burden, Statistics Canada may combine the information you provide with other survey or administrative data sources.
Contact us if you have any questions or concerns about record linkage:
Email: infostats@canada.ca
Telephone: 1-877-949-9492
Mail:
Chief Statistician of Canada
Statistics Canada
Attention of Director, Centre for Social Data Integration and Development
150 Tunney's Pasture Driveway
Ottawa, Ontario
K1A 0T6
CPSS Sign-up (UCE)
CPSS Sign-up (UCE) - Question identifier:UCE_R05
The following questions are for ^FIRSTNAME ^LASTNAME
CPSS Sign-up (UCE) - Question identifier:UCE_Q05A
Statistics Canada is planning a series of surveys about important social topics. These surveys will be sent out every month or two and will ask about a wide variety of issues such as health and justice.
By agreeing to be a part of this survey series, you will be able to share your opinions and thoughts on these issues and compare your ideas with those of other Canadians.
Do you want to sign up to be a part of this survey series?
- 1: Yes
- 2: No
CPSS Sign-up (UCE) - Question identifier:UCE_Q05B
Please provide the following information so we can email or text you to participate in this survey series.
Email address
Long Answer Length = 80
CPSS Sign-up (UCE) - Question identifier:UCE_Q05C
Please provide the following information so we can email or text you to participate in this survey series.
Cellular number
Long Answer Length = 10
CPSS Sign-up (UCE) - Question identifier:UCE_Q10
What is the main reason you do not want to participate?
- 1: I am too busy or not interested
- 2: I have limited internet access or a limited data plan
- 3: I do not want to complete more Statistics Canada surveys
- 4: Other
CPSS Sign-up (UCE) - Question identifier:UCE_Q15
Is this your mailing address?
- 1: Yes
- 2: No
CPSS Sign-up (UCE) - Question identifier:UCE_Q20A
What is your mailing address?
Address line 1
Long Answer Length = 60
CPSS Sign-up (UCE) - Question identifier:UCE_Q20B
What is your mailing address?
Address line 2
Long Answer Length = 60
CPSS Sign-up (UCE) - Question identifier:UCE_Q20C
What is your mailing address?
City, municipality, town or village
Long Answer Length = 100
CPSS Sign-up (UCE) - Question identifier:UCE_Q20D
What is your mailing address?
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
CPSS Sign-up (UCE) - Question identifier:UCE_Q20E
What is your mailing address?
Postal code
Long Answer Length = 6
Age (AGE)
Age (AGE) - Question identifier:AGE_Q02
What is your age?
Min = 0; Max = 999
CPSS Sign-up (THX)
CPSS Sign-up (THX) - Question identifier:THX_R05
Thank you for signing up for the Canadian Perspectives Survey Series. We will contact you soon.
Please press Next.
- Date modified: