Canadian Social Survey - Quality of Life, Health and Impacts of Rising Prices
For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
- Location of residence (DEM)
- Sex and gender (GDR)
- Age (AGE)
- Occupancy (DWL)
- Life satisfaction (LSM)
- Sense of meaning and purpose (MP)
- General health (GEN)
- Future outlook (FO)
- Loneliness (LON)
- Sense of belonging to local community (SBL)
- Someone to count on (RES)
- Main activity (MAC)
- Satisfaction (DOS)
- Trust in the media (TM)
- Discrimination or unfair treatment in Canada (DIS)
- Financial well-being (EHA)
- Impacts of rising prices (IRP)
- Education (ED)
- Sexual and reproductive health (SRH)
- Marital status (MS)
- Language (LAN)
- Indigenous identity (ABM)
- Sociodemographic characteristics (PG)
- Place of birth, immigration and citizenship (DEM1)
- Long-term conditions (LTC)
- Sexual orientation (SOR)
- Total household income (THI)
- Total personal income (TPI)
- Future surveys (UCE)
Location of residence (DEM)
Location of residence (DEM) - Question identifier:DEM_Q15
To determine which geographic region you live in, provide your postal code.
Postal code
Long Answer Length = 7
Sex and gender (GDR)
Sex and gender (GDR) - Question identifier:GDR_R05
The following questions are about sex at birth, gender and age.
Sex and gender (GDR) - Question identifier:GDR_Q05
What was your sex at birth?
Sex refers to sex assigned at birth.
- 1: Male
- 2: Female
Sex and gender (GDR) - Question identifier:GDR_Q10
What is your gender?
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
Sex and gender (GDR) - Question identifier:GDR_R15
Please verify that all of the information is correct.
If all the information is correct, press the Next button.
To make changes, press the Previous button.
Your information
Sex assigned at birth: [Male/Female/Information not provided]
Gender: [Male/Female/Specify your gender/Information not provided]
Age (AGE)
Age (AGE) - Question identifier:AGE_Q01A
What is your date of birth?
Year
Min = 0000; Max = 9999
Age (AGE) - Question identifier:AGE_Q01B
What is your date of birth?
Month
- 01: January
- 02: February
- 03: March
- 04: April
- 05: May
- 06: June
- 07: July
- 08: August
- 09: September
- 10: October
- 11: November
- 12: December
Age (AGE) - Question identifier:AGE_Q01C
What is your date of birth?
Day
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20
- 21: 21
- 22: 22
- 23: 23
- 24: 24
- 25: 25
- 26: 26
- 27: 27
- 28: 28
- 29: 29
- 30: 30
- 31: 31
Age (AGE) - Question identifier:AGE_Q02
What is your age?
Age in years
Min = 0; Max = 999
Occupancy (DWL)
Occupancy (DWL) - Question identifier:DWL_Q01A
Is this dwelling owned by a member of this household?
- 1: Yes, owned, even if it is still being paid for
- 2: No, rented, even if no cash rent is paid
Life satisfaction (LSM)
Life satisfaction (LSM) - Question identifier:LSM_Q01
Using a scale of 0 to 10, where 0 means "Very dissatisfied" and 10 means "Very satisfied", how do you feel about your life as a whole right now?
- 00: 0 Very dissatisfied
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Very satisfied
Sense of meaning and purpose (MP)
Sense of meaning and purpose (MP) - Question identifier:MP_Q01
Using a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you feel the things you do in your life are worthwhile?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
General health (GEN)
General health (GEN) - Question identifier:GEN_R01
The following questions are about health. By health, we mean not only the absence of disease or injury but also physical, mental and social well-being.
General health (GEN) - Question identifier:GEN_Q01
In general, how is your health?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
General health (GEN) - Question identifier:GEN_Q02
In general, how is your mental health?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
Future outlook (FO)
Future outlook (FO) - Question identifier:FO_Q01
Thinking about your life in general, how often would you say you have a hopeful view of the future?
- 1: Always
- 2: Often
- 3: Sometimes
- 4: Rarely
- 5: Never
Loneliness (LON)
Loneliness (LON) - Question identifier:LON_Q01
How often do you feel lonely?
- 1: Always
- 2: Often
- 3: Sometimes
- 4: Rarely
- 5: Never
Sense of belonging to local community (SBL)
Sense of belonging to local community (SBL) - Question identifier:SBL_Q100
How would you describe your sense of belonging to your local community?
- 1: Very strong
- 2: Somewhat strong
- 3: Somewhat weak
- 4: Very weak
- 5: No opinion
Someone to count on (RES)
Someone to count on (RES) - Question identifier:RES_Q06
How often would you say you have people you can depend on to help you when you really need it?
- 1: Always
- 2: Often
- 3: Sometimes
- 4: Rarely
- 5: Never
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
Satisfaction (DOS)
Satisfaction (DOS) - Question identifier:DOS_Q08
On a scale from 0 to 10, where 0 means you feel "Not at all satisfied" and 10 means you are "Completely satisfied", how satisfied are you with the amount of time you have to do the things that you like doing?
- 00: 0 Not at all satisfied
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely satisfied
Satisfaction (DOS) - Question identifier:DOS_Q09
On a scale from 0 to 10, where 0 means you feel "Not at all satisfied" and 10 means you are "Completely satisfied", how satisfied are you with the quality of your local environment such as access to green space, and air or water quality?
- 00: 0 Not at all satisfied
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely satisfied
Trust in the media (TM)
Trust in the media (TM) - Question identifier:TM_R05
The following questions are about trust in media. The media are communication outlets that deliver news and information through the Internet, social media, television, radio and in print.
Trust in the media (TM) - Question identifier:TM_Q05
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from the media?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q10
From which source do you get most of your news or information?
- 1: Internet, other than social media (Include: web pages, podcasts, blogs)
- 2: Social media (Include websites, forums and applications where users create and share content or participate in social networking.
e.g., Facebook, Instagram, Twitter, LinkedIn, TikTok) - 3: Television
- 4: Radio
- 5: Print media (Include: newspapers, magazines)
- 6: Other
Trust in the media (TM) - Question identifier:TM_R15
Please rate your level of trust in these sources, whether you use them or not.
Trust in the media (TM) - Question identifier:TM_Q15
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from the Internet, other than social media?
Include: web pages, podcasts, blogs
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q20
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from social media?
Include websites, forums and applications where users create and share content or participate in social networking.
e.g., Facebook, Instagram, Twitter, LinkedIn, TikTok
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q25
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from television?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q30
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from radio?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q35
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from print media?
Include: newspapers, magazines
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Discrimination or unfair treatment in Canada (DIS)
Discrimination or unfair treatment in Canada (DIS) - Question identifier:DIS_R05
The next questions are about your possible experiences with discrimination or unfair treatment in Canada.
Discrimination or unfair treatment in Canada (DIS) - Question identifier:DIS_Q05
In the past 5 years, have you experienced discrimination or been treated unfairly by others in Canada because of any of the following?
Select all that apply.
- 01: Your Indigenous identity
- 02: Your ethnicity or culture
- 03: Your race or skin colour
- 04: Your religion
- 05: Your language
- 06: Your accent
- 07: Your physical appearance (Include discrimination on the basis of weight, height, hair style or colour, clothing, jewelry, tattoos and other physical characteristics. Exclude discrimination on the basis of skin colour.)
- 08: Your sex (Sex refers to sex assigned at birth.)
- 09: Your sexual orientation (e.g., heterosexual, lesbian, gay, bisexual)
- 10: Your gender identity or expression (Include gender diverse identities such as two-spirit or nonbinary.)
- 11: Your age
- 12: A physical or mental disability
- 13: Some other reason
- 14: Did not experience discrimination
Discrimination or unfair treatment in Canada (DIS) - Question identifier:DIS_Q10
In what types of situations have you experienced discrimination in Canada in the past 5 years?
Select all that apply.
- 01: In a store, bank or restaurant
- 02: When attending school or classes
- 03: On the Internet, including social media platforms
- 04: At work or when applying for a job or promotion
- 05: When seeking or applying for housing (e.g., buying or renting)
- 06: When interacting with the police
- 07: When interacting with the courts
- 08: When crossing the border into Canada (Exclude incidences of discrimination upon leaving Canada.)
- 09: While attending social gatherings or by or among friends or family
- 10: While using public areas, such as parks and sidewalks
- 11: While using public transit, such as buses, trains or taxis
- 12: When seeing a medical health professional or in other health care settings (Medical health professionals may include doctors, nurses, physiotherapists, etc.
In health care settings may include at hospitals, clinics, dental offices, etc.) - 13: Any other situation
Financial well-being (EHA)
Financial well-being (EHA) - Question identifier:EHA_Q10
In the past 12 months, how difficult or easy was it for your household to meet its financial needs in terms of transportation, housing, food, clothing and other necessary expenses?
- 1: Very difficult
- 2: Difficult
- 3: Neither difficult nor easy
- 4: Easy
- 5: Very easy
Impacts of rising prices (IRP)
Impacts of rising prices (IRP) - Question identifier:IRP_R05
When answering the following questions, please think of recent rising prices. There may be various factors influencing your concerns or decisions, but your responses should focus on recent price increases.
Impacts of rising prices (IRP) - Question identifier:IRP_Q05
Are rising prices affecting your ability to meet day-to-day expenses
e.g., food, clothing, housing, transportation, other necessary expenses
- 1: Yes, a lot
- 2: Yes, somewhat
- 3: No
Impacts of rising prices (IRP) - Question identifier:IRP_Q10
Are you concerned with the impact that rising prices may have on your ability to meet day-to-day expenses over the next 6 months?
e.g., food, clothing, housing, transportation, other necessary expenses
- 1: Yes, very concerned
- 2: Yes, somewhat concerned
- 3: No, not concerned
Impacts of rising prices (IRP) - Question identifier:IRP_Q15
Thinking about yourself, family, friends, and people in your community, are you concerned about rising food prices?
- 1: Yes, very concerned
- 2: Yes, somewhat concerned
- 3: No, not concerned
Impacts of rising prices (IRP) - Question identifier:IRP_Q20
Due to rising food prices, do you think you or other household members will have to obtain food or meals, at no cost to you, from a community organization over the next 6 months?
"Community organization" can include food banks, community centres, school programs, faith-based organizations, or community gardens.
- 1: Yes, very likely
- 2: Yes, somewhat likely
- 3: No, not likely
Impacts of rising prices (IRP) - Question identifier:IRP_Q25
Are you concerned with your ability to afford housing or rent because of rising housing prices?
Exclude mortgage costs, utilities, interest costs, property taxes and condominium fees.
- 1: Yes, very concerned
- 2: Yes, somewhat concerned
- 3: No, not concerned
Impacts of rising prices (IRP) - Question identifier:IRP_Q27
Are you concerned with other people's ability to afford housing or rent because of rising housing costs?
e.g., children, other family members, friends, others
Exclude mortgage costs, utilities, interest costs, property taxes and condominium fees.
- 1: Yes, very concerned
- 2: Yes, somewhat concerned
- 3: No, not concerned
Impacts of rising prices (IRP) - Question identifier:IRP_Q30
Have rising housing prices or rents influenced decisions about whether to move from your current residence within the last 6 months?
- 1: I wanted to buy a home or move to a new rental, but did not because of rising prices
- 2: I purchased a home or moved to a new rental sooner than planned, or chose a more affordable option, because of rising prices (e.g., purchasing a house or moving to a new rental before prices potentially rise more, downsizing to a more affordable house or rental)
- 3: I moved within the last 6 months and would have done so regardless of rising prices
- 4: I did not consider moving within the last 6 months
Impacts of rising prices (IRP) - Question identifier:IRP_Q35
Are you concerned with rising gasoline prices?
- 1: Yes, very concerned
- 2: Yes, somewhat concerned
- 3: No, not concerned
- 4: Not applicable I do not purchase gasoline, and do not plan to do so in the next 6 months
Impacts of rising prices (IRP) - Question identifier:IRP_Q40
In the past 6 months, in which area have you been most affected by rising prices?
- 1: Transportation (e.g., gasoline, vehicles, public transportation, ride sharing, taxis, flights)
- 2: Shelter (Include housing costs such as rent, utilities, repairs and renovations.)
- 3: Food (e.g., groceries, dining out, food delivery, take-out)
- 4: Recreation (e.g., travelling, sports equipment, movies, music, electronics, social activities)
- 5: Household operations (e.g., furniture, appliances, internet, phone, child care, financial services, pet care, clothing)
- 6: Education (Include tuition and school supplies.)
Impacts of rising prices (IRP) - Question identifier:IRP_Q45
In the past 6 months, what have you started doing, or done more than before, to deal with rising prices?
Select all that apply.
- 1: Sought out sales and promotions (Include the use of price comparison applications or services.)
- 2: Purchased cheaper alternatives, brands or items
- 3: Delayed a purchase
- 4: Other changes in purchasing habits (e.g., purchasing meat less often, getting take-out food or delivery less often, spending less on recreation and leisure, repairing items instead of replacing them, buying used goods online, reducing overconsumption)
- 5: Used community services (e.g., food banks, thrift stores, community centres, school programs, faith-based organizations, community gardens)
- 6: None of the above
Impacts of rising prices (IRP) - Question identifier:IRP_Q50
In the past 6 months, due to rising prices, did you have to borrow money to meet day-to-day expenses?
e.g., borrowing money from friends or relatives, taking on additional debt, using credit
- 1: Yes, often
- 2: Yes, sometimes
- 3: No
Impacts of rising prices (IRP) - Question identifier:IRP_Q55
In the past 6 months, how have rising prices of day-to-day expenses affected your ability to save money?
Saving money refers to money placed in a RRSP, TFSA, RESP or a savings account.
- 1: I have had to draw on my savings to pay my expenses
- 2: I have not had to draw on my savings, but I am saving less each month
- 3: I am no longer able to save money each month
- 4: My savings have not been affected
- 5: My savings have increased
- 6: I do not usually save money
Impacts of rising prices (IRP) - Question identifier:IRP_Q60
In the past 6 months, have you made any major non-essential purchases sooner than planned, because of expected shortages in supply or rising prices?
A major non-essential purchase refers to buying a good or service of a high monetary value that is not needed for basic daily life. This could be a luxury good or service, or an addition or upgrade to an existing good or service you already have.
e.g., television, video game console, vacation, upgrade to furniture or appliances
- 1: Yes
- 2: No, supply shortages or rising prices did not impact my decision making
- 3: No, I had not planned any major non-essential purchases
Impacts of rising prices (IRP) - Question identifier:IRP_Q65
In the past 6 months, have you postponed any major non-essential purchases because of expected shortages in supply or rising prices?
A major non-essential purchase refers to buying a good or service of a high monetary value that is not needed for basic daily life. This could be a luxury good or service, or an addition or upgrade to an existing good or service you already have.
e.g., television, video game console, vacation, upgrade to furniture or appliances
- 1: Yes
- 2: No, supply shortages or rising prices did not impact my decision making
- 3: No, I had not planned any major non-essential purchases
Impacts of rising prices (IRP) - Question identifier:IRP_Q70
Thinking about the amount of stress in your life related to financial issues, how would you describe most of your days?
- 1: Not at all stressful
- 2: Not very stressful
- 3: A bit stressful
- 4: Quite a bit stressful
- 5: Extremely stressful
Impacts of rising prices (IRP) - Question identifier:IRP_Q80
In the past 6 months, have rising prices influenced your decision to participate more in any of the following activities?
Select all that apply.
- 1: Donating money or goods to community services (e.g., food banks, furniture or clothing donation, community service organizations, shelters)
- 2: Giving money or goods to other individuals or households who are struggling financially
- 3: Participating in fundraisers that assist individuals or households who are struggling financially
- 4: Volunteering formally for a community organization focused on poverty or community assistance (e.g., shelters, social services, food delivery for seniors)
- 5: Volunteering informally to help other individuals or households who are struggling financially (e.g., food delivery to a family member)
- 6: Offering professional services at no charge to other individuals or households who are struggling financially
- 7: I have not been influenced by rising prices to increase my participation in the activities above
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
Sexual and reproductive health (SRH)
Sexual and reproductive health (SRH) - Question identifier:SRH_R01
The following questions are about access to sexual and reproductive health information. The questions relate to where people may get information and if they have discussed their sexual and reproductive health needs with a health care provider. The information provided will help inform guidelines, programs and policies.
Sexual and reproductive health (SRH) - Question identifier:SRH_Q01
Thinking about your time in elementary or high school, how helpful was your sex education in terms of preparing you for a healthy life?
- 1: Very helpful
- 2: Helpful
- 3: Unhelpful
- 4: Very unhelpful
- 5: Did not receive any sex education
Sexual and reproductive health (SRH) - Question identifier:SRH_Q02
How confident are you that you have the information you need to make healthy decisions about your sexual and reproductive health?
- 1: Very confident
- 2: Somewhat confident
- 3: Not very confident
- 4: Not confident at all
Sexual and reproductive health (SRH) - Question identifier:SRH_Q03
Where do you typically get information about sexual and reproductive health?
Select all that apply.
- 01: Health care providers such as doctors, nurses, psychiatrists, sex therapists or other health care providers (Include in-person or virtual)
- 02: Media, including Internet, television, radio or print
- 03: Friends
- 04: Family
- 05: Sexual partners
- 06: Telephone hotlines or live chats
- 07: Self-help groups (Include in-person or virtual)
- 08: Other sources
- 09: I do not get information from any source
Sexual and reproductive health (SRH) - Question identifier:SRH_Q04
Have you and any health care provider ever talked about any of the following topics?
Select all that apply.
- 1: Your sexuality
- 2: Your sexual history
- 3: Your sexual relationships
- 4: Your fertility
- 5: Birth control or pregnancy prevention
- 6: Sexually transmitted or blood borne infection prevention
- 7: I have not discussed any of these topics with a health care provider
Sexual and reproductive health (SRH) - Question identifier:SRH_Q05
Has discomfort talking about your sexual or reproductive health ever prevented you from getting help from a health care provider?
Discomfort includes feeling uneasy, anxious or embarrassed.
- 1: Yes
- 2: No
Marital status (MS)
Marital status (MS) - Question identifier:MS_Q01
What is your marital status?
- 1: Married (For Quebec residents only, select the "Married" category if your marital status is "civil union".)
- 2: Living common law (Two people who live together as a couple but who are not legally married to each other.)
- 3: Never married and not living common law
- 4: Separated and not living common law
- 5: Divorced and not living common law
- 6: Widowed and not living common law
Language (LAN)
Language (LAN) - Question identifier:LAN_Q01
Can you speak English or French well enough to conduct a conversation?
- 1: English only
- 2: French only
- 3: Both English and French
- 4: Neither English nor French
Language (LAN) - Question identifier:LAN_Q02
What language do you currently speak most often at home?
- 1: English
- 2: French
- 3: Other
Indigenous identity (ABM)
Indigenous identity (ABM) - Question identifier:ABM_Q01
Are you First Nations, Métis or Inuk (Inuit)?
First Nations (North American Indian) includes Status and Non-Status Indians.
If 'Yes', select the responses that best describe you now.
- 1: No, not First Nations, Métis, or Inuk (Inuit)
- 2: Yes, First Nations (North American Indian)
- 3: Yes, Métis
- 4: Yes, Inuk (Inuit)
Sociodemographic characteristics (PG)
Sociodemographic characteristics (PG) - Question identifier:PG_Q05
The following question collects information in accordance with the Employment Equity Act and its Regulations and Guidelines to support programs that promote equal opportunity for everyone to share in the social, cultural, and economic life of Canada.
Select all that apply.
- 01: White
- 02: South Asian (e.g., East Indian, Pakistani, Sri Lankan)
- 03: Chinese
- 04: Black
- 05: Filipino
- 06: Arab
- 07: Latin American
- 08: Southeast Asian (e.g., Vietnamese, Cambodian, Laotian, Thai)
- 09: West Asian (e.g., Iranian, Afghan)
- 10: Korean
- 11: Japanese
- 12: Other
Place of birth, immigration and citizenship (DEM1)
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q05A
Where were you born?
- 1: Born in Canada
- 2: Born outside Canada
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_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
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_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
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q10
In what year did you first become a landed immigrant or a permanent resident?
If exact year is not known, enter best estimate.
Year of immigration
Min = 0; Max = 9999
Long-term conditions (LTC)
Long-term conditions (LTC) - Question identifier:LTC_R05
The following questions are about any long-term conditions you may have.
Long-term conditions (LTC) - Question identifier:LTC_Q05
Do you have any of the following difficulties?
Include only difficulties or long-term conditions that have lasted or are expected to last for six or more months.
Select all that apply.
- 1: Difficulty seeing even when wearing glasses or contact lenses
- 2: Difficulty hearing even when using a hearing aid or cochlear implant
- 3: Difficulty walking, using stairs, using your hands or fingers or doing other physical activities
- 4: Difficulty learning, remembering or concentrating
- 5: Emotional, psychological or mental health conditions (e.g., anxiety, depression, bipolar disorder, substance abuse, anorexia)
- 6: Other health problem or long-term condition that has lasted or is expected to last for six or more months
- 7: I do not have any difficulty or long-term condition that has lasted or is expected to last for six or more months
Long-term conditions (LTC) - Question identifier:LTC_Q10
Do you identify as a person with a disability?
A person with a disability is a person who has a long-term difficulty or condition, such as vision, hearing, mobility, flexibility, dexterity, pain, learning, developmental, memory or mental health-related impairments, that limit their daily activities inside or outside the home such as at school, work, or in the community in general.
- 1: Yes
- 2: No
Sexual orientation (SOR)
Sexual orientation (SOR) - Question identifier:SOR_Q01
What is your sexual orientation?
Sexual orientation refers to how a person describes their sexuality.
- 1: Heterosexual (i.e., straight)
- 2: Lesbian or gay
- 3: Bisexual or pansexual
- 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 by all household members, from all sources, before taxes and deductions, during the year ending December 31, 2023?
Rounded to the nearest CAN$
Min = -99999999; Max = 99999999
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.
Total personal income (TPI)
Total personal income (TPI) - Question identifier:TPI_R01
Now a question about total personal income.
Total personal income (TPI) - Question identifier:TPI_Q01
What is your best estimate of your total personal income, before taxes and deductions, from all sources during the year ending December 31, 2023?
Rounded to the nearest CAN$
Min = -99999999; Max = 99999999
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 personal income.
Future surveys (UCE)
Future surveys (UCE) - Question identifier:UCE_R05
Statistics Canada is planning a series of short, fifteen to twenty minute surveys about important social topics. These surveys will be sent out in the near future and will ask about a wide variety of issues that affect Canadian society. 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.
Future surveys (UCE) - Question identifier:UCE_Q05
Would you like to sign-up for future surveys?
- 1: Yes
- 2: No (Note: Your household will remain eligible for other Statistics Canada surveys.)
Future surveys (UCE) - Question identifier:UCE_Q10A
Please provide the following information so we can email or text you to participate in this survey series.
Email address
Long Answer Length = 80
Example: user@example.gov.ca
Future surveys (UCE) - Question identifier:UCE_Q10B
Please provide the following information so we can email or text you to participate in this survey series.
Cellular number
Long Answer Length = 10
Example: 123-123-1234
Future surveys (UCE) - Question identifier:UCE_R15
Thank you for signing up. We will contact you soon.
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