Survey on Accessibility in Federal Sector Organizations
For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
- Long-term conditions (LTC)
- Transportation (TRA)
- Barriers experienced while travelling (BET)
- Federal sector interactions (FSI)
- Barriers experienced while using information and communication technologies (BEI)
- Communication barriers (COM)
- Demographic questions (AGE)
- Demographic questions (GDR)
- Demographic questions (DEM)
- Sexual Orientation (SOR)
- Total household income (THI)
Long-term conditions (LTC)
Long-term conditions (LTC) - Question identifier:LTC_R05
In 2017, you participated in the Canadian Survey on Disability and indicated that your daily activities were limited due to one or more difficulties. The following questions are about any difficulties or long-term conditions you may have.
Only difficulties or long-term conditions that have lasted or are expected to last for six months or more should be considered.
Long-term conditions (LTC) - Question identifier:LTC_Q05
Do you have any difficulty seeing even when wearing glasses or contact lenses?
- 1: No
- 2: Sometimes
- 3: Often
- 4: Always
Long-term conditions (LTC) - Question identifier:LTC_Q10
Do you have any difficulty hearing even when using a hearing aid or cochlear implant?
- 1: No
- 2: Sometimes
- 3: Often
- 4: Always
Long-term conditions (LTC) - Question identifier:LTC_Q15
Do you have any difficulty walking, using stairs, using your hands or fingers or doing other physical activities?
- 1: No
- 2: Sometimes
- 3: Often
- 4: Always
Long-term conditions (LTC) - Question identifier:LTC_Q20
Do you have any difficulty learning, remembering or concentrating?
- 1: No
- 2: Sometimes
- 3: Often
- 4: Always
Long-term conditions (LTC) - Question identifier:LTC_Q25
Do you have any emotional, psychological or mental health conditions?
e.g., anxiety, depression, bipolar disorder, substance abuse, anorexia
- 1: No
- 2: Sometimes
- 3: Often
- 4: Always
Long-term conditions (LTC) - Question identifier:LTC_Q30
Do you have any other health problem or long-term condition that has lasted or is expected to last for six months or more?
Exclude any health problems previously reported.
- 1: No
- 2: Sometimes
- 3: Often
- 4: Always
Transportation (TRA)
Transportation (TRA) - Question identifier:TRA_R05
The following question is about any travel you have done since January 2019.
Transportation (TRA) - Question identifier:TRA_Q05
Over the last two years, have you used any of the following modes of transportation?
Have you used:
- 1: An airplane (e.g., Air Canada, Canadian North, Porter, Sunwing, WestJet)
- 2: A passenger train (e.g., Via Rail; Exclude commuter trains)
- 3: A ferry service (e.g., Marine Atlantic, Northumberland and Bay Ferries)
- 4: A bus that travels between municipalities, provinces or territories (e.g., Greyhound, Maritime Bus, Megabus)
- 5: I have not used any of these modes of travel
Barriers experienced while travelling (BET)
Barriers experienced while travelling (BET) - Question identifier:BET_R05
The next question is about possible barriers you may have experienced because of your condition. We want you to think about barriers that might limit your access to or lessen your participation in different areas and activities in your life.
By barriers we mean something that could be changed, removed, modified or done differently. For example, design features of a building, as well as nonphysical barriers such as attitudes, communication, and technology.
Barriers experienced while travelling (BET) - Question identifier:BET_Q05A
While travelling over the last two years, how often have you experienced a barrier because of your condition with the following?
Barrier with entrances or exits
e.g., steps, narrow doorways, no push buttons for doors, lack of ramps
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Barriers experienced while travelling (BET) - Question identifier:BET_Q05B
While travelling over the last two years, how often have you experienced a barrier because of your condition with the following?
Barrier with floorplans or fixtures inside buildings
e.g., narrow aisles or hallways, lack of elevators, issues with seating or counters
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Barriers experienced while travelling (BET) - Question identifier:BET_Q05C
While travelling over the last two years, how often have you experienced a barrier because of your condition with the following?
Barrier with lighting or sound levels
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Barriers experienced while travelling (BET) - Question identifier:BET_Q05D
While travelling over the last two years, how often have you experienced a barrier because of your condition with the following?
Barrier with washrooms in terminals or on transportation vehicles
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Barriers experienced while travelling (BET) - Question identifier:BET_Q05E
While travelling over the last two years, how often have you experienced a barrier because of your condition with the following?
Barrier with wait lines
e.g., lack of accessible seating, alternative service, line queues
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Barriers experienced while travelling (BET) - Question identifier:BET_Q05F
While travelling over the last two years, how often have you experienced a barrier because of your condition with the following?
Barrier with announcements or alarms
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Barriers experienced while travelling (BET) - Question identifier:BET_Q05G
While travelling over the last two years, how often have you experienced a barrier because of your condition with the following?
Barrier with signs or directions
e.g., signage to aid wayfinding, including electronic signage, tactile signage
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Barriers experienced while travelling (BET) - Question identifier:BET_Q05H
While travelling over the last two years, how often have you experienced a barrier because of your condition with the following?
Barrier with level of service or accommodations
e.g., treatment by personnel, allowance of service animals
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Barriers experienced while travelling (BET) - Question identifier:BET_Q05I
While travelling over the last two years, how often have you experienced a barrier because of your condition with the following?
Barrier with using website
e.g., making reservations, looking for information
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Federal sector interactions (FSI)
Federal sector interactions (FSI) - Question identifier:FSI_R05
The following question is about your experiences with Canadian organizations and businesses.
Federal sector interactions (FSI) - Question identifier:FSI_Q05
Over the last two years, have you done any of the following activities?
Include any activities done in person, online, by mail or email.
Have you:
- 01: Used banking services
- 02: Watched or listened to television (Exclude Amazon Prime, Netflix, YouTube)
- 03: Used postal services (e.g., Canada Post, FedEx, Purolator, UPS)
- 04: Personally filed your taxes (Exclude accountants)
- 05: Applied for a passport
- 06: Applied for or requested information about a federal government program
- 07: Voted in the October 2019 federal election
- 08: Purchased a cell phone or Internet service (e.g., paid monthly bills, bought a new cell phone or plan)
- 09: Contacted your federal Member of Parliament
- 10: Requested or accessed travel information (e.g., from an airline, train, intercity bus or ferry)
- 11: I have not done any of these activities
Barriers experienced while using information and communication technologies (BEI)
Barriers experienced while using information and communication technologies (BEI) - Question identifier:BEI_R05
The next question is about any barriers you may have experienced while using information and communication technologies because of your condition.
By barriers we mean something that could be changed, removed, modified or done differently. For example, design features of a building, as well as nonphysical barriers such as attitudes, communication, and technology.
Barriers experienced while using information and communication technologies (BEI) - Question identifier:BEI_Q05A
Over the last two years, how often have you experienced a barrier because of your condition with the following activities?
Barrier with online access to federally regulated business
e.g., websites for federally regulated businesses, Air Canada, Telus, VIA Rail
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Barriers experienced while using information and communication technologies (BEI) - Question identifier:BEI_Q05B
Over the last two years, how often have you experienced a barrier because of your condition with the following activities?
Barrier with online access to federal government information, services or supports
e.g., Applying or submitting forms for Employment Insurance, Disability Benefits, Emergency Benefits, passport, taxes, grant funding, employment programs
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Barriers experienced while using information and communication technologies (BEI) - Question identifier:BEI_Q05C
Over the last two years, how often have you experienced a barrier because of your condition with the following activities?
Barrier with using in person self-serve technology
e.g., ATMs, self-checkouts at the grocery store, automated check-in at the airport
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Barriers experienced while using information and communication technologies (BEI) - Question identifier:BEI_Q05D
Over the last two years, how often have you experienced a barrier because of your condition with the following activities?
Barrier with watching TV shows, movie, or other content through traditional television platforms
Exclude Amazon Prime, Apple TV, Crave, Netflix
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Communication barriers (COM)
Communication barriers (COM) - Question identifier:COM_Q05A
Over the last two years, how often have you experienced barriers communicating because of your condition in any of the following situations?
Barriers communicating in person
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Communication barriers (COM) - Question identifier:COM_Q05B
Over the last two years, how often have you experienced barriers communicating because of your condition in any of the following situations?
Barriers communicating by phone
Include phone conversations, Video Relay Service and Message Relay Service.
Exclude text messages.
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Communication barriers (COM) - Question identifier:COM_Q05C
Over the last two years, how often have you experienced barriers communicating because of your condition in any of the following situations?
Barriers communicating using video conferencing
e.g., Skype, Webex, Zoom
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Communication barriers (COM) - Question identifier:COM_Q05D
Over the last two years, how often have you experienced barriers communicating because of your condition in any of the following situations?
Barriers communicating using social media or online chat forums
e.g., Facebook, Instagram, Twitter
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Communication barriers (COM) - Question identifier:COM_Q05E
Over the last two years, how often have you experienced barriers communicating because of your condition in any of the following situations?
Barriers communicating reading and understanding written materials
- 1: Not applicable
- 2: Never
- 3: Rarely
- 4: Sometimes
- 5: Often
- 6: Always
Demographic questions (AGE)
Demographic questions (AGE) - Question identifier:AGE_Q02
What is your age?
Min = 0; Max = 999
Demographic questions (GDR)
Demographic questions (GDR) - Question identifier:GDR_Q10
What is your gender?
Is it:
- 1: Male
- 2: Female
- 3: Or please specify
Demographic questions (DEM)
Demographic questions (DEM) - Question identifier:DEM_Q05
To determine which geographic region you live in, please provide your postal code.
Long Answer Length = 6
Sexual Orientation (SOR)
Sexual Orientation (SOR) - Question identifier:SOR_Q01
What is your sexual orientation?
Would you say you are:
- 1: Heterosexual
- 2: Lesbian or gay
- 3: Bisexual
- 4: Or please specify
Total household income (THI)
Total household income (THI) - Question identifier:THI_R01
Now a question about total household income.
Total household income (THI) - Question identifier:THI_Q01
What is 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, 2020?
Min = -9999999; Max = 99999999
Total household income (THI) - Question identifier:THI_Q02
What is 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, 2020?
Was it:
- 1: Under $20,000
- 2: $20,000 to just under $40,000
- 3: $40,000 to just under $60,000
- 4: $60,000 to just under $80,000
- 5: $80,000 to just under $100,000
- 6: $100,000 to just under $150,000
- 7: $150,000 and above
- Date modified: