Canadian Health Survey on Children and Youth, Pedometer Follow-up Study

Getting started (GS) - Question identifier:GS_R01

Why do we conduct this survey?

Getting started (GS) - Question identifier:GS_R02

The Pedometer Follow-up Study will be used to supplement information collected through the Canadian Health Survey on Children and Youth by collecting objective physical activity measures. Information from the follow-up study will be used to establish collection methods for future cycles of the survey. Your information may also be used by Statistics Canada for other statistical and research purposes.

Getting started (GS) - Question identifier:GS_R03

Although voluntary, your participation is important so that the information collected is as accurate and complete as possible.

Getting started (GS) - Question identifier:GS_R05

Authorization and confidentiality

Getting started (GS) - Question identifier:GS_R06

Data are collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19. Your information will be kept strictly confidential.

Getting started (GS) - Question identifier:GS_R07

Record linkages

Getting started (GS) - Question identifier:GS_R08

To enhance the data from this survey and to reduce the reporting burden, Statistics Canada will combine the information you provide with information from the Canadian Health Survey on Children and Youth. Statistics Canada may also combine the information you provide with other surveys or administrative data sources. This may include information on past and continuing use of health services such as visits to hospitals, clinics and doctor's offices.

Respondent Verification (VER) - Question identifier:VER_Q005

[Are you the parent or guardian of/Are you] ^FNAME ^LNAME?

• 1: Yes
• 2: No

Submit Module for Out-of-scope Cases (OFSQ) - Question identifier:OFSQ_R005

You indicated that you are not the person selected for this survey. A Statistics Canada representative may contact you to collect more details.

If you are ready to submit the questionnaire, press the Submit button.

Pedometer (PDS) - Question identifier:PDS_R005

How tall [is ^FNAME/are you] without shoes on? Record the height to the nearest centimetre or inch.

Pedometer (PDS) - Question identifier:PDS_Q005A

Feet

Min = 0; Max = 9

Pedometer (PDS) - Question identifier:PDS_Q005B

Inches

Min = 0; Max = 99

Pedometer (PDS) - Question identifier:PDS_Q005C

Centimetres

Min = 0; Max = 999

Pedometer (PDS) - Question identifier:PDS_Q010

Was a tape measure used to measure [^FNAME's/your] height?

• 1: Yes
• 2: No

Pedometer (PDS) - Question identifier:PDS_R015

When was [^FNAME's/your] height last measured?

Pedometer (PDS) - Question identifier:PDS_Q015A

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

Pedometer (PDS) - Question identifier:PDS_Q015B

Year

• 01: 2017
• 02: 2016
• 03: 2015
• 04: 2014
• 05: 2013
• 06: 2012
• 07: 2011
• 08: 2010
• 09: 2009
• 10: 2008
• 11: 2007
• 12: 2006
• 13: 2005
• 14: 2004
• 15: 2003
• 16: 2002
• 17: 2001
• 18: 2000
• 19: 1999
• 20: 1998

Pedometer (PDS) - Question identifier:PDS_R020

How much [does ^FNAME/do you] weigh without shoes on? Record the weight to the nearest pound or kilogram.

Pedometer (PDS) - Question identifier:PDS_Q020A

Weight

Min = 0; Max = 999

Pedometer (PDS) - Question identifier:PDS_Q020B

Pounds or Kilograms

• 1: Pounds
• 2: Kilograms

Pedometer (PDS) - Question identifier:PDS_R025

When [was ^FNAME/were you] last weighed?

Pedometer (PDS) - Question identifier:PDS_Q025A

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

Pedometer (PDS) - Question identifier:PDS_Q025B

Year

• 01: 2017
• 02: 2016
• 03: 2015
• 04: 2014
• 05: 2013
• 06: 2012
• 07: 2011
• 08: 2010
• 09: 2009
• 10: 2008
• 11: 2007
• 12: 2006
• 13: 2005
• 14: 2004
• 15: 2003
• 16: 2002
• 17: 2001
• 18: 2000
• 19: 1999
• 20: 1998

Pedometer (PDS) - Question identifier:PDS_Q030

Where [was ^FNAME/were you] last weighed?

• 1: At home
• 2: At a medical office
• 3: Other

Pedometer (PDS) - Question identifier:PDS_Q035

Select the first day [^FNAME/you] wore [their/your] pedometer.

Long Answer Length = 10

Pedometer (PDS) - Question identifier:PDS_R040

For each of the 7 days below, indicate:

Pedometer Worn: Select the response that best reflects the total amount of time [^FNAME/you] wore the pedometer that day.

Number of Steps: Enter the number of steps displayed on the pedometer for that day.

Pedometer (PDS) - Question identifier:PDS_R040_A

Pedometer worn

Pedometer (PDS) - Question identifier:PDS_R040_B

Number of steps

Pedometer (PDS) - Question identifier:PDS_Q040AA

Total amount of time pedometer worn - Day 1

• 1: Did not wear at all
• 2: Less than 5 hours
• 3: 5 hours to less than 10 hours
• 4: 10 hours to less than 15 hours
• 5: 15 hours or more

Pedometer (PDS) - Question identifier:PDS_Q040AB

Number of steps displayed on pedometer - Day 1

Min = 0; Max = 999999

Pedometer (PDS) - Question identifier:PDS_Q040BA

Total amount of time pedometer worn - Day 2

• 1: Did not wear at all
• 2: Less than 5 hours
• 3: 5 hours to less than 10 hours
• 4: 10 hours to less than 15 hours
• 5: 15 hours or more

Pedometer (PDS) - Question identifier:PDS_Q040BB

Number of steps displayed on pedometer - Day 2

Min = 0; Max = 999999

Pedometer (PDS) - Question identifier:PDS_Q040CA

Total amount of time pedometer worn - Day 3

• 1: Did not wear at all
• 2: Less than 5 hours
• 3: 5 hours to less than 10 hours
• 4: 10 hours to less than 15 hours
• 5: 15 hours or more

Pedometer (PDS) - Question identifier:PDS_Q040CB

Number of steps displayed on pedometer - Day 3

Min = 0; Max = 999999

Pedometer (PDS) - Question identifier:PDS_Q040DA

Total amount of time pedometer worn - Day 4

• 1: Did not wear at all
• 2: Less than 5 hours
• 3: 5 hours to less than 10 hours
• 4: 10 hours to less than 15 hours
• 5: 15 hours or more

Pedometer (PDS) - Question identifier:PDS_Q040DB

Number of steps displayed on pedometer - Day 4

Min = 0; Max = 999999

Pedometer (PDS) - Question identifier:PDS_Q040EA

Total amount of time pedometer worn - Day 5

• 1: Did not wear at all
• 2: Less than 5 hours
• 3: 5 hours to less than 10 hours
• 4: 10 hours to less than 15 hours
• 5: 15 hours or more

Pedometer (PDS) - Question identifier:PDS_Q040EB

Number of steps displayed on pedometer - Day 5

Min = 0; Max = 999999

Pedometer (PDS) - Question identifier:PDS_Q040FA

Total amount of time pedometer worn - Day 6

• 1: Did not wear at all
• 2: Less than 5 hours
• 3: 5 hours to less than 10 hours
• 4: 10 hours to less than 15 hours
• 5: 15 hours or more

Pedometer (PDS) - Question identifier:PDS_Q040FB

Number of steps displayed on pedometer - Day 6

Min = 0; Max = 999999

Pedometer (PDS) - Question identifier:PDS_Q040GA

Total amount of time pedometer worn - Day 7

• 1: Did not wear at all
• 2: Less than 5 hours
• 3: 5 hours to less than 10 hours
• 4: 10 hours to less than 15 hours
• 5: 15 hours or more

Pedometer (PDS) - Question identifier:PDS_Q040GB

Number of steps displayed on pedometer - Day 7

Min = 0; Max = 999999

Pedometer (PDS) - Question identifier:PDS_Q045

Briefly describe any days or activities in which [^FNAME/you] did not wear the pedometer.

e.g., swimming lessons for 1 hour, forgot

Long Answer Length = 100

Administration information (ADM) - Question identifier:ADM_R005A

Statistics Canada will combine your responses with information already provided for the Canadian Health Survey on Children and Youth.

[Statistics Canada, your [territorial/provincial] ministry of health (and the "Institut de la Statistique du Québec")] may combine your responses with information from other survey or administrative sources. This may include information on past and continuing use of health services such as visits to hospitals, clinics and doctor's offices.

Administration information (ADM) - Question identifier:ADM_R005B

To avoid duplication of surveys, Statistics Canada has signed agreements with provincial and territorial ministries of health, Health Canada and the Public Health Agency of Canada to share the information that you provided on this survey. The personal identifiers (names, addresses, telephone numbers and health numbers) will not be provided to Health Canada or the Public Health Agency of Canada.

Provincial ministries of health may make this information available to local health authorities, but no identifiable information such as names, addresses and telephone numbers will be provided.

Administration information (ADM) - Question identifier:ADM_R005C

To avoid duplication of surveys, Statistics Canada has signed agreements with provincial and territorial ministries of health, the "Institut de la statistique du Québec", Health Canada and the Public Health Agency of Canada to share the information that you provided on this survey. The personal identifiers (names, addresses, telephone numbers and health numbers) will not be provided to Health Canada or the Public Health Agency of Canada.

The "Institut de la statistique du Québec" and provincial ministries of health may make this information available to local health authorities, but no identifiable information such as names, addresses and telephone numbers will be provided.

Administration information (ADM) - Question identifier:ADM_R010

These organizations have agreed to keep your information confidential and use it only for statistical purposes.

Administration information (ADM) - Question identifier:ADM_Q010

Do you agree to share the information provided?

• 1: Yes
• 2: No

Administration information (ADM) - Question identifier:ADM_Q015

Please provide any survey related comments.

Long Answer Length = 500