Survey on Savings for Persons with Disabilities
For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
- Introductory questions (DTC)
- Demographic questions (PCO)
- Education (ED)
- Aboriginal identity (ABM)
- Immigration (IMM)
- Income (INC)
- Main activity (MAC)
Introductory questions (DTC)
Introductory questions (DTC) - Question identifier:DTC_Q05
For the [2019] tax year, are you eligible to claim the Disability Tax Credit (DTC)?
Is it for:
Select all that apply.
- 1: Your own disability
- 2: The disability of a family member or person under 18 years of age
- 3: The disability of a family member or person 18 years of age or older
- 4: I am not eligible to claim the DTC for the [2019] tax year
Introductory questions (DTC) - Question identifier:DTC_Q10A
What is your relationship to the person with the disability [under 18 years of age/]?
Are you:
- 1: A family member of the person with the disability [under 18 years of age/] (A "family member" refers to a person's spouse, common-law partner, child by birth, adoption or marriage, birth parent, adoptive parent, step parent, full sibling, half sibling, step sibling, aunt, uncle, grandparent, niece, nephew, daughter-in-law, son-in)
- 2: The caregiver of the person with the disability [under 18 years of age/], but not a family member
- 3: Other
Introductory questions (DTC) - Question identifier:DTC_Q10B
Are you:
- 1: A parent
- 2: A spouse
- 3: A sibling
- 4: Other family member
Introductory questions (DTC) - Question identifier:DTC_Q15
What is the first name of the person with the disability [under 18 years of age/]?
Name
Long Answer Length = 80
Introductory questions (DTC) - Question identifier:DTC_Q20
[What is your age/What is [NAME]'s age/What is the person with the disability's age]?
Age in years
- 1: List of ages
Introductory questions (DTC) - Question identifier:DTC_Q25
[What is your gender/What is [NAME]'s gender/What is the person with the disability's gender]?
Is it:
Gender refers to current gender which may be different from sex assigned at birth and may be different from what is indicated on legal documents.
- 1: Male
- 2: Female
- 3: Or please specify
Introductory questions (DTC) - Question identifier:DTC_Q30
What is your age?
Age in years
- 1: List of ages
Introductory questions (DTC) - Question identifier:DTC_Q35
What is your gender?
Is it:
Gender refers to current gender which may be different from sex assigned at birth and may be different from what is indicated on legal documents.
- 1: Male
- 2: Female
- 3: Or please specify
Introductory questions (DTC) - Question identifier:DTC_R40
The following questions are about saving for future financial needs. For example, retirement, medical costs, help with daily activities, etc.
Introductory questions (DTC) - Question identifier:DTC_Q40
[Have/Has/Has] [you/[NAME]/the person with the disability] ever had a Registered Disability Savings Plan (RDSP)?
A Registered Disability Savings Plan (RDSP) is a savings plan to help Canadians with disabilities and their families save for the long term financial security of a person who is eligible for the Disability Tax Credit (DTC).
- 1: Yes
- 2: No
Introductory questions (DTC) - Question identifier:DTC_Q45
[Do/Does/Does] [you/[NAME]/the person with the disability] still have an open RDSP?
- 1: Yes
- 2: No
Introductory questions (DTC) - Question identifier:DTC_Q50
Why was the RDSP closed?
Would you say:
- 1: All contributions to the RDSP were withdrawn
- 2: No money belonging to [me/[NAME]/the person with the disability] remaining in the RDSP
- 3: The only money remaining in the account belongs to the government
- 4: Transferred money in RDSP to another financial institution
- 5: Canada Revenue Agency (CRA) has deemed [I/[NAME]/the person with the disability] [am/is] no longer eligible for the DTC
- 6: Death of beneficiary of the DTC
- 7: Other
Introductory questions (DTC) - Question identifier:DTC_Q55A
Before this survey, had you ever heard about the Registered Disability Savings Plan (RDSP)?
- 1: Yes
- 2: No
Introductory questions (DTC) - Question identifier:DTC_Q55B
Would you say you are:
- 1: Very knowledgeable about the RDSP
- 2: Somewhat knowledgeable about the RDSP
- 3: Not very knowledgeable about the RDSP
Introductory questions (DTC) - Question identifier:DTC_Q60
How did you hear about the RDSP?
Would you say:
Select all that apply.
- 01: From documentation sent by the government
- 02: Through a disability organization
- 03: Through an information session or presentation
- 04: From a financial advisor or a financial institution
- 05: Through a website or online (not on social media)
- 06: Through social media (e.g., Facebook, Twitter)
- 07: Through other media (e.g., newspaper, TV, radio)
- 08: From a social worker, physician, therapist, advocate, or other support worker
- 09: From a friend or relative
- 10: Through an advertisement
- 11: Other
Introductory questions (DTC) - Question identifier:DTC_Q65A
Why have you not opened an RDSP for [yourself/[NAME]/the person with the disability]?
Would you say:
Select all that apply.
- 01: I do not have enough money to save
- 02: Don't want or don't need to save
- 03: For other reasons related to savings
- 04: Too complicated
- 05: Lack of information about the RDSP
- 06: I believe it may affect social assistance (e.g., income supplement, rent subsidy, eligibility for subsidized care)
- 07: Do not have a Social Insurance Number (SIN)
- 08: Temporary DTC status
- 09: Other
Introductory questions (DTC) - Question identifier:DTC_Q65B
Was it because:
- 1: I am using another method to save money (e.g., savings or chequing account, Tax Free Savings Account, etc.)
- 2: I believe it can limit access to [my/[NAME]'s/the person with the disability's] savings (i.e., grants and bonds must stay 10 years in the plan, repayment rules can apply)
Introductory questions (DTC) - Question identifier:DTC_Q65C
What is too complicated about the process of opening an RDSP?
- 1: Filling in tax forms
- 2: Being eligible for the DTC
- 3: Having a bank account
- 4: Visiting the bank to open a plan
- 5: Other
Introductory questions (DTC) - Question identifier:DTC_Q70
Do you have money saved for [your/[NAME]'s/the person with the disability's] future?
- 1: Yes
- 2: No
Introductory questions (DTC) - Question identifier:DTC_Q75
What are the reasons you are saving for [your/[NAME]'s/the person with the disability's] future?
Would you say:
Select all that apply.
- 01: For financial freedom (e.g., for financial stability, to be financially independent)
- 02: For future medical expenses (e.g., expenses related to medications, medical devices or therapy)
- 03: For future caregiving expenses
- 04: For an education
- 05: For a home
- 06: For retirement
- 07: To start a business
- 08: For an emergency
- 09: Other
Introductory questions (DTC) - Question identifier:DTC_Q80
Which of the following methods are currently being used to save money for [your/[NAME]'s/the person with the disability's] future?
Are you using:
Select all that apply.
- 01: Savings or chequing account
- 02: Pension plan from employment
- 03: Tax Free Savings Account (TFSA)
- 04: Registered Retirement Savings Plan (RRSP)
- 05: Registered Education Savings Plan (RESP)
- 06: Other type of investment account (i.e., an account in which money is saved or invested long-term to earn money.)
- 07: Henson trust
- 08: Real estate (own home, have rental properties)
- 09: Other
Introductory questions (DTC) - Question identifier:DTC_Q85
Will you need to reapply for [your/[NAME]'s/the person with the disability's] Disability Tax Credit or is [your/[NAME]'s/the person with the disability's] eligibility permanent?
When the DTC eligibility is temporary, CRA notifies you that the tax credit will expire or that you will need to reapply for the DTC.
- 1: Will need to reapply
- 2: Eligibility is permanent
- 3: Don't know
Introductory questions (DTC) - Question identifier:DTC_Q90
Which, if any, of the following disabilities, impairments or health conditions affect [you/[NAME]/the person with the disability]?
Would you say:
Select all that apply.
- 01: Physical disability directly affecting flexibility, mobility or dexterity (e.g., arthritis, Parkinson's, ALS)
- 02: Vision impairment
- 03: Hearing impairment
- 04: Speech impairment
- 05: Diabetes
- 06: Heart disease
- 07: Stroke
- 08: Cancer
- 09: Respiratory disease (e.g., cystic fibrosis, chronic bronchitis, emphysema, chronic obstructive pulmonary disorder (COPD))
- 10: Intestinal, bowel, or stomach disabilities (e.g., intestinal and stomach ulcers, Crohn's disease, ulcerative colitis, irritable bowel syndrome or bowel incontinence)
- 11: Developmental, intellectual, or learning disabilities (e.g., Alzheimer's, dementia, autism, brain injuries, Down syndrome, ADHD)
- 12: Mental health issues (mental, emotional, and behavioral disorders) (e.g., depression, bipolar disorder, mania, dysthymia, phobia, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder)
- 13: Other
- 14: None
Demographic questions (PCO)
Demographic questions (PCO) - Question identifier:PCO_Q05
To determine which geographic region you live in, provide your postal code.
Postal code
Long Answer Length = 7
Example: A9A 9A9
Education (ED)
Education (ED) - Question identifier:ED_Q05
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: Trades 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.A. (Hons), B.Sc., B.Ed., LL.B.)
- 7: University certificate, diploma or degree above the bachelor's level
Aboriginal identity (ABM)
Aboriginal identity (ABM) - Question identifier:ABM_Q01
Are you an Aboriginal person, that is, First Nations (North American Indian), Métis or Inuk (Inuit)?
Would you say:
Note: First Nations (North American Indian) includes Status and Non-Status Indians.
Select all that apply.
- 1: No, not an Aboriginal person
- 2: Yes, First Nations (North American Indian)
- 3: Yes, Métis
- 4: Yes, Inuk (Inuit)
Immigration (IMM)
Immigration (IMM) - Question identifier:IMM_Q05A
Where were you born?
- 1: Born in Canada
- 2: Born outside Canada
Immigration (IMM) - Question identifier:IMM_Q05B
Are you a Canadian citizen?
- 1: Yes, a Canadian citizen by birth
- 2: Yes, a Canadian citizen by naturalization (Canadian citizen by naturalization refers to an immigrant who was granted citizenship of Canada under the Citizenship Act.)
- 3: No, not a Canadian citizen
Immigration (IMM) - Question identifier:IMM_Q05C
Are you a landed immigrant or permanent resident?
A landed immigrant or permanent resident is a person who has been granted the right to live in Canada permanently by immigration authorities.
- 1: No
- 2: Yes
Immigration (IMM) - Question identifier:IMM_Q10
In what year did you first become a landed immigrant or a permanent resident?
Year of immigration
Min = 1900; Max = 2020
If exact year is not known, enter best estimate.
Income (INC)
Income (INC) - Question identifier:INC_R05
Now a question about total household income.
Income (INC) - Question identifier:INC_Q05
What was your best estimate of your total household income received by all household members, from all sources, before taxes and deductions, during the year ending December 31, [2019]?
Income can come from various sources such as from work, investments, pensions or government. Examples include Employment Insurance, social assistance, child benefits and other income such as child support, spousal support (alimony) and rental income.
Capital gains should not be included in the household income.
- 01: Less than $10,000
- 02: $10,000 to less than $20,000
- 03: $20,000 to less than $30,000
- 04: $30,000 to less than $40,000
- 05: $40,000 to less than $50,000
- 06: $50,000 to less than $60,000
- 07: $60,000 to less than $70,000
- 08: $70,000 to less than $80,000
- 09: $80,000 to less than $90,000
- 10: $90,000 to less than $100,000
- 11: $100,000 and over
Income (INC) - Question identifier:INC_R10
Now a question about total personal income.
Income (INC) - Question identifier:INC_Q10
What was your best estimate of your total personal income, before taxes and deductions, from all sources during the year ending December 31, [2019]?
Income can come from various sources such as from work, investments, pensions or government. Examples include Employment Insurance, social assistance, child benefits and other income such as child support, spousal support (alimony) and rental income.
Capital gains should not be included in the household income.
- 01: Less than $10,000
- 02: $10,000 to less than $20,000
- 03: $20,000 to less than $30,000
- 04: $30,000 to less than $40,000
- 05: $40,000 to less than $50,000
- 06: $50,000 to less than $60,000
- 07: $60,000 to less than $70,000
- 08: $70,000 to less than $80,000
- 09: $80,000 to less than $90,000
- 10: $90,000 to less than $100,000
- 11: $100,000 and over
Main activity (MAC)
Main activity (MAC) - Question identifier:MAC_Q05
In a typical week within the past three months, what was your main activity?
Would you say:
Main activity means the activity on which you spend most of your time.
- 01: Working at a paid job or business
- 02: Looking for paid work
- 03: Unable to work (e.g., because of a disability or chronic illness)
- 04: Taking care of a person with a disability or chronic illness
- 05: Going to school or training
- 06: Maternity or paternity or parental leave
- 07: Stay at home parent
- 08: Volunteering
- 09: Retired
- 10: Other
- Date modified: