Annual Non-Store Retail Survey - 2012

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

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A - Introduction

If necessary, please make address label corrections in the boxes below.

  • 1: Legal name
  • 2: Business name
  • 3: C/O
  • 4: Address
  • 5: City
  • 6: Province/territory or state
  • 7: Postal code/zip code
  • 8: Country
  • 9: Last name of contact
  • 10: First name of contact
  • 11: Please report for

What is your language of preference ?

  • 1: English
  • 2: French

Purpose

This survey provides information that is comparable to data available for other industries, such as: production and employment by type of non-store retailer by province, and proportion of Gross Domestic Product.

Authority

This document is confidential when completed.
Si vous préférez recevoir ce questionnaire en français, veuillez nous appeler au numéro sans frais suivant : 1-800-858-7921.

This information is collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

COMPLETION OF THIS QUESTIONNAIRE IS A LEGAL REQUIREMENT UNDER THIS ACT.

Confidentiality

The Statistics Act protects the confidentiality of information collected by Statistics Canada.

Your answers are confidential.

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act.

Statistics Canada will use information from this survey for
statistical purposes.

Data-sharing agreements

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, and the Yukon.

The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician and returning it with the completed questionnaire. Please specify the organizations with which you do not want to share your data.

For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut.

For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Record linkage

To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

Security of emails and faxes

Statistics Canada advises of the risk of interception by a third party when transmitting information by email or fax. Once we receive your questionnaire, however, Statistics Canada provides a guaranteed level of protection, which covers all information collected under the authority of the Statistics Act.

Return procedures

Please return the questionnaire within 30 days.

Please mail the completed questionnaire in the enclosed envelope or fax it to Statistics Canada at 1-888-883-7999.

Assistance

Lost the return envelope or need help? Call us at 1-800-858-7921 or mail to:
Statistics Canada, Operations and Integration Division, 150 Tunney's Pasture Driveway, Ottawa, Ontario K1A 0T6

Coverage

Please report for the business unit(s) identified above. Include only the operation(s) located in Canada.

Reporting instructions

1. Please print in ink.

2. Report all dollar amounts in Canadian dollars (CAN$).

3. Dollar amounts and percentages should be rounded to whole numbers.

4. When precise figures are not available, please provide your best estimates.

5. Consult the reporting guide at www.statcan.gc.ca/guides-e.

Retailer

Are you a non-store retailer?

  • 1: yes, complete the questionnaire
  • 2: no, provide a brief description of your main activity and call 1-800-858-7921 for further instructions

Reporting period information

Reporting period information - Question identifier:1.

Please report for your fiscal year (normal business year) ending between April 1, 2012 and March 31, 2013. Indicate the period covered by this questionnaire.

  • 1: Date from (YYYY MM DD) to (YYYY MM DD)

Reporting period information - Question identifier:2.

If you did not operate this business unit for a full year, please check the reason(s) below:

  • 1: seasonal operations
  • 2: new business
  • 3: change of fiscal year
  • 4: change of ownership
  • 5: ceased operations
  • 6: temporarily inactive

B - Revenue (exclude GST/HST, PST and TVQ)

Consult the reporting guide at www.statcan.gc.ca/guides-e

B - Revenue (exclude GST/HST, PST and TVQ) - Question identifier:1.

Revenue from sales of goods (purchased for resale or manufactured), net of returns and discounts.
Include parts used in generating repair and maintenance revenue (report the labour portion of repair and maintenance at question 4 in this section).

B - Revenue (exclude GST/HST, PST and TVQ) - Question identifier:2.

Revenue from shipping and handling charges that is not embedded in the price of the merchandise.

B - Revenue (exclude GST/HST, PST and TVQ) - Question identifier:3.

Commission revenue and fees earned from selling merchandise on account of others.

B - Revenue (exclude GST/HST, PST and TVQ) - Question identifier:4.

All other operating revenue (e.g., extended warranties, rental and leasing, labour portion from repair and maintenance).
Exclude interest and dividend income; report them at question 6 in this section.

B - Revenue (exclude GST/HST, PST and TVQ) - Question identifier:5.

Total operating revenue (sum of questions 1 to 4 above)

B - Revenue (exclude GST/HST, PST and TVQ) - Question identifier:6.

Non-operating revenue (e.g., interest and dividend income)

B - Revenue (exclude GST/HST, PST and TVQ) - Question identifier:7.

Total revenue (sum of questions 5 and 6 above)

C - Cost of goods sold

C - Cost of goods sold - Question identifier:1.

Opening inventory

C - Cost of goods sold - Question identifier:2.

Purchases

C - Cost of goods sold - Question identifier:3.

Closing inventory

C - Cost of goods sold - Question identifier:4.

Cost of goods sold (sum of questions 1 and 2 minus 3 above)

D - Expenses

D - Expenses - Question identifier:1.

Salaries and wages of employees

D - Expenses - Question identifier:2.

Employer portion of employee benefits

D - Expenses - Question identifier:3.

Total labour remuneration (sum of questions 1 and 2 above)

D - Expenses - Question identifier:4.

Rental and leasing expenses

D - Expenses - Question identifier:5.

Advertising and promotion

D - Expenses - Question identifier:6.

Amortization and depreciation expenses (e.g., buildings, vehicles, machinery and equipment)

D - Expenses - Question identifier:7.

Management fees and other service fees charged by head office and other business support units

D - Expenses - Question identifier:8.

All other operating expenses (please refer to the reporting guide).
Exclude interest expenses; report these amounts in this section, at question 10 below.

D - Expenses - Question identifier:9.

Total operating revenue (sum of questions 3 to 8 above)

D - Expenses - Question identifier:10.

Other expenses (e.g., interest expenses)

D - Expenses - Question identifier:11.

Total expenses (sum of questions 9 and 10 above)

E - Distribution of total operating revenue by method of sale

Please indicate the percentage of total operating revenue (reported in Section B, at question 5), according to the method of sale that applies.

E - Distribution of total operating revenue by method of sale - Question identifier:1.

Electronic shopping and mail-order

  • a): Internet: sales generated through online Internet orders, regardless of method of delivery and payment
  • b): Electronic auctions
  • c): Telephone: sales of goods made by telephone solicitation or telephone orders in response to advertising
  • d): Catalogue and mail-order: sales made from mail-order catalogues or flyers, including showrooms without stock
  • e): Subscriptions: sales of subscriptions to magazines or newspapers.
    Exclude home delivery of newspapers; report these amounts at question 3c below.

E - Distribution of total operating revenue by method of sale - Question identifier:2.

Vending machine and coffee service

  • a): Vending machine
    Exclude juke boxes, arcade games, automatic photography machines; report these amounts at question 4 below.
  • b): Coffee service: sales from manual office coffee machines where the operator normally sells or leases the machines and supplies coffee on a regular basis.

E - Distribution of total operating revenue by method of sale - Question identifier:3.

Direct selling

If you are an independent sales contractor, agent, distributor or a sales representative of a company engaged in direct selling, please report the company name(s):

  • a): Door-to-door: sales made in person through individual canvassing
  • b): Party plan: sales made in person at group demonstrations such as house parties.
  • c): Home delivery: sales from delivery of fuel (please refer to the reporting guide), newspapers, milk, bread, etc.
  • d): Other direct selling methods: sales from market stalls, exhibition booths, newspaper coin boxes, kiosks in shopping centres, etc.

    Please specify:

E - Distribution of total operating revenue by method of sale - Question identifier:4.

All other methods

(please specify):

Total: 100%

F - Distribution of total operating revenue by type of customer

Please indicate the percentage of total operating revenue (reported in Section B, at question 5), by type of customer to whom the goods or services were delivered.

F - Distribution of total operating revenue by type of customer - Question identifier:1.

Individuals and households

F - Distribution of total operating revenue by type of customer - Question identifier:2.

All other customers (e.g., private businesses, public institutions, government)

Total: 100%

G - Location of customer

Please indicate the percentage of total operating revenue (reported in Section B, at question 5), by the location of the customer to whom the goods or services were delivered.

Customers in Canada

  • 1: Newfoundland and Labrador
  • 2: Prince Edward Island
  • 3: Nova Scotia
  • 4: New Brunswick
  • 5: Quebec
  • 6: Ontario
  • 7: Manitoba
  • 8: Saskatchewan
  • 9: Alberta
  • 10: British Columbia
  • 11: Yukon
  • 12: Northwest Territories
  • 13: Nunavut

Customers outside Canada

  • 14: United States
  • 15: All other countries

Total: 100%

H - Events that may have affected your business unit

H - Events that may have affected your business unit - Question identifier:1.

Compared to last fiscal year, what events have significantly affected the reported values for this business unit?
(please specify):

I - Comments

I - Comments - Question identifier:1.

How long did you spend collecting the data and completing this questionnaire?

  • 1: hour(s) minutes

I - Comments - Question identifier:2.

We invite your comments below. Statistics Canada reviews all comments with the intent of improving the survey.

J - Contact information

Name of person to contact about this questionnaire:

  • 1: Mr.
  • 2: Mrs.
  • 3: Miss
  • 4: Ms
  • 1: Last name
  • 2: First name
  • 3: Title
  • 4: Telephone number
  • 5: Extension number
  • 6: Fax number
  • 7: E-mail address
  • 8: Website address

I certify that the information contained herein is complete and correct to the best of my knowledge.

  • 1: yyyy mm dd
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