Portrait of Canadian Society - Experiences During the Pandemic
For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
- Respondent confirmation (RC)
- Main activity (MAC)
- Employment1 (CAB)
- Employment2 (STJ)
- Voting intentions (EC)
- Financial obligations (TR)
- Access to health care services (HCS)
- COVID-19 Vaccination (COV)
- Child care in your community (ARR)
- Perceptions of safety (PS)
- Live in an inclusive community (LWC)
- Life opportunities (OPP)
- Sociodemographic characteristics (PG)
Respondent confirmation (RC)
Respondent confirmation (RC) - Question identifier:RC_R01
The following questions are for ^NAME_OR_EMAIL.
Main activity (MAC)
Main activity (MAC) - Question identifier:MAC_Q05
Last week, was your main activity working at a paid job or business, looking for paid work, going to school, caring for children, household work, retired or something else?
- 01: Working at a paid job or business
- 02: Vacation from paid work
- 03: Looking for paid work
- 04: Going to school, including vacation from school
- 05: Caring for children
- 06: Household work
- 07: Retired
- 08: Maternity, paternity or parental leave
- 09: Long term illness
- 10: Volunteering
- 11: Care-giving other than for children
- 12: Other
Employment1 (CAB)
Employment1 (CAB) - Question identifier:CAB_Q01
Which of the following employment benefits do you have access to as part of your employment?
If you have more than one current job, please think of the one you spend the most time on.
Select all that apply.
- 01: Workplace pension plan
- 02: Paid sick leave
- 03: Paid vacation leave
- 04: Disability insurance
- 05: Supplemental medical or dental care
- 06: Worker's compensation
- 07: Maternity, parental or layoff benefits
- 08: Other benefits
- 09: None of these
Employment2 (STJ)
Employment2 (STJ) - Question identifier:STJ_Q09
In the past 12 months, have you had formal training paid for by your employer or by yourself?
For career or job development, not for general interest.
Select all that apply.
- 1: Yes, paid for by my employer
- 2: Yes, paid for by myself as an employee
- 3: Yes, paid for by myself as I am self-employed
- 4: No formal training
Employment2 (STJ) - Question identifier:STJ_Q11
In the past 12 months, have you had informal or on-the-job training from co-workers or supervisors?
Include online training.
- 1: Yes
- 2: No
- 3: Not applicable
Voting intentions (EC)
Voting intentions (EC) - Question identifier:EC_Q05A
If a federal election were to be held in the coming weeks and considering the current situation with COVID-19, do you plan to vote?
- 1: Yes
- 2: No
Voting intentions (EC) - Question identifier:EC_Q05B
What voting method do you plan to use?
- 1: At a polling station on election day
- 2: At an advance polling station
- 3: At a local Elections Canada office before election day
- 4: By mail
- 9: DK
Financial obligations (TR)
Financial obligations (TR) - Question identifier:TR_R05
The following question is about your experience during the COVID-19 pandemic, that is from March 15, 2020 to present.
Financial obligations (TR) - Question identifier:TR_Q05
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
- 9: DK
Access to health care services (HCS)
Access to health care services (HCS) - Question identifier:HCS_Q05
Since the beginning of the COVID-19 pandemic, have you personally experienced problems accessing any of the following health care services?
Select all that apply.
- 01: Non-emergency surgery (e.g., cardiac, knee or hip replacement, cataract)
- 02: Non-emergency diagnostic test (e.g., MRI, CT scan, ultrasound, angiogram)
- 03: Appointment with your family doctor
- 04: Appointment with a medical specialist (e.g., cardiologist, optometrist, oncologist)
- 05: Appointment for rehabilitative care (e.g., physiotherapist, massage therapist, chiropractor)
- 06: Dental care (e.g., dentist, orthodontist)
- 07: Help for mental health (e.g., counselling appointment, support group)
- 08: Medical treatment (e.g., chemo, radiotherapy, dialysis)
- 09: Natural medicine (e.g., naturopathy, acupuncture)
- 10: Emergency services, urgent care (e.g., hospital emergency room)
- 11: Other health care services
- 12: I did not need these services or I did not experience problems accessing any of these health care services
Access to health care services (HCS) - Question identifier:HCS_Q10
Since the beginning of the COVID-19 pandemic, which of the following types of difficulties did you experience accessing health care services?
Select all that apply.
- 01: Difficulty getting a referral
- 02: Difficulty getting an appointment
- 03: Difficulty contacting a physician or nurse to get information or advice
- 04: Waited too long between booking an appointment and visit
- 05: Waited too long to get health care service (i.e., in-office waiting)
- 06: The service was not available at time required (i.e., reduced hours of operation)
- 07: Was refused service because I was experiencing symptoms of COVID-19 or because I was considered to have been at risk of exposure to COVID-19
- 08: Transportation problems
- 09: Language problem
- 10: Cost
- 11: Other types of difficulties accessing health care services
Access to health care services (HCS) - Question identifier:HCS_Q15
How was your health affected by the difficulty in accessing any of these health services?
Select all that apply.
- 1: Worry, anxiety or stress
- 2: Pain
- 3: Unable to do usual activities (e.g., caring for yourself or others, chores around the house, work)
- 4: Overall health deteriorated, condition got worse
- 5: Other impact
- 6: No impact
COVID-19 Vaccination (COV)
COVID-19 Vaccination (COV) - Question identifier:COV_Q20
Have you been vaccinated against COVID-19?
- 1: Yes, received at least one dose of a vaccine
- 2: No
COVID-19 Vaccination (COV) - Question identifier:COV_Q25
How likely is it that you would get a COVID-19 vaccine?
- 1: Very likely
- 2: Somewhat likely
- 3: Somewhat unlikely
- 4: Very unlikely
Child care in your community (ARR)
Child care in your community (ARR) - Question identifier:ARR_Q60A
Are there problems with child care in your community?
A community includes but is larger than a neighbourhood.
- 1: Yes
- 2: No
- 9: DK
Child care in your community (ARR) - Question identifier:ARR_Q60B
What problems are there in your community?
Select all that apply.
- 01: Child care is too expensive
- 02: Poor quality
- 03: Not enough spots available
- 04: Child care not provided in preferred language
- 05: Hours of care not convenient
- 06: Location of care not convenient
- 07: Reduced child care availability due to the COVID-19 pandemic
- 08: Other problems
Perceptions of safety (PS)
Perceptions of safety (PS) - Question identifier:PS_R05
The following questions are about your perceptions of safety in your neighbourhood.
Perceptions of safety (PS) - Question identifier:PS_Q10
Since the start of the COVID-19 pandemic, how often would you say people are harassed or attacked in your neighbourhood because of their skin colour, ethnic origin or religion?
- 1: Often
- 2: Sometimes
- 3: Rarely
- 4: I am not aware of such situations
Perceptions of safety (PS) - Question identifier:PS_Q20
Since the start of the COVID-19 pandemic, has your overall sense of personal safety from violence increased, decreased, or remained about the same?
- 1: Increased
- 2: Decreased
- 3: About the same
Perceptions of safety (PS) - Question identifier:PS_Q30
Since the start of the COVID-19 pandemic, how safe do you feel from crime when walking alone in your neighbourhood after dark?
- 1: Very safe
- 2: Reasonably safe
- 3: Somewhat unsafe
- 4: Very unsafe
- 5: Do not walk alone after dark
Live in an inclusive community (LWC)
Live in an inclusive community (LWC) - Question identifier:LWC_Q10
In general, would you say that you live in an inclusive community?
An inclusive community is a community where you would not hesitate to participate in activities for fear of being harassed, ridiculed or discriminated against.
- 1: Yes
- 2: No
Life opportunities (OPP)
Life opportunities (OPP) - Question identifier:OPP_Q10
Overall, do you think that your life opportunities will improve, worsen or stay the same in the next year?
- 1: Improve
- 2: Worsen
- 3: Stay the same
Sociodemographic characteristics (PG)
Sociodemographic characteristics (PG) - Question identifier:PG_R20
The following information is collected to support programs that promote equal opportunities for everyone in the social, cultural and economic life of Canada.
Sociodemographic characteristics (PG) - Question identifier:PG_Q20
Which of the following groups best describe you?
Select all that apply.
- 01: White
- 02: South Asian
- 03: East Asian
- 04: Black
- 05: Southeast Asian
- 06: North African
- 07: Middle Eastern
- 08: Latin American
- 09: Other group
- Date modified: