Impacts of COVID-19 on Canadians

For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.

Show all instructions

Table of Contents

Behaviours and health impacts (BH)

Behaviours and health impacts (BH) - Question identifier:BH_Q20

Which of the following precautions have you taken to reduce your risk of exposure to COVID-19?

  • 01: Stocked up on essentials at a grocery store or pharmacy
  • 02: Filled prescriptions
  • 03: Made a plan for caring for household members who are ill
  • 04: Made a plan for other non-household members (e.g., elderly relatives)
  • 05: Made a plan for communicating with family, friends and neighbours
  • 06: Avoided leaving the house for non-essential reasons
  • 07: Used social distancing when out in public (i.e., made changes in your everyday routine to minimize close contact with others.)
  • 08: Avoided crowds and large gathering
  • 09: Washed your hands more regularly
  • 10: Avoided touching your face
  • 11: Cancelled travel
  • 12: Worked from home
  • 13: Other
  • 14: None of the above

Behaviours and health impacts (BH) - Question identifier:BH_Q100

When practicing recommended public health measures, which source of information do you find the most helpful?

  • 01: News outlets including local, national and international sources
  • 02: Federal health agency (e.g., website, public service announcements)
  • 03: Provincial health agency (e.g., website, public service announcements)
  • 04: Municipal health agency (e.g., website, public service announcements)
  • 05: Federal daily announcements by public health and political leaders
  • 06: Provincial daily announcements by public health and political leaders
  • 07: Social media (e.g., Facebook, Instagram, SnapChat, TikTok, Twitter, YouTube)
  • 08: Family, friends or colleagues
  • 09: Health professionals
  • 10: Schools, universities, colleges (e.g., email, website)
  • 11: Place of employment
  • 12: Other
  • 13: I am not practicing recommended public health measures

Behaviours and health impacts (BH) - Question identifier:BH_Q105

Which social media application do you use most often to discuss topics about COVID-19?

  • 01: Facebook
  • 02: Twitter
  • 03: TikTok
  • 04: Snapchat
  • 05: Instagram
  • 06: LinkedIn
  • 07: Reddit
  • 08: Tumblr
  • 09: Sina Weibo
  • 10: Other
  • 11: None of the above

Behaviours and health impacts (BH) - Question identifier:BH_Q60A

In the last week, how often did you do each of the following activities?
Went shopping at the grocery store or drugstore

  • 1: Daily or more
  • 2: 4 or 5 times
  • 3: 1 to 3 times
  • 4: Never

Behaviours and health impacts (BH) - Question identifier:BH_Q60B

In the last week, how often did you do each of the following activities?
Used a delivery service for groceries or for a drugstore

  • 1: Daily or more
  • 2: 4 or 5 times
  • 3: 1 to 3 times
  • 4: Never

Behaviours and health impacts (BH) - Question identifier:BH_Q60C

In the last week, how often did you do each of the following activities?
Used a food delivery service for prepared food

  • 1: Daily or more
  • 2: 4 or 5 times
  • 3: 1 to 3 times
  • 4: Never

Behaviours and health impacts (BH) - Question identifier:BH_Q60D

In the last week, how often did you do each of the following activities?
Ate at a restaurant

  • 1: Daily or more
  • 2: 4 or 5 times
  • 3: 1 to 3 times
  • 4: Never

Behaviours and health impacts (BH) - Question identifier:BH_Q60E

In the last week, how often did you do each of the following activities?
Attended a public event

  • 1: Daily or more
  • 2: 4 or 5 times
  • 3: 1 to 3 times
  • 4: Never

Behaviours and health impacts (BH) - Question identifier:BH_Q60F

In the last week, how often did you do each of the following activities?
Travelled for work

  • 1: Daily or more
  • 2: 4 or 5 times
  • 3: 1 to 3 times
  • 4: Never

Behaviours and health impacts (BH) - Question identifier:BH_Q55A

How concerned are you about each of the following impacts of COVID-19?
My own health

  • 1: Not at all
  • 2: Somewhat
  • 3: Very
  • 4: Extremely

Behaviours and health impacts (BH) - Question identifier:BH_Q55B

How concerned are you about each of the following impacts of COVID-19?
Member of the household's health

  • 1: Not at all
  • 2: Somewhat
  • 3: Very
  • 4: Extremely

Behaviours and health impacts (BH) - Question identifier:BH_Q55C

How concerned are you about each of the following impacts of COVID-19?
Vulnerable people's health

  • 1: Not at all
  • 2: Somewhat
  • 3: Very
  • 4: Extremely

Behaviours and health impacts (BH) - Question identifier:BH_Q55D

How concerned are you about each of the following impacts of COVID-19?
Canadian population's health

  • 1: Not at all
  • 2: Somewhat
  • 3: Very
  • 4: Extremely

Behaviours and health impacts (BH) - Question identifier:BH_Q55E

How concerned are you about each of the following impacts of COVID-19?
World population's health

  • 1: Not at all
  • 2: Somewhat
  • 3: Very
  • 4: Extremely

Behaviours and health impacts (BH) - Question identifier:BH_Q55F

How concerned are you about each of the following impacts of COVID-19?
Overloading the health system

  • 1: Not at all
  • 2: Somewhat
  • 3: Very
  • 4: Extremely

Behaviours and health impacts (BH) - Question identifier:BH_Q55G

How concerned are you about each of the following impacts of COVID-19?
Civil disorder

  • 1: Not at all
  • 2: Somewhat
  • 3: Very
  • 4: Extremely

Behaviours and health impacts (BH) - Question identifier:BH_Q55H

How concerned are you about each of the following impacts of COVID-19?
Maintaining social ties

  • 1: Not at all
  • 2: Somewhat
  • 3: Very
  • 4: Extremely

Behaviours and health impacts (BH) - Question identifier:BH_Q55I

How concerned are you about each of the following impacts of COVID-19?
Ability to cooperate and support one another during the crisis

  • 1: Not at all
  • 2: Somewhat
  • 3: Very
  • 4: Extremely

Behaviours and health impacts (BH) - Question identifier:BH_Q55J

How concerned are you about each of the following impacts of COVID-19?
Ability to cooperate and support one another after the crisis

  • 1: Not at all
  • 2: Somewhat
  • 3: Very
  • 4: Extremely

Behaviours and health impacts (BH) - Question identifier:BH_Q55K

How concerned are you about each of the following impacts of COVID-19?
Family stress from confinement

  • 1: Not at all
  • 2: Somewhat
  • 3: Very
  • 4: Extremely

Behaviours and health impacts (BH) - Question identifier:BH_Q55L

How concerned are you about each of the following impacts of COVID-19?
Violence in the home

  • 1: Not at all
  • 2: Somewhat
  • 3: Very
  • 4: Extremely

Labour market impacts (LM)

Labour market impacts (LM) - Question identifier:LM_Q30

To what extent do you agree or disagree with the following statement?

I might lose my main job or main self-employment income source in the next four weeks.

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree
  • 6: Not working at a job or business

Labour market impacts (LM) - Question identifier:LM_Q40

Which of the following best describes the impact of COVID-19 on your ability to meet financial obligations or essential needs, such as rent or mortgage payments, utilities and groceries?

  • 1: Major impact
  • 2: Moderate impact
  • 3: Minor impact
  • 4: No impact
  • 5: Too soon to tell

Demographic questions (DEM)

Demographic questions (DEM) - Question identifier:DEM_Q05

What is your age?

Min = 0; Max = 999

Demographic questions (DEM) - Question identifier:DEM_Q10

What is your gender?

  • 1: Male
  • 2: Female
  • 3: Or please specify

Demographic questions (DEM) - Question identifier:DEM_Q15

To determine which geographic region you live in, please provide your postal code.

Long Answer Length = 6

Sign-up (UCE)

Sign-up (UCE) - Question identifier:UCE_R05

Would you like to sign-up for future surveys?

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 COVID-19, fake news, digital technologies, health, education and justice.

By participating in 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.

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

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

Sign-up (UCE) - Question identifier:UCE_R10

Thank you for signing up. We will contact you soon.

Report a problem on this page

Is something not working? Is there information outdated? Can't find what you're looking for?

Please contact us and let us know how we can help you.

Privacy notice

Date modified: