Monthly Survey of Food Services and Drinking Places
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For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
A: General Information
If necessary, please correct pre-printed information below.
- 0001: Legal name
- 0002: Business name
- 0017: Telephone number
- 0027: Extension number
- 0008: First name of contact
- 0028: Last name of contact
- 0004: Address (number and street)
- 0005: City
- 0006: Province, Territory or State
- 0053: Country
- 0007: Postal Code/Zip code
- 0010: Preferred language
Purpose
This survey provides information to measure the economic performance and health of the food services and drinking places industry in the Canadian economy.
Additional information
The business community uses the data to analyze market performance and developments. For more information on this survey, please access www.statcan.gc.ca/english/survey/index.htm.
Authority
This document is confidential when completed.
This information is collected under the authority of the Statistics Act, revised Statutes of Canada, 1985, Chapter S19. Completion of this uestionnaire is mandatory under this Act.
Si vous préférez recevoir ce questionnaire en français, veuillez téléphoner au numéro sans frais 1-888 881-3666.
Confidentiality
Statistics Canada is prohibited by law from publishing any statistics which would divulge information relating to any identifiable business without the previous written consent of the business. The data reported on this questionnaire will be treated in strict confidence, used exclusively for statistical purposes and published in aggregate form only.
Data-sharing agreements
To reduce respondent burden, Statistics Canada has entered into datasharing agreements with provincial and territorial statistical agencies, which must keep the data confidential and use them only for statistical purposes. Shared data will be limited to business establishments located within the jurisdiction of the respective province or territory. Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that have the legislative authority to collect the same information, on a mandatory basis, and their legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. For this survey, Section 11 agreements exist with the statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, and the Yukon. Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. For this survey, Section 12 agreements exist with the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut. 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.
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 you that there could be a risk of disclosure during the facsimile or other electronic transmission. However, upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.
Return procedures
Completion of this questionnaire is a legal requirement under the Statistics Act. Please return the questionnaire within 14 days. Please mail the completed questionnaire in the enclosed envelope or fax it to Statistics Canada at 1 888 883-7999. Lost the envelope or need help? Call us at 1 888 881-3666.
B: Main Business Activity
Please check the one main activity which most accurately represents your principal source of revenue.
- 0430: Full-service restaurant - patrons order while seated and pay after eating.
- 0431: Limited-service restaurant - patrons order at a counter, and/or order by phone and pay before eating.
- 0432: Food service contractor - supplies food services under contract for a specific period of time.
- 0433: Social caterer - provides food services for social or business events.
- 0434: Mobile food services - serves food and beverages, from motorized vehicles or non-motorized carts.
- 0435: Drinking places - - (e.g., bars, night clubs, taverns).
C: Reporting Period Information
C: Reporting Period Information - Question identifier:1.
Indicate the reporting period for your sales.
- 01: From YYYY MM DD To YYYY MM DD
C: Reporting Period Information - Question identifier:2.
Please identify any factors that cause a significant change in reported data compared to the previous month. Please check all that apply.
- 0022: No significant changes
- 0035: Ceased operations
- 0042: Seasonal Exploitation
- 0034: Change of ownership
- 0036: Temporarily inactive (Specify reason)
- 0043: Number of locations changed (Specify)
- 0037: Other (Specify)
C: Reporting Period Information - Question identifier:3.
If this business opened or closed any locations during the reporting period, please list below the operating names and addresses. Attach a sheet if more space is required.
- 0060A: Operating Name
- 0060B: Address
D: Sales of Goods and Services and Number of Locations
D: Sales of Goods and Services and Number of Locations - Question identifier:1.
Please report total sales and number of locations by province, territory and industry during the reporting period.
- 1: Full-Service Restaurant
- 2: Limited-Service Restaurant
- 3: Food Service Contractor
- 4: Social Caterer
- 5: Mobile Food Service
- 6: Drinking Places
E: We invite your comments in the space below. Please return the questionnaire within 14 days.
- Date modified: