Canadian Community Health Survey (CCHS) - 2018

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Table of Contents

Proxy interview (GR)

Proxy interview (GR) - Question identifier:GR_N005

Who is providing the information for this person's component?

  • 01: MEMBER1
  • 02: MEMBER2
  • 03: MEMBER3
  • 04: MEMBER4
  • 05: MEMBER5
  • 06: MEMBER6
  • 07: MEMBER7
  • 08: MEMBER8
  • 09: MEMBER9
  • 10: MEMBER10
  • 11: MEMBER11
  • 12: MEMBER12
  • 13: MEMBER13
  • 14: MEMBER14
  • 15: MEMBER15
  • 16: MEMBER16
  • 17: MEMBER17
  • 18: MEMBER18
  • 19: MEMBER19
  • 20: MEMBER20
  • 88: Not a household member

Proxy interview (GR) - Question identifier:GR_N010

Do you want to complete this component by proxy?

  • 1: Yes
  • 2: No

Proxy interview (GR) - Question identifier:GR_N015

Record the reason why this component is being completed by proxy. Proxy interviews are to occur only if the mental or physical health of the selected member makes it impossible to complete the interview during the collection period.

  • 1: Physical health condition
  • 2: Mental health condition

Proxy interview (GR) - Question identifier:GR_N020

Enter the condition.

Long Answer Length = 80

Age of respondent (ANC1)

Age of respondent (ANC1) - Question identifier:ANC1_Q01

What is ^SPECRESPNAME's date of birth?

Min = 1; Max = 31

Age of respondent (ANC1) - Question identifier:ANC1_Q02

What is ^SPECRESPNAME's date of birth?

  • 01: January
  • 02: February
  • 03: March
  • 04: April
  • 05: May
  • 06: June
  • 07: July
  • 08: August
  • 09: September
  • 10: October
  • 11: November
  • 12: December
  • 98: RF
  • 99: DK

Age of respondent (ANC1) - Question identifier:ANC1_Q03

What is ^SPECRESPNAME's date of birth?

Min = 0; Max = 9997

Age of respondent (ANC1) - Question identifier:ANC1_Q04

So ^SPECRESPNAME's age on ^REFERENCEDATEE was ^DV_CALCULATEDAGE ^DT_YEARSMONTHSE.
Is that correct?

  • 1: Yes
  • 2: No, return and correct date of birth
  • 3: No, collect age

Age of respondent (ANC1) - Question identifier:ANC1_Q05

What is ^SPECRESPNAME's age?

Min = 0; Max = 121

Age of respondent (ANC1) - Question identifier:ANC1_R010

Because you are less than 12 years old, you are not eligible to participate in the Canadian Community Health Survey.

Age of respondent (ANC1) - Question identifier:ANC1_R015

Because you are more than 17 years old, you are not eligible to participate in the Canadian Community Health Survey.

Age of respondent (ANC1) - Question identifier:ANC1_R020

Because you are less than 18 years old, you are not eligible to participate in the Canadian Community Health Survey.

Age of respondent (ANC1) - Question identifier:ANC1_N030

Please confirm the spelling of respondent's first name. Update first name, if necessary.

Original First Name: ^FNAME
Original Last Name: ^LNAME

Long Answer Length = 25

Age of respondent (ANC1) - Question identifier:ANC1_N035

Please confirm the spelling of respondent's last name. Update last name, if necessary.

Original First Name: ^FNAME
Original Last Name: ^LNAME

Long Answer Length = 25

Relationship without confirmation (RNC)

Relationship without confirmation (RNC) - Question identifier:RNC_Q1

What is the relationship...

of: ^SPECRESPNAME1 (^SPECRESPAGE1, [Male/Female])

to: ^SPECRESPNAME2 (^SPECRESPAGE2, [Male/Female])?

  • 01: [Husband/Wife]
  • 02: Common-law partner
  • 03: [Father/Mother]
  • 04: [Son/Daughter]
  • 05: [Brother/Sister]
  • 06: Foster [father/mother]
  • 07: Foster [son/daughter]
  • 08: [Grandfather/Grandmother]
  • 09: [Grandson/Granddaughter]
  • 10: In-law
  • 11: Other related
  • 12: Unrelated
  • 98: RF
  • 99: DK

Relationship without confirmation (RNC) - Question identifier:RNC_Q2A

Is that a(n)... ?

  • 1: Birth [father/mother]
  • 2: Step[father/mother]
  • 3: Adoptive [father/mother]
  • 8: RF
  • 9: DK

Relationship without confirmation (RNC) - Question identifier:RNC_Q2B

Is that a(n)... ?

  • 1: Birth [son/daughter]
  • 2: Step[son/daughter]
  • 3: Adopted [son/daughter]
  • 8: RF
  • 9: DK

Relationship without confirmation (RNC) - Question identifier:RNC_Q2C

Is that a(n)... ?

  • 1: Full [brother/sister]
  • 2: Half [brother/sister]
  • 3: Step[brother/sister]
  • 4: Adopted [brother/sister]
  • 5: Foster [brother/sister]
  • 8: RF
  • 9: DK

Relationship without confirmation (RNC) - Question identifier:RNC_Q2D

Is that a(n)... ?

  • 1: [Father/Mother]-in-law
  • 2: [Son/Daughter]-in-law
  • 3: [Brother/Sister]-in-law
  • 4: Other in-law
  • 8: RF
  • 9: DK

Relationship without confirmation (RNC) - Question identifier:RNC_Q2E

Is that a(n)... ?

  • 1: [Uncle/Aunt]
  • 2: Cousin
  • 3: [Nephew/Niece]
  • 4: Other relative
  • 8: RF
  • 9: DK

Relationship without confirmation (RNC) - Question identifier:RNC_Q2F

Is that a(n)... ?

  • 1: [Boyfriend/Girlfriend]
  • 2: Roommate/lodger/boarder
  • 3: Other - Specify
  • 8: RF
  • 9: DK

Main activity (MAC)

Main activity (MAC) - Question identifier:MAC_Q005

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 leave
  • 09: Long term illness
  • 10: Volunteering
  • 11: Care-giving other than for children
  • 12: Other
  • 98: RF
  • 99: DK

Main activity (MAC) - Question identifier:MAC_Q010

Have you worked at a job or business at any time in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Main activity (MAC) - Question identifier:MAC_Q015

Are you currently attending school, college, CEGEP or university?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Main activity (MAC) - Question identifier:MAC_Q020

Are you enrolled as...?

  • 1: A full-time student
  • 2: A part-time student
  • 3: Both full-time and part-time student
  • 8: RF
  • 9: DK

Main activity (MAC) - Question identifier:MAC_Q025

To better understand the information you will provide on your health it is important to know if you are pregnant. Are you pregnant?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

General health (GEN)

General health (GEN) - Question identifier:GEN_R005

The next questions are about your 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_Q005

In general, would you say your health is... ?

  • 1: Excellent
  • 2: Very good
  • 3: Good
  • 4: Fair
  • 5: Poor
  • 8: RF
  • 9: DK

General health (GEN) - Question identifier:GEN_Q010

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?

Min = 0; Max = 10

General health (GEN) - Question identifier:GEN_Q015

In general, would you say your mental health is...?

  • 1: Excellent
  • 2: Very good
  • 3: Good
  • 4: Fair
  • 5: Poor
  • 8: RF
  • 9: DK

General health (GEN) - Question identifier:GEN_Q020

Thinking about the amount of stress in your life, would you say that most of your days are...?

  • 1: Not at all stressful
  • 2: Not very stressful
  • 3: A bit stressful
  • 4: Quite a bit stressful
  • 5: Extremely stressful
  • 8: RF
  • 9: DK

General health (GEN) - Question identifier:GEN_R025

The next question is about your main job or business in the past 12 months.

General health (GEN) - Question identifier:GEN_Q025

Would you say that most days at work were...?

  • 1: Not at all stressful
  • 2: Not very stressful
  • 3: A bit stressful
  • 4: Quite a bit stressful
  • 5: Extremely stressful
  • 8: RF
  • 9: DK

General health (GEN) - Question identifier:GEN_Q030

How would you describe your sense of belonging to your local community? Would you say it is...?

  • 1: Very strong
  • 2: Somewhat strong
  • 3: Somewhat weak
  • 4: Very weak
  • 8: RF
  • 9: DK

Height and weight - self reported (HWT)

Height and weight - self reported (HWT) - Question identifier:HWT_Q005

The next questions are about height and weight. How tall are you without shoes on?

  • 0: Less than 1' / 12" (less than 29.2 cm.)
  • 1: 1'0" to 1'11" / 12" to 23" (29.2 to 59.6 cm.)
  • 2: 2'0" to 2'11" / 24" to 35" (59.7 to 90.1 cm.)
  • 3: 3'0" to 3'11" / 36" to 47" (90.2 to 120.6 cm.)
  • 4: 4'0" to 4'11" / 48" to 59" (120.7 to 151.0 cm.)
  • 5: 5'0" to 5'11" (151.1 to 181.5 cm.)
  • 6: 6'0" to 6'11" (181.6 to 212.0 cm.)
  • 7: 7'0" and over (212.1 cm. and over)
  • 8: RF
  • 9: DK

Height and weight - self reported (HWT) - Question identifier:HWT_N010

Select the exact height.

  • 00: Less than or equal to 1'0" / 12" (29.2 to 31.7 cm.)
  • 01: 1'1" / 13" (31.8 to 34.2 cm.)
  • 02: 1'2" / 14" (34.3 to 36.7 cm.)
  • 03: 1'3" / 15" (36.8 to 39.3 cm.)
  • 04: 1'4" / 16" (39.4 to 41.8 cm.)
  • 05: 1'5" / 17" (41.9 to 44.4 cm.)
  • 06: 1'6" / 18" (44.5 to 46.9 cm.)
  • 07: 1'7" / 19" (47.0 to 49.4 cm.)
  • 08: 1'8" / 20" (49.5 to 52.0 cm.)
  • 09: 1'9" / 21" (52.1 to 54.5 cm.)
  • 10: 1'10" / 22" (54.6 to 57.1 cm.)
  • 11: 1'11" / 23" (57.2 to 59.6 cm.)
  • 98: RF
  • 99: DK

Height and weight - self reported (HWT) - Question identifier:HWT_N015

Select the exact height.

  • 00: 2'0" / 24" (59.7 to 62.1 cm.)
  • 01: 2'1" / 25" (62.2 to 64.7 cm.)
  • 02: 2'2" / 26" (64.8 to 67.2 cm.)
  • 03: 2'3" / 27" (67.3 to 69.8 cm.)
  • 04: 2'4" / 28" (69.9 to 72.3 cm.)
  • 05: 2'5" / 29" (72.4 to 74.8 cm.)
  • 06: 2'6" / 30" (74.9 to 77.4 cm.)
  • 07: 2'7" / 31" (77.5 to 79.9 cm.)
  • 08: 2'8" / 32" (80.0 to 82.5 cm.)
  • 09: 2'9" / 33" (82.6 to 85.0 cm.)
  • 10: 2'10" / 34" (85.1 to 87.5 cm.)
  • 11: 2'11" / 35" (87.6 to 90.1 cm.)
  • 98: RF
  • 99: DK

Height and weight - self reported (HWT) - Question identifier:HWT_N020

Select the exact height.

  • 00: 3'0" / 36" (90.2 to 92.6 cm.)
  • 01: 3'1" / 37" (92.7 to 95.2 cm.)
  • 02: 3'2" / 38" (95.3 to 97.7 cm.)
  • 03: 3'3" / 39" (97.8 to 100.2 cm.)
  • 04: 3'4" / 40" (100.3 to 102.8 cm.)
  • 05: 3'5" / 41" (102.9 to 105.3 cm.)
  • 06: 3'6" / 42" (105.4 to 107.9 cm.)
  • 07: 3'7" / 43" (108.0 to 110.4 cm.)
  • 08: 3'8" / 44" (110.5 to 112.9 cm.)
  • 09: 3'9" / 45" (113.0 to 115.5 cm.)
  • 10: 3'10" / 46" (115.6 to 118.0 cm.)
  • 11: 3'11" / 47" (118.1 to 120.6 cm.)
  • 98: RF
  • 99: DK

Height and weight - self reported (HWT) - Question identifier:HWT_N025

Select the exact height.

  • 00: 4'0" / 48" (120.7 to 123.1 cm.)
  • 01: 4'1" / 49" (123.2 to 125.6 cm.)
  • 02: 4'2" / 50" (125.7 to 128.2 cm.)
  • 03: 4'3" / 51" (128.3 to 130.7 cm.)
  • 04: 4'4" / 52" (130.8 to 133.3 cm.)
  • 05: 4'5" / 53" (133.4 to 135.8 cm.)
  • 06: 4'6" / 54" (135.9 to 138.3 cm.)
  • 07: 4'7" / 55" (138.4 to 140.9 cm.)
  • 08: 4'8" / 56" (141.0 to 143.4 cm.)
  • 09: 4'9" / 57" (143.5 to 146.0 cm.)
  • 10: 4'10" / 58" (146.1 to 148.5 cm.)
  • 11: 4'11" / 59" (148.6 to 151.0 cm.)
  • 98: RF
  • 99: DK

Height and weight - self reported (HWT) - Question identifier:HWT_N030

Select the exact height.

  • 00: 5'0" (151.1 to 153.6 cm.)
  • 01: 5'1" (153.7 to 156.1 cm.)
  • 02: 5'2" (156.2 to 158.7 cm.)
  • 03: 5'3" (158.8 to 161.2 cm.)
  • 04: 5'4" (161.3 to 163.7 cm.)
  • 05: 5'5" (163.8 to 166.3 cm.)
  • 06: 5'6" (166.4 to 168.8 cm.)
  • 07: 5'7" (168.9 to 171.4 cm.)
  • 08: 5'8" (171.5 to 173.9 cm.)
  • 09: 5'9" (174.0 to 176.4 cm.)
  • 10: 5'10" (176.5 to 179.0 cm.)
  • 11: 5'11" (179.1 to 181.5 cm.)
  • 98: RF
  • 99: DK

Height and weight - self reported (HWT) - Question identifier:HWT_N035

Select the exact height.

  • 00: 6'0" (181.6 to 184.1 cm.)
  • 01: 6'1" (184.2 to 186.6 cm.)
  • 02: 6'2" (186.7 to 189.1 cm.)
  • 03: 6'3" (189.2 to 191.7 cm.)
  • 04: 6'4" (191.8 to 194.2 cm.)
  • 05: 6'5" (194.3 to 196.8 cm.)
  • 06: 6'6" (196.9 to 199.3 cm.)
  • 07: 6'7" (199.4 to 201.8 cm.)
  • 08: 6'8" (201.9 to 204.4 cm.)
  • 09: 6'9" (204.5 to 206.9 cm.)
  • 10: 6'10" (207.0 to 209.5 cm.)
  • 11: 6'11" (209.6 to 212.0 cm.)
  • 98: RF
  • 99: DK

Height and weight - self reported (HWT) - Question identifier:HWT_Q040

How much do you weigh?

Min = 1; Max = 575

Height and weight - self reported (HWT) - Question identifier:HWT_N045

Was that in pounds or kilograms?

  • 1: Pounds
  • 2: Kilograms

Height and weight - self reported (HWT) - Question identifier:HWT_Q050

Do you consider yourself...?

  • 1: Overweight
  • 2: Underweight
  • 3: Just about right
  • 8: RF
  • 9: DK

Chronic conditions (CCC)

Chronic conditions (CCC) - Question identifier:CCC_R015

Now I'd like to ask about certain long-term health conditions which you may have. We are interested in "long-term conditions" which are expected to last or have already lasted 6 months or more and that have been diagnosed by a health professional.

Chronic conditions (CCC) - Question identifier:CCC_Q015

Do you have asthma?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q020

Have you had any asthma symptoms or asthma attacks in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q025

In the past 12 months, have you taken any medicine for asthma such as inhalers (pumps), nebulizers, pills, liquids or injections?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q030

Do you have chronic bronchitis, emphysema or chronic obstructive pulmonary disease or COPD?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q050

Do you have arthritis, for example osteoarthritis, rheumatoid arthritis, gout or any other type, excluding fibromyalgia?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q065

Do you have high blood pressure?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q070

In the past month, have you taken any medicine for high blood pressure?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q075

Do you have high blood cholesterol or lipids?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q080

In the past month, have you taken any medicine for high blood cholesterol or lipids?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q085

Do you have heart disease?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q087

Have you ever been diagnosed with heart disease?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q090

Do you suffer from the effects of a stroke?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q095

Do you have diabetes?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q100

How old were you when this was first diagnosed?

Min = 1; Max = 121

Chronic conditions (CCC) - Question identifier:CCC_Q105

Were you pregnant when you were first diagnosed with diabetes?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q110

Other than during pregnancy, has a health professional ever told you that you have diabetes?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q115

When you were first diagnosed with diabetes, how long was it before you were started on insulin?

  • 1: Less than 1 month
  • 2: 1 month to less than 2 months
  • 3: 2 months to less than 6 months
  • 4: 6 months to less than 1 year
  • 5: 1 year or more
  • 6: Never
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q120

Do you currently take insulin for your diabetes?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q125

In the past month, did you take pills to control your blood sugar?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q130

Do you have cancer?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q135

Have you ever been diagnosed with cancer?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q145

Do you have Alzheimer's Disease or any other dementia?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q150

Do you have intestinal or stomach ulcers?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q155

Do you have a bowel disorder such as Crohn's Disease, ulcerative colitis, Irritable Bowel Syndrome or bowel incontinence?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q160

What kind of bowel disease do you have?

  • 1: Crohn's Disease
  • 2: Ulcerative colitis
  • 3: Irritable Bowel Syndrome
  • 4: Bowel incontinence
  • 5: Other
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q165

Do you have urinary incontinence?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q170

As a result of allergy tests, were you ever told by a health professional that you had allergies?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q175

What did your health professional say you were allergic to?

  • 01: Certain foods
  • 02: Certain animals
  • 03: Dust mites
  • 04: Mold
  • 05: Pollens or grasses
  • 06: Chemicals
  • 07: Certain medicine
  • 08: Other
  • 98: RF
  • 99: DK

Chronic conditions (CCC) - Question identifier:CCC_Q180

Were you ever told by a doctor that you have hay fever or nasal allergy?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q195

Do you have a mood disorder such as depression, bipolar disorder, mania or dysthymia?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q200

Do you have an anxiety disorder such as a phobia, obsessive-compulsive disorder or a panic disorder?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Washington Group - disability measure (WDM)

Washington Group - disability measure (WDM) - Question identifier:WDM_R001

The next set of questions asks about your ability to do different activities.

Washington Group - disability measure (WDM) - Question identifier:WDM_Q005

Do you have difficulty seeing, even if wearing glasses? Would you say...?

  • 1: No difficulty
  • 2: Some difficulty
  • 3: A lot of difficulty
  • 4: Cannot do at all / Unable to do
  • 8: RF
  • 9: DK

Washington Group - disability measure (WDM) - Question identifier:WDM_Q010

Do you have difficulty hearing, even if using a hearing aid? Would you say...?

  • 1: No difficulty
  • 2: Some difficulty
  • 3: A lot of difficulty
  • 4: Cannot do at all / Unable to do
  • 8: RF
  • 9: DK

Washington Group - disability measure (WDM) - Question identifier:WDM_Q015

Do you have difficulty walking or climbing steps?

  • 1: No difficulty
  • 2: Some difficulty
  • 3: A lot of difficulty
  • 4: Cannot do at all / Unable to do
  • 8: RF
  • 9: DK

Washington Group - disability measure (WDM) - Question identifier:WDM_Q020

Do you have difficulty remembering or concentrating?

  • 1: No difficulty
  • 2: Some difficulty
  • 3: A lot of difficulty
  • 4: Cannot do at all / Unable to do
  • 8: RF
  • 9: DK

Washington Group - disability measure (WDM) - Question identifier:WDM_Q025

Do you have difficulty with self-care, such as washing all over or dressing? Would you say...?

  • 1: No difficulty
  • 2: Some difficulty
  • 3: A lot of difficulty
  • 4: Cannot do at all / Unable to do
  • 8: RF
  • 9: DK

Washington Group - disability measure (WDM) - Question identifier:WDM_Q030

Using your usual language, do you have difficulty communicating, for example understanding or being understood?

  • 1: No difficulty
  • 2: Some difficulty
  • 3: A lot of difficulty
  • 4: Cannot do at all / Unable to do
  • 8: RF
  • 9: DK

Activities of daily living (ADL)

Activities of daily living (ADL) - Question identifier:ADL_R001

The next few questions are about common daily activities. These questions may not apply to you, but we need to ask the same questions of everyone.

Activities of daily living (ADL) - Question identifier:ADL_Q005

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with preparing meals?

  • 1: No, you have no difficulty
  • 2: Yes, you have difficulty, but do not require help of others
  • 3: Yes, you have difficulty, but can do it with the help of others
  • 4: [You] cannot do it at all
  • 8: RF
  • 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q010

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with running errands such as shopping for groceries?

  • 1: No, you have no difficulty
  • 2: Yes, you have difficulty, but do not require help of others
  • 3: Yes, you have difficulty, but can do it with the help of others
  • 4: [You] cannot do it at all
  • 8: RF
  • 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q015

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with doing everyday housework?

  • 1: No, you have no difficulty
  • 2: Yes, you have difficulty, but do not require help of others
  • 3: Yes, you have difficulty, but can do it with the help of others
  • 4: [You] cannot do it at all
  • 8: RF
  • 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q020

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with personal care such as bathing, dressing, eating or taking medication?

  • 1: No, you have no difficulty
  • 2: Yes, you have difficulty, but do not require help of others
  • 3: Yes, you have difficulty, but can do it with the help of others
  • 4: [You] cannot do it at all
  • 8: RF
  • 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q025

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with moving about inside the house?

  • 1: No, you have no difficulty
  • 2: Yes, you have difficulty, but do not require help of others
  • 3: Yes, you have difficulty, but can do it with the help of others
  • 4: [You] cannot do it at all
  • 8: RF
  • 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q030

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with looking after your personal finances such as making bank transactions or paying bills?

  • 1: No, you have no difficulty
  • 2: Yes, you have difficulty, but do not require help of others
  • 3: Yes, you have difficulty, but can do it with the help of others
  • 4: [You] cannot do it at all
  • 8: RF
  • 9: DK

Injuries (INJ)

Injuries (INJ) - Question identifier:INJ_R001

Now, questions on repetitive strain injuries. By this we mean injuries to muscles, tendons or nerves caused by overuse or repeating the same movement over an extended period. For example, carpal tunnel syndrome, tennis elbow or tendonitis.

Injuries (INJ) - Question identifier:INJ_Q005

In the past 12 months, did you have any injuries due to repetitive strain?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Injuries (INJ) - Question identifier:INJ_Q010

Were these injuries serious enough to limit your normal activities?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Injuries (INJ) - Question identifier:INJ_Q015

Thinking about the most serious repetitive strain injury, what part of the body was affected?

  • 01: Head
  • 02: Neck
  • 03: Shoulder, upper arm
  • 04: Elbow, lower arm
  • 05: Wrist
  • 06: Hand
  • 07: Hip
  • 08: Thigh
  • 09: Knee, lower leg
  • 10: Ankle, foot
  • 11: Upper back or upper spine (excluding neck)
  • 12: Lower back or lower spine
  • 13: Chest (excluding back and spine)
  • 14: Abdomen or pelvis (excluding back and spine)
  • 98: RF
  • 99: DK

Injuries (INJ) - Question identifier:INJ_Q020

What type of activity caused this repetitive strain injury?

  • 01: Walking
  • 02: Sports or physical exercise (including school activities and running)
  • 03: Leisure or hobby (include volunteering)
  • 04: Household chores, outdoor yard maintenance, home renovations or other unpaid work
  • 05: Computer use or typing
  • 06: Driving a motor vehicle
  • 07: Lifting or carrying an object or person
  • 08: Other
  • 98: RF
  • 99: DK

Injuries (INJ) - Question identifier:INJ_Q025

Was the activity something you did while working at your job or business (excluding travel to or from work)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Injuries (INJ) - Question identifier:INJ_R030

For the next questions, think about other injuries which occurred in the past 12 months, and were serious enough to limit your normal activities at least 24 hours after the injury occurred. For example, a broken bone, a bad cut, a burn or a sprain.

Injuries (INJ) - Question identifier:INJ_Q030

[Not counting repetitive strain injuries or food poisoning,] in the past 12 months, that is, from [CURRENTDATE - 1] to yesterday, were you injured?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Injuries (INJ) - Question identifier:INJ_Q035

How many times were you injured?

Min = 1; Max = 30

Injuries (INJ) - Question identifier:INJ_Q040

[Thinking about the most serious injury, in which] month did it happen?

  • 01: January
  • 02: February
  • 03: March
  • 04: April
  • 05: May
  • 06: June
  • 07: July
  • 08: August
  • 09: September
  • 10: October
  • 11: November
  • 12: December
  • 98: RF
  • 99: DK

Injuries (INJ) - Question identifier:INJ_Q045

Was that this year or last year?

  • 1: This year
  • 2: Last year
  • 8: RF
  • 9: DK

Injuries (INJ) - Question identifier:INJ_Q050

What type of injury did you have? For example, a broken bone or burn.

  • 01: Multiple serious injuries (excluding multiple minor injuries)
  • 02: Broken or fractured bones
  • 03: Burn, scald, chemical burn
  • 04: Dislocation
  • 05: Sprain or strain (including torn ligaments and muscles)
  • 06: Cut, puncture, animal or human bite (open wound)
  • 07: Scrape(s), bruise(s), blister(s) (including multiple minor injuries)
  • 08: Concussion or other brain injury
  • 09: Poisoning (excluding food poisoning, poison ivy, other contact dermatitis, and allergies)
  • 10: Injury to internal organs
  • 11: Other - Specify
  • 98: RF
  • 99: DK

Injuries (INJ) - Question identifier:INJ_Q055

What part of the body was injured?

  • 01: Multiple sites
  • 02: Eyes (excluding fracture of facial bones around the eye)
  • 03: Head (including facial bones)
  • 04: Neck
  • 05: Shoulder, upper arm
  • 06: Elbow, lower arm
  • 07: Wrist
  • 08: Hand
  • 09: Hip
  • 10: Thigh
  • 11: Knee, lower leg
  • 12: Ankle, foot
  • 13: Upper back or upper spine (excluding neck)
  • 14: Lower back or lower spine
  • 15: Chest (excluding back and spine)
  • 16: Abdomen or pelvis (excluding back and spine)
  • 17: Other
  • 98: RF
  • 99: DK

Injuries (INJ) - Question identifier:INJ_Q060

Where were you when you were injured? For example, someone's house, an office building, construction site.

  • 01: In a home or its surrounding area (including respondent's home or other homes)
  • 02: Residential institution (e.g., nursing home, long term care)
  • 03: School, college, university (exclude sports areas)
  • 04: Sports or athletics area of school, college, university
  • 05: Other sports or athletics area (exclude school sports areas)
  • 06: Other institution (e.g., church, hospital, theatre, civic building)
  • 07: Street, highway, sidewalk
  • 08: Commercial area (e.g., store, restaurant, office building, transport terminal)
  • 09: Industrial or construction area
  • 10: Farm (exclude farmhouse and its surrounding area)
  • 11: Countryside, forest, lake, ocean, mountains, prairie, etc.
  • 12: Other
  • 98: RF
  • 99: DK

Injuries (INJ) - Question identifier:INJ_Q065

What were you doing when you were injured?

  • 01: Organized sports involving coaching and competitions
  • 02: Leisure sports or physical exercise, including school activities and running
  • 03: Non-sport leisure or hobby (including volunteering)
  • 04: Working at a job or business (excluding travel to and from work)
  • 05: Household chores, outdoor yard maintenance, home renovations or other unpaid work
  • 06: Sleeping, eating, personal care
  • 07: Going up and down stairs
  • 08: Driver or passenger in/on road motor vehicle (including motorcycles and trucks)
  • 09: Driver or passenger in/on off-road motor vehicle (including boat, ATV, snowmobile)
  • 10: Walking
  • 11: Other - Specify
  • 98: RF
  • 99: DK

Injuries (INJ) - Question identifier:INJ_Q070

Was the injury the result of a fall?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Injuries (INJ) - Question identifier:INJ_Q075

How did you fall?

  • 01: While skating, skiing or snowboarding
  • 02: While engaged in other sport or physical exercise (including school activities and running)
  • 03: Going up or down stairs / steps (icy or not)
  • 04: Slip, trip or stumble, or loss of balance while walking on ice or snow
  • 05: Slip, trip or stumble, or loss of balance while walking on any other surface
  • 06: From furniture or while rising from furniture (e.g., bed, chair)
  • 07: From elevated position (e.g., ladder, tree, scaffolding)
  • 08: Due to health problems (e.g., faint, weakness, dizziness, hip/knee gave out, seizure)
  • 09: Other - Specify
  • 98: RF
  • 99: DK

Injuries (INJ) - Question identifier:INJ_Q080

What caused the injury? For example, wrong movement, accidental contact with an object, transportation accident.

  • 01: Transportation accident
  • 02: Accidentally bumped, pushed, bitten, etc. by a person or animal
  • 03: Accidentally struck or crushed by object(s)
  • 04: Accidental contact with sharp object, tool or machine
  • 05: Smoke, fire, flames
  • 06: Accidental contact with hot object, liquid or gas
  • 07: Extreme weather or natural disaster
  • 08: Overexertion or strenuous movement
  • 09: Physical assault
  • 10: Intentional self-inflicted injury
  • 11: Other - Specify
  • 98: RF
  • 99: DK

Injuries (INJ) - Question identifier:INJ_Q085

At what time of day did your injury occur?

  • 1: Morning (06:00-11:59)
  • 2: Afternoon (12:00-17:59)
  • 3: Evening (18:00-23:59)
  • 4: Night (00:00-05:59)
  • 8: RF
  • 9: DK

Injuries (INJ) - Question identifier:INJ_Q090

Did you receive any medical attention for the injury from a health professional in the 48 hours following the injury?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Injuries (INJ) - Question identifier:INJ_Q095

Where did you initially go to receive treatment within the first 48 hours following the injury?

  • 01: Doctor's office
  • 02: Hospital emergency room
  • 03: Hospital outpatient clinic (e.g., day surgery)
  • 04: Other clinic (e.g., walk-in, appointment, sports)
  • 05: Physiotherapist or massage therapist's office
  • 06: Community health centre / CLSC
  • 07: Chiropractor's office
  • 08: Where the injury happened/on-site (workplace, school, sports field, hotel, ski hill)
  • 09: Other
  • 98: RF
  • 99: DK

Injuries (INJ) - Question identifier:INJ_Q100

Were you admitted to a hospital overnight because of this injury?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Injuries (INJ) - Question identifier:INJ_Q105

At the present time, are you getting follow-up care from a health professional because of this injury?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Injuries (INJ) - Question identifier:INJ_Q110

In the past 12 months [, excluding injuries previously mentioned, did] have any other injuries that were treated by a health professional, but did not limit your normal activities?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Injuries (INJ) - Question identifier:INJ_Q115

How many injuries?

Min = 1; Max = 30

Workplace injury (INW)

Workplace injury (INW) - Question identifier:INW_R001

You mentioned earlier that you were working at a job or business when you were injured.

Workplace injury (INW) - Question identifier:INW_Q005

Did this injury occur in your current main job?

  • 1: Yes
  • 2: No
  • 3: Was not at a job or business when injured
  • 8: RF
  • 9: DK

Workplace injury (INW) - Question identifier:INW_Q010

What kind of business, industry or service were you working in when you were injured? (For example: cardboard box manufacturing, road maintenance, retail shoe store, secondary school, dairy farm, municipal government)

Long Answer Length = 50

Workplace injury (INW) - Question identifier:INW_Q015

What kind of work were you doing? (For example: babysitting in own home, factory worker, forestry technician)

Long Answer Length = 50

Workplace injury (INW) - Question identifier:INW_Q020

What were your most important activities or duties? (For example: caring for children, stamp press machine operator, forest examiner)

Long Answer Length = 50

Oral health (OHT)

Oral health (OHT) - Question identifier:OHT_R001

Now, some questions about the health of your mouth, including your teeth or dentures, tongue, gums, lips and jaw joints.

Oral health (OHT) - Question identifier:OHT_Q005

In general, would you say the health of your mouth is...?

  • 1: Excellent
  • 2: Very good
  • 3: Good
  • 4: Fair
  • 5: Poor
  • 8: RF
  • 9: DK

Oral health (OHT) - Question identifier:OHT_Q010

How satisfied are you with the appearance of your teeth and/or dentures?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 8: RF
  • 9: DK

Oral health (OHT) - Question identifier:OHT_Q015

In the past 12 months, how often have you found it uncomfortable to eat any food because of problems with your mouth?

  • 1: Often
  • 2: Sometimes
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Oral health (OHT) - Question identifier:OHT_Q020

In the past 12 months, how often have you avoided eating particular foods because of problems with your mouth?

  • 1: Often
  • 2: Sometimes
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Oral health (OHT) - Question identifier:OHT_Q025

Remember, by mouth we mean teeth, dentures, tongue, gums, lips and jaw joints.

In the past 12 months, how often have you had any other persistent or on-going pain anywhere in your mouth?

  • 1: Often
  • 2: Sometimes
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Oral health (OHT) - Question identifier:OHT_Q030

Do you have at least one of your own teeth?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Oral health (OHT) - Question identifier:OHT_Q035

Do you wear dentures, dental prosthesis or false teeth?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Oral health (OHT) - Question identifier:OHT_Q040

In the past 12 months, how often have you had bleeding gums, including while brushing or flossing your teeth?

  • 1: Often
  • 2: Sometimes
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Oral health (OHT) - Question identifier:OHT_Q045

In the past 12 months, how often have you had persistent dry mouth?

  • 1: Often
  • 2: Sometimes
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Oral health (OHT) - Question identifier:OHT_Q050

In the past 12 months, how often have you had persistent bad breath?

  • 1: Often
  • 2: Sometimes
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Dental care (DEN)

Dental care (DEN) - Question identifier:DEN_R001

The next questions are about dental care.

Dental care (DEN) - Question identifier:DEN_Q005

Do you have at least one of your own teeth?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Dental care (DEN) - Question identifier:DEN_Q010

How often do you usually brush your teeth?

Min = 0; Max = 500

Dental care (DEN) - Question identifier:DEN_N010A

Select the reporting period.

  • 1: By day
  • 2: By week
  • 3: By month
  • 4: By year

Dental care (DEN) - Question identifier:DEN_Q015

How often do you usually floss your teeth?

Min = 0; Max = 500

Dental care (DEN) - Question identifier:DEN_N015A

Select the reporting period.

  • 1: By day
  • 2: By week
  • 3: By month
  • 4: By year

Dental care (DEN) - Question identifier:DEN_Q020

Do you wear dentures, dental prosthesis or false teeth?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Dental care (DEN) - Question identifier:DEN_Q025

How often do you usually clean your dentures or dental prosthesis?

Min = 0; Max = 500

Dental care (DEN) - Question identifier:DEN_N025A

Select the reporting period.

  • 1: By day
  • 2: By week
  • 3: By month
  • 4: By year

Dental care (DEN) - Question identifier:DEN_Q030

How often do you usually see a dental professional, such as a dentist, a dental hygienist or a denturologist?

  • 1: More than once a year for check-ups or treatment
  • 2: About once a year (for check-ups or treatment)
  • 3: Less than once a year (for check-ups or treatment)
  • 4: Only for emergency care
  • 5: Never
  • 8: RF
  • 9: DK

Dental care (DEN) - Question identifier:DEN_Q035

When was the last time you saw a dental professional?

  • 1: Less than 1 year to 1 year ago
  • 2: More than 1 year to 2 years ago
  • 3: More than 2 years to 3 years ago
  • 4: More than 3 years to 4 years ago
  • 5: More than 4 years to 5 years ago
  • 6: More than 5 years ago
  • 7: Never
  • 8: RF
  • 9: DK

Dental care (DEN) - Question identifier:DEN_Q040

In the past 12 months, have you avoided going to a dental professional because of the cost of dental care?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Dental care (DEN) - Question identifier:DEN_Q045

Do you have insurance or a government program that covers all or part of your dental expenses?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Dental care (DEN) - Question identifier:DEN_Q050

Is it...?

  • 1: An employer-sponsored plan
  • 2: A provincial or territorial government program for children or seniors
  • 3: A private plan
  • 4: A government program for social service (welfare) clients
  • 5: A government program for First Nations and Inuit
  • 6: Other
  • 8: RF
  • 9: DK

Changes made to improve health (CIH)

Changes made to improve health (CIH) - Question identifier:CIH_Q005

Now, some questions about changes made to improve health.

In the past 12 months, did you do anything to improve your health? (For example, lost weight, quit smoking, increased exercise.)

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Changes made to improve health (CIH) - Question identifier:CIH_Q010

What is the single most important change you have made?

  • 01: Increased exercise, sports / physical activity
  • 02: Lost weight
  • 03: Changed diet / improved eating habits
  • 04: Quit smoking / reduced amount smoked
  • 05: Drank less alcohol
  • 06: Reduced stress level
  • 07: Received medical treatment
  • 08: Took vitamins
  • 09: Other
  • 98: RF
  • 99: DK

Changes made to improve health (CIH) - Question identifier:CIH_Q015

Do you think there is [anything else/anything] you should do to improve your physical health?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Changes made to improve health (CIH) - Question identifier:CIH_Q020

What is the most important thing?

  • 01: Start / Increase exercise, sports / physical activity
  • 02: Lose weight
  • 03: Change diet / improve eating habits
  • 04: Quit smoking / reduce amount smoked
  • 05: Drink less alcohol
  • 06: Reduce stress level
  • 07: Receive medical treatment
  • 08: Take vitamins
  • 09: Other
  • 98: RF
  • 99: DK

Changes made to improve health (CIH) - Question identifier:CIH_Q025

Is there anything stopping you from making this improvement?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Changes made to improve health (CIH) - Question identifier:CIH_Q030

What is that?

  • 01: Lack of will power / self-discipline
  • 02: Family responsibilities
  • 03: Work schedule
  • 04: Addiction to drugs / alcohol
  • 05: Disability / health condition
  • 06: Too stressed
  • 07: Too costly / financial constraints
  • 08: Not available in area
  • 09: Transportation problems
  • 10: Weather problems
  • 11: Other
  • 98: RF
  • 99: DK

Changes made to improve health (CIH) - Question identifier:CIH_Q035

Is there anything you intend to do to improve your physical health in the next year?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Changes made to improve health (CIH) - Question identifier:CIH_Q040

What is that?

  • 01: Start / Increase exercise, sports / physical activity
  • 02: Lose weight
  • 03: Change diet / improve eating habits
  • 04: Quit smoking / reduce amount smoked
  • 05: Drink less alcohol
  • 06: Reduce stress level
  • 07: Receive medical treatment
  • 08: Take vitamins
  • 09: Other
  • 98: RF
  • 99: DK

Sleep (SLP)

Sleep (SLP) - Question identifier:SLP_R001

Now a few questions about sleep.

Sleep (SLP) - Question identifier:SLP_Q005

How long do you usually spend sleeping each night?

  • 01: Under 2 hours
  • 02: 2 hours to less than 3 hours
  • 03: 3 hours to less than 4 hours
  • 04: 4 hours to less than 5 hours
  • 05: 5 hours to less than 6 hours
  • 06: 6 hours to less than 7 hours
  • 07: 7 hours to less than 8 hours
  • 08: 8 hours to less than 9 hours
  • 09: 9 hours to less than 10 hours
  • 10: 10 hours to less than 11 hours
  • 11: 11 hours to less than 12 hours
  • 12: 12 hours or more
  • 98: RF
  • 99: DK

Sleep (SLP) - Question identifier:SLP_Q010

How often do you have trouble going to sleep or staying asleep?

  • 1: Never
  • 2: Rarely
  • 3: Sometimes
  • 4: Most of the time
  • 5: All of the time
  • 8: RF
  • 9: DK

Sleep (SLP) - Question identifier:SLP_Q015

How often do you find your sleep refreshing?

  • 1: Never
  • 2: Rarely
  • 3: Sometimes
  • 4: Most of the time
  • 5: All of the time
  • 8: RF
  • 9: DK

Sleep (SLP) - Question identifier:SLP_Q020

How often do you find it difficult to stay awake when you want to?

  • 1: Never
  • 2: Rarely
  • 3: Sometimes
  • 4: Most of the time
  • 5: All of the time
  • 8: RF
  • 9: DK

Fruit and vegetable consumption (FVC)

Fruit and vegetable consumption (FVC) - Question identifier:FVC_R001

These next questions are about the fruits and vegetables you ate or drank during the last month. Think about all meals and snacks, at home and away from home.

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q004

In the last month, did you drink 100% PURE fruit juices, such as pure orange juice, apple juice or pure juice blends? Exclude fruit-flavored drinks with added sugar or fruit punch.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q005

How many times? You can report per day, per week or per month.

Min = 1; Max = 300

Fruit and vegetable consumption (FVC) - Question identifier:FVC_N005A

Select the reporting period that corresponds to FVC_Q005.

  • 1: Per day
  • 2: Per week
  • 3: Per month

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q009

In the last month, not counting juice, did you eat fruit? Please remember to include frozen, dried or canned fruit.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q010

How many times? (You can report per day, per week or per month.)

Min = 1; Max = 300

Fruit and vegetable consumption (FVC) - Question identifier:FVC_N010A

Select the reporting period that corresponds to FVC_Q010.

  • 1: Per day
  • 2: Per week
  • 3: Per month

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q014

In the last month, did you eat dark green vegetables such as broccoli, green beans, peas and green peppers or dark leafy greens including romaine or spinach? Please remember to include (frozen or canned vegetables and) vegetables that were cooked in soups or mixed in salad.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q015

How many times? (You can report per day, per week or per month.)

Min = 1; Max = 300

Fruit and vegetable consumption (FVC) - Question identifier:FVC_N015A

Select the reporting period that corresponds to FVC_Q015.

  • 1: Per day
  • 2: Per week
  • 3: Per month

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q019

In the last month, did you eat orange-coloured vegetables such as carrots, orange bell pepper, sweet potatoes, pumpkin or squash? (Please remember to include frozen or canned vegetables and vegetables that were cooked in soups or mixed in salad).

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q020

How many times? (You can report per day, per week or per month.)

Min = 1; Max = 300

Fruit and vegetable consumption (FVC) - Question identifier:FVC_N020A

Select the reporting period that corresponds to FVC_Q020.

  • 1: Per day
  • 2: Per week
  • 3: Per month

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q024

In the last month, did you eat potatoes that are not deep fried?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q025

How many times? (You can report per day, per week or per month.)

Min = 1; Max = 300

Fruit and vegetable consumption (FVC) - Question identifier:FVC_N025A

Select the reporting period that corresponds to FVC_Q025.

  • 1: Per day
  • 2: Per week
  • 3: Per month

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q029

[Excluding the green and orange vegetables as well as the potatoes you have already reported, in/In] the last month, did you eat OTHER vegetables? Examples include cucumber, celery, corn, cabbage and vegetable juice.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q030

How many times? (You can report per day, per week or per month.)

Min = 1; Max = 300

Fruit and vegetable consumption (FVC) - Question identifier:FVC_N030A

Select the reporting period that corresponds to FVC_Q030.

  • 1: Per day
  • 2: Per week
  • 3: Per month

Food choices (FDC)

Food choices (FDC) - Question identifier:FDC_R001

Now, some questions about the foods you eat.

Food choices (FDC) - Question identifier:FDC_Q005

Do you choose certain foods or avoid others:

because you are concerned about your body weight?

  • 1: Yes (or sometimes)
  • 2: No
  • 8: RF
  • 9: DK

Food choices (FDC) - Question identifier:FDC_Q010

Do you choose certain foods or avoid others:

because you are concerned about heart disease?

  • 1: Yes (or sometimes)
  • 2: No
  • 8: RF
  • 9: DK

Food choices (FDC) - Question identifier:FDC_Q015

Do you choose certain foods or avoid others:

because you are concerned about cancer?

  • 1: Yes (or sometimes)
  • 2: No
  • 8: RF
  • 9: DK

Food choices (FDC) - Question identifier:FDC_Q020

Do you choose certain foods or avoid others:

because you are concerned about osteoporosis (brittle bones)?

  • 1: Yes (or sometimes)
  • 2: No
  • 8: RF
  • 9: DK

Food choices (FDC) - Question identifier:FDC_Q025

Do you choose certain foods because of:

the lower fat content?

  • 1: Yes (or sometimes)
  • 2: No
  • 8: RF
  • 9: DK

Food choices (FDC) - Question identifier:FDC_Q030

Do you choose certain foods because of:

the fibre content?

  • 1: Yes (or sometimes)
  • 2: No
  • 8: RF
  • 9: DK

Food choices (FDC) - Question identifier:FDC_Q035

Do you choose certain foods because of:

the calcium content?

  • 1: Yes (or sometimes)
  • 2: No
  • 8: RF
  • 9: DK

Food choices (FDC) - Question identifier:FDC_Q040

Do you avoid certain foods because of:

the fat content?

  • 1: Yes (or sometimes)
  • 2: No
  • 8: RF
  • 9: DK

Food choices (FDC) - Question identifier:FDC_Q045

Do you avoid certain foods because of:

the type of fat they contain?

  • 1: Yes (or sometimes)
  • 2: No
  • 8: RF
  • 9: DK

Food choices (FDC) - Question identifier:FDC_Q050

Do you avoid certain foods because of:

the salt content?

  • 1: Yes (or sometimes)
  • 2: No
  • 8: RF
  • 9: DK

Food choices (FDC) - Question identifier:FDC_Q055

Do you avoid certain foods because of:

the cholesterol content?

  • 1: Yes (or sometimes)
  • 2: No
  • 8: RF
  • 9: DK

Food choices (FDC) - Question identifier:FDC_Q060

Do you avoid certain foods because of:

the calorie content?

  • 1: Yes (or sometimes)
  • 2: No
  • 8: RF
  • 9: DK

Canada's Food Guide use (FGU)

Canada's Food Guide use (FGU) - Question identifier:FGU_Q005

Have you ever seen or heard of Canada's Food Guide?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Canada's Food Guide use (FGU) - Question identifier:FGU_Q010

Have you ever used information from Canada's Food Guide?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Canada's Food Guide use (FGU) - Question identifier:FGU_Q015

What did you use the information for?

  • 1: To choose foods for you or household members
  • 2: To determine how much you or household members need to eat every day
  • 3: To plan meals or to help with grocery shopping
  • 4: To assess how well you or household members are eating
  • 5: Other
  • 6: None of the above
  • 8: RF
  • 9: DK

Smoking (SMK)

Smoking (SMK) - Question identifier:SMK_R001

The next questions are about cigarette smoking.

Smoking (SMK) - Question identifier:SMK_Q005

At the present time, do you smoke cigarettes every day, occasionally or not at all?

  • 1: Daily
  • 2: Occasionally
  • 3: Not at all
  • 8: RF
  • 9: DK

Smoking (SMK) - Question identifier:SMK_Q010

In the past 30 days, did you smoke any cigarettes?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking (SMK) - Question identifier:SMK_Q015

During the past 30 days, did you smoke every day?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking (SMK) - Question identifier:SMK_Q020

Have you smoked more than 100 cigarettes (about 4 packs) in your life?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking (SMK) - Question identifier:SMK_Q025

Have you ever smoked a whole cigarette?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking (SMK) - Question identifier:SMK_Q030

Have you ever smoked cigarettes daily?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking (SMK) - Question identifier:SMK_Q035

At what age did you smoke your first whole cigarette?

Min = 5; Max = 121

Smoking (SMK) - Question identifier:SMK_Q040

At what age did you begin to smoke cigarettes daily?

Min = 5; Max = 121

Smoking (SMK) - Question identifier:SMK_Q045

How many cigarettes do you smoke each day now?

Min = 1; Max = 99

Smoking (SMK) - Question identifier:SMK_Q050

On the days that you do smoke, how many cigarettes do you usually smoke?

Min = 1; Max = 99

Smoking (SMK) - Question identifier:SMK_Q055

In the past month, on how many days have you smoked one or more cigarettes?

Min = 0; Max = 31

Smoking (SMK) - Question identifier:SMK_Q060

When did you stop smoking? Was it...?

  • 1: Less than one year ago
  • 2: 1 year to less than 2 years ago
  • 3: 2 years to less than 3 years ago
  • 4: 3 or more years ago
  • 8: RF
  • 9: DK

Smoking (SMK) - Question identifier:SMK_Q065

In what month did you stop?

  • 01: January
  • 02: February
  • 03: March
  • 04: April
  • 05: May
  • 06: June
  • 07: July
  • 08: August
  • 09: September
  • 10: October
  • 11: November
  • 12: December
  • 98: RF
  • 99: DK

Smoking (SMK) - Question identifier:SMK_Q070

How many years ago was it?

Min = 3; Max = 121

Smoking (SMK) - Question identifier:SMK_Q075

When you smoked every day, how many cigarettes did you usually smoke each day?

Min = 1; Max = 99

Smoking (SMK) - Question identifier:SMK_Q080

When did you stop smoking daily? Was it...?

  • 1: Less than one year ago
  • 2: 1 year to less than 2 years ago
  • 3: 2 years to less than 3 years ago
  • 4: 3 or more years ago
  • 8: RF
  • 9: DK

Smoking (SMK) - Question identifier:SMK_Q085

In what month did you stop?

  • 01: January
  • 02: February
  • 03: March
  • 04: April
  • 05: May
  • 06: June
  • 07: July
  • 08: August
  • 09: September
  • 10: October
  • 11: November
  • 12: December
  • 98: RF
  • 99: DK

Smoking (SMK) - Question identifier:SMK_Q090

How many years ago was it?

Min = 3; Max = 121

Smoking (SMK) - Question identifier:SMK_Q095

Was that when you completely quit smoking?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking (SMK) - Question identifier:SMK_Q100

When did you stop smoking completely? Was it...?

  • 1: Less than one year ago
  • 2: 1 year to less than 2 years ago
  • 3: 2 years to less than 3 years ago
  • 4: 3 or more years ago
  • 8: RF
  • 9: DK

Smoking (SMK) - Question identifier:SMK_Q105

In what month did you stop?

  • 01: January
  • 02: February
  • 03: March
  • 04: April
  • 05: May
  • 06: June
  • 07: July
  • 08: August
  • 09: September
  • 10: October
  • 11: November
  • 12: December
  • 98: RF
  • 99: DK

Smoking (SMK) - Question identifier:SMK_Q110

How many years ago was it?

Min = 3; Max = 121

Smoking cessation methods (SCA)

Smoking cessation methods (SCA) - Question identifier:SCA_Q005

In the past 12 months, did you try a nicotine patch to reduce or quit smoking?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking cessation methods (SCA) - Question identifier:SCA_Q010

How useful was that in helping you reduce or quit smoking?

  • 1: Very useful
  • 2: Somewhat useful
  • 3: Not very useful
  • 4: Not useful at all
  • 8: RF
  • 9: DK

Smoking cessation methods (SCA) - Question identifier:SCA_Q015

In the past 12 months, did you use nicotine gum such as 'Nicorette' to reduce or quit smoking?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking cessation methods (SCA) - Question identifier:SCA_Q020

How useful was that in helping you reduce or quit smoking?

  • 1: Very useful
  • 2: Somewhat useful
  • 3: Not very useful
  • 4: Not useful at all
  • 8: RF
  • 9: DK

Smoking cessation methods (SCA) - Question identifier:SCA_Q025

In the past 12 months, did you try medication such as Zyban, Wellbutrin or Champix to reduce or quit smoking?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking cessation methods (SCA) - Question identifier:SCA_Q030

How useful was that in helping you reduce or quit smoking?

  • 1: Very useful
  • 2: Somewhat useful
  • 3: Not very useful
  • 4: Not useful at all
  • 8: RF
  • 9: DK

Smoking cessation methods (SCA) - Question identifier:SCA_Q035

In the past 12 months, did you stop smoking for at least 24 hours because you were trying to reduce or quit?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking cessation methods (SCA) - Question identifier:SCA_Q040

In the past 12 months, did you try any of the following to reduce or quit smoking:

a nicotine patch?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking cessation methods (SCA) - Question identifier:SCA_Q045

In the past 12 months, did you try any of the following to reduce or quit smoking:

nicotine gum such as Nicorette?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Smoking cessation methods (SCA) - Question identifier:SCA_Q050

In the past 12 months, did you try any of the following to reduce or quit smoking:

medication such as Zyban, Wellbutrin or Champix?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco products alternatives (TAL)

Tobacco products alternatives (TAL) - Question identifier:TAL_R001

Now, I would like to ask you a few questions about tobacco products, other than cigarettes.

Tobacco products alternatives (TAL) - Question identifier:TAL_Q005

In the past 30 days, did you smoke any little cigars or cigarillos?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco products alternatives (TAL) - Question identifier:TAL_Q010

Were these (little cigars or cigarillos) plain, flavoured or both?

  • 1: Plain
  • 2: Flavoured
  • 3: Both
  • 8: RF
  • 9: DK

Tobacco products alternatives (TAL) - Question identifier:TAL_Q015

In the past 30 days, did you smoke any cigars other than little cigars or cigarillos?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco products alternatives (TAL) - Question identifier:TAL_Q020

In the past 30 days, did you use an electronic cigarette, also known as an 'e-cigarette'?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco products alternatives (TAL) - Question identifier:TAL_Q025

In the past 30 days, did you smoke a pipe?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco products alternatives (TAL) - Question identifier:TAL_Q030

In the past 30 days, did you use any chewing tobacco, pinch or snuff?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Tobacco products alternatives (TAL) - Question identifier:TAL_Q035

In the past 30 days, did you smoke a tobacco water-pipe, also known as a hookah, shisha, nargeelay, hubble-bubble or gouza to smoke tobacco?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Exposure to second hand smoke (ETS)

Exposure to second hand smoke (ETS) - Question identifier:ETS_R001

The next questions are about exposure to second-hand smoke.

Exposure to second hand smoke (ETS) - Question identifier:ETS_Q005

Including both household members and regular visitors, does anyone smoke inside your home, every day or almost every day?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Exposure to second hand smoke (ETS) - Question identifier:ETS_Q010

How many people smoke inside your home every day or almost every day?

Min = 1; Max = 15

Exposure to second hand smoke (ETS) - Question identifier:ETS_Q015

Is smoking allowed inside your home?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Exposure to second hand smoke (ETS) - Question identifier:ETS_Q020

Is smoking inside your home restricted in any way?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Exposure to second hand smoke (ETS) - Question identifier:ETS_Q025

How is smoking restricted inside your home?

  • 1: Allowed in certain rooms only
  • 2: Restricted in the presence of young children
  • 3: Allowed only if windows are open or with another type of ventilation
  • 4: Other restriction(s)
  • 8: RF
  • 9: DK

Exposure to second hand smoke (ETS) - Question identifier:ETS_Q030

In the past month, were you exposed to second-hand smoke, every day or almost every day, at your workplace or at school?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Exposure to second hand smoke (ETS) - Question identifier:ETS_Q035

In the past month, were you exposed to second-hand smoke, every day or almost every day, in a car or other private vehicle?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Exposure to second hand smoke (ETS) - Question identifier:ETS_Q040

In the past month, were you exposed to second-hand smoke, every day or almost every day, in public places (such as bars, restaurants, shopping malls, arenas, bingo halls, bowling alleys)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Alcohol use (ALC)

Alcohol use (ALC) - Question identifier:ALC_R001

Now, some questions about your alcohol consumption.
A 'drink' refers to:
- a bottle or small can of beer, cider or cooler with 5% alcohol content, or a small draft;
- a glass of wine with 12% alcohol content;
- a glass or cocktail containing 1¿ oz. of a spirit with 40% alcohol content.

Alcohol use (ALC) - Question identifier:ALC_Q005

Have you ever had a drink in your lifetime?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Alcohol use (ALC) - Question identifier:ALC_Q010

During the past 12 months, that is, from [CURRENTDATE-1] to yesterday, have you had a drink of beer, wine, liquor or any other alcoholic beverage?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Alcohol use (ALC) - Question identifier:ALC_Q015

During the past 12 months, how often did you drink alcoholic beverages?

  • 1: Less than once a month
  • 2: Once a month
  • 3: 2 to 3 times a month
  • 4: Once a week
  • 5: 2 to 3 times a week
  • 6: 4 to 6 times a week
  • 7: Every day
  • 8: RF
  • 9: DK

Alcohol use (ALC) - Question identifier:ALC_Q020

How often in the past 12 months have you had [5/4] or more drinks on one occasion?

  • 1: Never
  • 2: Less than once a month
  • 3: Once a month
  • 4: 2 to 3 times a month
  • 5: Once a week
  • 6: More than once a week
  • 8: RF
  • 9: DK

Alcohol use during the past week (ALW)

Alcohol use during the past week (ALW) - Question identifier:ALW_Q005

Thinking back over the past week, that is, from last ^DV_DAYLASTWEEKE to yesterday, did you have a drink of beer, wine, liquor or any other alcoholic beverage?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Alcohol use during the past week (ALW) - Question identifier:ALW_Q010

Starting with yesterday, that is [DAY1_TEXT], how many drinks did you have?

Min = 0; Max = 99

Alcohol use during the past week (ALW) - Question identifier:ALW_Q015

How many drinks did you have:

on [DAY2_TEXT]?

Min = 0; Max = 99

Alcohol use during the past week (ALW) - Question identifier:ALW_Q020

How many drinks did you have:

on [DAY3_TEXT]?

Min = 0; Max = 99

Alcohol use during the past week (ALW) - Question identifier:ALW_Q025

How many drinks did you have:

on [DAY4_TEXT]?

Min = 0; Max = 99

Alcohol use during the past week (ALW) - Question identifier:ALW_Q030

How many drinks did you have:

on [DAY5_TEXT]?

Min = 0; Max = 99

Alcohol use during the past week (ALW) - Question identifier:ALW_Q035

How many drinks did you have:

on [DAY6_TEXT]?

Min = 0; Max = 99

Alcohol use during the past week (ALW) - Question identifier:ALW_Q040

How many drinks did you have:

on [DAY7_TEXT]?

Min = 0; Max = 99

Pain relief medication (PRM)

Pain relief medication (PRM) - Question identifier:PRM_R001

The next series of questions are about your use of various pain relievers. By pain relievers, we mean products that contain opioids such as codeine or morphine, or related drugs. Most of these products require a prescription, although some codeine products are available without a prescription, for example, Tylenol #1 or 222s.
We are not interested in pain relievers such as Aspirin, Advil, regular Tylenol, Celebrex, etc.

Pain relief medication (PRM) - Question identifier:PRM_Q005

Have you ever used any such pain relieving products?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain relief medication (PRM) - Question identifier:PRM_Q010

During the past 12 months, have you used any codeine products like Tylenol #3, Tylenol #1, 292s or 222s?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain relief medication (PRM) - Question identifier:PRM_Q015

During the past 12 months, have you used any oxycodone products such as Percocet or OxyNeo?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain relief medication (PRM) - Question identifier:PRM_Q020

During the past 12 months, have you used any fentanyl products?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain relief medication (PRM) - Question identifier:PRM_Q025

(During the past 12 months,) have you used any other opioid products such as hydromorphone, Dilaudid, Hydromorph Contin, morphine, MS Contin, or Demerol?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain relief medication (PRM) - Question identifier:PRM_Q030

(During the past 12 months,) how often did you use any such pain relievers? Would you say...?

  • 01: Once or twice
  • 02: 3 to 11 times a year
  • 03: About once a month
  • 04: 2 or 3 times a month
  • 05: About once or twice a week
  • 06: 3 or 4 times a week
  • 07: Daily or almost daily
  • 08: As needed, or following surgery
  • 98: RF
  • 99: DK

Pain relief medication (PRM) - Question identifier:PRM_Q035

Thinking about all the pain relievers you have used during the past 12 months, were they prescribed for you?

  • 1: No, none were prescribed
  • 2: Yes, they all were prescribed
  • 3: Some were prescribed and others were not
  • 8: RF
  • 9: DK

Pain relief medication (PRM) - Question identifier:PRM_Q040

Sometimes people do not take their pills as directed by a physician or pharmacist. Thinking about all the pain relievers you have used during the past 12 months, did you ever take more pills, or take them more often than you were supposed to?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain relief medication (PRM) - Question identifier:PRM_Q045

During the past 12 months, did you ever use pain relievers only for the experience, the feeling they caused or to get high?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain relief medication (PRM) - Question identifier:PRM_Q050

During the past 12 months, did you ever use pain relievers for reasons other than pain relief, for example, to feel better (improve mood), to cope with stress or problems, or any other reason?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain relief medication (PRM) - Question identifier:PRM_Q055

(During the past 12 months,) did you ever tamper with a pain reliever product before taking it, [for example, by crushing tablets to swallow, snort or inject/not counting for ease of swallowing or to take a lower dose]?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medication use (MED)

Medication use (MED) - Question identifier:MED_R001

The next series of questions are about various medications.

The first series of questions are about your use of various pain relievers. By pain relievers, we mean products that contain opioids such as codeine or morphine, or related drugs. Most of these products require a prescription, although some codeine products are available without a prescription, for example, Tylenol #1 or 222s.
We are not interested in pain relievers such as Aspirin, Advil, regular Tylenol, Celebrex, etc.

Medication use (MED) - Question identifier:MED_Q005

During the past 12 months, have you used any codeine products like Tylenol #3, Tylenol #1, 292s or 222s?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_Q010

During the past 12 months, have you used any oxycodone products such as Percocet or Percodan?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_Q015

During the past 12 months, have you used any other opioid products such as hydromorphone, Dilaudid, Hydromorph Contin, morphine, MS Contin, or Demerol?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_Q020

During the past 12 months, how often did you use any such pain relievers? Would you say...?

  • 01: Once or twice
  • 02: 3 to 11 times a year
  • 03: About once a month
  • 04: 2 or 3 times a month
  • 05: About once or twice a week
  • 06: 3 or 4 times a week
  • 07: Daily or almost daily
  • 08: As needed, or following surgery
  • 98: RF
  • 99: DK

Medication use (MED) - Question identifier:MED_Q025

Thinking about all the pain relievers you have used during the past 12 months, were they prescribed for you?

  • 1: No, none were prescribed
  • 2: Yes, they all were prescribed
  • 3: Some were prescribed and others were not
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_Q030

Sometimes people do not take their pills as directed by a physician or pharmacist. Thinking about all the pain relievers you have used during the past 12 months, did you ever take more pills, or take them more often than you were supposed to?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_Q035

During the past 12 months, did you ever use pain relievers only for the experience, the feeling they caused or to get high?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_Q040

During the past 12 months, did you ever use pain relievers for reasons other than pain relief, for example, to feel better (improve mood), to cope with stress or problems, or any other reason?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_Q045

During the past 12 months, did you ever tamper with a pain reliever product before taking it, [for example, by crushing tablets to swallow, snort or inject, not counting for ease of swallowing or to take a lower dose]?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_R050

The next few questions are about your use of various stimulants.

By stimulants, we mean products prescribed by a doctor to help people who have attention or concentration problems (such as ADHD). Examples of stimulants include Ritalin, Concerta, Adderall, Dexedrine or others.

Medication use (MED) - Question identifier:MED_Q050

During the past 12 months, have you used any stimulants?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_Q055

During the past 12 months, how often did you use any stimulants? Would you say...?

  • 01: Once or twice
  • 02: 3 to 11 times a year
  • 03: About once a month
  • 04: 2 or 3 times a month
  • 05: About once or twice a week
  • 06: 3 or 4 times a week
  • 07: Daily or almost daily
  • 08: As needed, or following surgery
  • 98: RF
  • 99: DK

Medication use (MED) - Question identifier:MED_Q060

Thinking about all the stimulants you used during the past 12 months, were they prescribed for you?

  • 1: No, none were prescribed
  • 2: Yes, they all were prescribed
  • 3: Some were prescribed and others were not
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_Q065

Sometimes people do not take their pills as directed by a physician or pharmacist. Thinking about all the stimulants you have used during the past 12 months, did you ever take more pills or take them more often than you were supposed to?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_Q070

During the past 12 months, did you ever use stimulants only for the experience, the feeling they caused or to get high?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_Q075

During the past 12 months, did you ever use stimulants for reasons other than why they were prescribed, for example, to study, to stay alert, to decrease your appetite or for any other reason?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_R080

The next few questions are about your use of various sedatives or anti-anxiety medications.

By sedatives, we mean products that can be obtained from a doctor such as diazepam, Valium, lorazepam, Ativan, alprazolam, Xanax, clonazepam, Rivotril or others.

Sedatives are sometimes prescribed to help people sleep, calm down, or to relax their muscles.

Medication use (MED) - Question identifier:MED_Q080

During the past 12 months, have you used any sedatives?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_Q085

During the past 12 months, how often did you use any sedatives? Would you say...?

  • 01: Once or twice
  • 02: 3 to 11 times a year
  • 03: About once a month
  • 04: 2 or 3 times a month
  • 05: About once or twice a week
  • 06: 3 or 4 times a week
  • 07: Daily or almost daily
  • 08: As needed, or following surgery
  • 98: RF
  • 99: DK

Medication use (MED) - Question identifier:MED_Q090

Thinking about all the sedatives you have used during the past 12 months, were they prescribed for you?

  • 1: No, none were prescribed
  • 2: Yes, they all were prescribed
  • 3: Some were prescribed and others were not
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_Q095

Sometimes people do not take their pills as directed by a physician or pharmacist. Thinking about all the sedatives you have used during the past 12 months, did you ever take more pills or take them more often than you were supposed to?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medication use (MED) - Question identifier:MED_Q100

During the past 12 months, did you ever use sedatives only for the experience, the feeling they caused or to get high?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use methods (DRM)

Drug use methods (DRM) - Question identifier:DRM_R001

The next questions are about various methods that are used when people use illicit drugs.

Drug use methods (DRM) - Question identifier:DRM_Q005

Have you ever smoked illicit drugs?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use methods (DRM) - Question identifier:DRM_Q010

Was this in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use methods (DRM) - Question identifier:DRM_Q015

Have you ever taken illicit drugs orally?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use methods (DRM) - Question identifier:DRM_Q020

Was this in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use methods (DRM) - Question identifier:DRM_Q025

Have you ever snorted or sniffed illicit drugs?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use methods (DRM) - Question identifier:DRM_Q030

Was this in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use methods (DRM) - Question identifier:DRM_Q035

Have you ever used a needle to inject or be injected with a drug not prescribed by a doctor?

  • 1: Yes, just once
  • 2: Yes, more than once
  • 3: No
  • 8: RF
  • 9: DK

Drug use methods (DRM) - Question identifier:DRM_Q040

Have you ever used a needle to inject or be injected with a drug not prescribed by a doctor?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use methods (DRM) - Question identifier:DRM_Q045

Was this in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use (DRG)

Drug use (DRG) - Question identifier:DRG_R005

I am now going to ask questions on your use of various drugs.

Drug use (DRG) - Question identifier:DRG_Q005

Have you ever used or tried marijuana or hashish?

  • 1: Yes, just once
  • 2: Yes, more than once
  • 3: No
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q010

Was this in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q015

How often did you use marijuana or hashish in the past 12 months?

  • 1: Less than once a month
  • 2: 1 to 3 times a month
  • 3: Once a week
  • 4: More than once a week
  • 5: Every day
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q020

Have you ever used or tried cocaine in any form, including crack, freebase, powder or snow?

  • 1: Yes, just once
  • 2: Yes, more than once
  • 3: No
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q025

Was this in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q030

Have you ever used or tried amphetamines, speed, methamphetamines or crystal meth?

  • 1: Yes, just once
  • 2: Yes, more than once
  • 3: No
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q035

Was this in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q040

Have you ever used or tried ecstasy, also known as MDMA, E, Xtc, Adam or X?

  • 1: Yes, just once
  • 2: Yes, more than once
  • 3: No
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q045

Was this in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q050

Have you ever used or tried hallucinogens such as PCP, LSD, acid, magic mushrooms, mescaline or angel dust?

  • 1: Yes, just once
  • 2: Yes, more than once
  • 3: No
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q055

Was this in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q060

Have you ever sniffed glue, gasoline or other solvents to get high?

  • 1: Yes, just once
  • 2: Yes, more than once
  • 3: No
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q065

Was this in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q070

Have you ever used a needle to inject or be injected with a drug not prescribed by a doctor?

  • 1: Yes, just once
  • 2: Yes, more than once
  • 3: No
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q075

Was this in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Drug use (DRG) - Question identifier:DRG_Q080

Which of the following drugs have you injected using a needle?

  • 1: Cocaine
  • 2: Heroin or opium
  • 3: Methamphetamine
  • 4: Steroids
  • 5: Other
  • 6: I have never injected a drug using a needle
  • 8: RF
  • 9: DK

Physical activities - adults 18 years and older (PAA)

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_R001

The following questions are about various types of physical activities done in the last 7 days. I want you to only think of activities you did for a minimum of 10 continuous minutes.

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q005

In the last 7 days, that is from last ^DT_DAYLASTWEEKE to yesterday, did you use active ways like walking or cycling to get to places such as work, school, the bus stop, the shopping centre or to visit friends?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q010

In the last 7 days, on which days did you do these activities?

  • 1: Monday
  • 2: Tuesday
  • 3: Wednesday
  • 4: Thursday
  • 5: Friday
  • 6: Saturday
  • 7: Sunday
  • 8: RF
  • 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q015

How much time in total, in the last 7 days, did you spend doing these activities? Please only include activities that lasted a minimum of 10 continuous minutes.

Min = 0; Max = 168

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_N020

Enter number of minutes.

Min = 0; Max = 9995

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q030

[Not including activities you just reported, in] the last 7 days, did you do sports, fitness or recreational physical activities, organized or non-organized, that lasted a minimum of 10 continuous minutes?

Examples are walking, home or gym exercise, swimming, cycling, running, skiing, dancing and all team sports.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q035

Did any of these recreational physical activities make you sweat at least a little and breathe harder?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q040

In the last 7 days, on which days did you do these recreational activities that made you sweat at least a little and breathe harder?

  • 1: Monday
  • 2: Tuesday
  • 3: Wednesday
  • 4: Thursday
  • 5: Friday
  • 6: Saturday
  • 7: Sunday
  • 8: RF
  • 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q045

In the last 7 days, how much time in total did you spend doing these activities that made you sweat at least a little and breathe harder?

Min = 0; Max = 168

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_N050

Enter number of minutes.

Min = 0; Max = 9995

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q060

In the last 7 days, did you do any other physical activities while at work, in or around your home or while volunteering?

Examples are carrying heavy loads, shoveling, and household chores such as vacuuming or washing windows. Please remember to only include activities that lasted a minimum of 10 continuous minutes.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q065

Did any of these other physical activities make you sweat at least a little and breathe harder?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q070

In the last 7 days, on which days did you do these other activities that made you sweat at least a little and breathe harder?

  • 1: Monday
  • 2: Tuesday
  • 3: Wednesday
  • 4: Thursday
  • 5: Friday
  • 6: Saturday
  • 7: Sunday
  • 8: RF
  • 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q075

In the last 7 days, how much time in total did you spend doing these activities that made you sweat at least a little and breathe harder?

Min = 0; Max = 168

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_N080

Enter number of minutes.

Min = 0; Max = 9995

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q095

You have reported a total of ^DV_PAATOTAL minutes of physical activity. Of these activities, were there any of vigorous intensity, meaning they caused you to be out of breath?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q100

In the last 7 days, how much time in total did you spend doing vigorous activities that caused you to be out of breath?

Min = 0; Max = 168

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_N105

Enter number of minutes.

Min = 0; Max = 9995

Physical activities for youth (PAY)

Physical activities for youth (PAY) - Question identifier:PAY_R001

The following questions are about various types of physical activities that you have done each day in the past week.

Physical activities for youth (PAY) - Question identifier:PAY_Q005

During the last 7 days, that is from last ^DT_DAYLASTWEEKE to yesterday, did you...?

  • 1: Attend school
  • 2: Attend a day camp
  • 3: Attend paid or unpaid work
  • 4: None of the above
  • 8: RF
  • 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q010

In the last 7 days, did you use active ways like walking or cycling to get to places such as [school, the bus stop, the shopping centre, work] or to visit friends?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q015

How much time did you spend using active ways to get to places...
...yesterday?
...on ^DT_DAY2DAYSAGOE?
...on ^DT_DAY3DAYSAGOE?
...on ^DT_DAY4DAYSAGOE?
...on ^DT_DAY5DAYSAGOE?
...on ^DT_DAY6DAYSAGOE?
...on ^DT_DAYLASTWEEKE?

Min = 0; Max = 10080

Physical activities for youth (PAY) - Question identifier:PAY_Q025

In the last 7 days, did you do sports, fitness or recreational physical activities while at [school or day camp, including during physical education classes, during your breaks and any other time you played indoors or outdoors]?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q030

Did any of these activities make you sweat at least a little and breathe harder?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q035

How much time did you spend doing these activities at [school or day camp] that made you sweat at least a little and breathe harder...
...yesterday?
...on ^DT_DAY2DAYSAGOE?
...on ^DT_DAY3DAYSAGOE?
...on ^DT_DAY4DAYSAGOE?
...on ^DT_DAY5DAYSAGOE?
...on ^DT_DAY6DAYSAGOE?
...on ^DT_DAYLASTWEEKE?

Min = 0; Max = 10080

Physical activities for youth (PAY) - Question identifier:PAY_Q045

In the last 7 days, did you do physical activities in your leisure time including exercising, playing an organized or non-organized sport or playing with your friends?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q050

Did any of these leisure-time activities make you sweat at least a little and breathe harder?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q055

How much time did you spend doing these leisure-time activities that made you sweat at least a little and breathe harder...
...yesterday?
...on ^DT_DAY2DAYSAGOE?
...on ^DT_DAY3DAYSAGOE?
...on ^DT_DAY4DAYSAGOE?
...on ^DT_DAY5DAYSAGOE?
...on ^DT_DAY6DAYSAGOE?
...on ^DT_DAYLASTWEEKE?

Min = 0; Max = 10080

Physical activities for youth (PAY) - Question identifier:PAY_Q065

In the last 7 days, did you do any other physical [activities that you have not already reported], for example, while you [were doing paid or unpaid work or] helping your family with chores?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q070

Did any of these other physical activities make you sweat at least a little and breathe harder?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q075

How much time did you spend doing these other physical activities that made you sweat at least a little and breathe harder...
...yesterday?
...on ^DT_DAY2DAYSAGOE?
...on ^DT_DAY3DAYSAGOE?
...on ^DT_DAY4DAYSAGOE?
...on ^DT_DAY5DAYSAGOE?
...on ^DT_DAY6DAYSAGOE?
...on ^DT_DAYLASTWEEKE?

Min = 0; Max = 10080

Physical activities for youth (PAY) - Question identifier:PAY_Q090

You have reported a total of [DV_PAYTRAVEL + DV_PAYSCHOOL + DV_PAYREC + DV_PAYOTHER] minutes of physical activity. Of these activities, were there any of vigorous intensity, meaning they caused you to be out of breath?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q095

In the last 7 days, on which days did you do these vigorous activities that caused you to be out of breath?

  • 1: Yesterday
  • 2: ^DT_DAY2DAYSAGOE
  • 3: ^DT_DAY3DAYSAGOE
  • 4: ^DT_DAY4DAYSAGOE
  • 5: ^DT_DAY5DAYSAGOE
  • 6: ^DT_DAY6DAYSAGOE
  • 7: ^DT_DAYLASTWEEKE
  • 8: RF
  • 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q100

In the last 7 days, how much time in total did you spend doing vigorous activities that caused you to be out of breath?

Min = 0; Max = 168

Physical activities for youth (PAY) - Question identifier:PAY_N105

Enter number of minutes.

Min = 0; Max = 9995

Use of protective equipment (UPE)

Use of protective equipment (UPE) - Question identifier:UPE_R005

Now a few questions about precautions you take while participating in some physical activities.

Use of protective equipment (UPE) - Question identifier:UPE_Q005

In the past 12 months, have you done any bicycling?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q010

When riding a bicycle, how often do you wear a helmet?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q015

In the past 12 months, have you done any in-line skating or rollerblading?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q020

When in-line skating or rollerblading, how often do you wear a helmet?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q025

How often do you wear wrist guards or wrist protectors?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q030

How often do you wear elbow pads?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q035

How often do you wear knee pads?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q040

In the past 12 months, did you do...?

  • 1: Downhill skiing only
  • 2: Snowboarding only
  • 3: Both
  • 4: Neither
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q045

When downhill skiing, how often do you wear a helmet?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q050

When snowboarding, how often do you wear a helmet?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q055

When snowboarding, how often do you wear wrist guards or wrist protectors?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q060

In the past 12 months, have you done any skateboarding?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q065

How often do you wear a helmet?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q070

How often do you wear wrist guards or wrist protectors?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q075

How often do you wear elbow pads?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q080

In the past 12 months, have you played any ice hockey?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Use of protective equipment (UPE) - Question identifier:UPE_Q085

When playing ice hockey, how often do you wear a mouth guard?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Sun safety behaviours (SSB)

Sun safety behaviours (SSB) - Question identifier:SSB_R001

The next questions are about exposure to the sun and various sun behaviours.

Sun safety behaviours (SSB) - Question identifier:SSB_Q005

In the past 12 months, has any part of your body been sunburnt?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Sun safety behaviours (SSB) - Question identifier:SSB_R010

For the next questions, think about a typical weekend, or day off from work or school during the summer months.

Sun safety behaviours (SSB) - Question identifier:SSB_Q010

About how much time each day do you spend in the sun between 10 am and 4 pm?

  • 1: None
  • 2: Less than 30 minutes
  • 3: 30 to 59 minutes
  • 4: 1 hour to less than 2 hours
  • 5: 2 hours to less than 3 hours
  • 6: 3 hours to less than 4 hours
  • 7: 4 hours to 6 hours
  • 8: RF
  • 9: DK

Sun safety behaviours (SSB) - Question identifier:SSB_Q015

In the summer months, on a typical weekend or day off, when you are in the sun for periods of 30 minutes or more, how often do you:

seek shade?

  • 1: Always
  • 2: Often
  • 3: Sometimes
  • 4: Rarely
  • 5: Never
  • 8: RF
  • 9: DK

Sun safety behaviours (SSB) - Question identifier:SSB_Q020

In the summer months, on a typical weekend or day off, when you are in the sun for 30 minutes or more, how often do you:

wear a hat that shades your face, ears and neck?

  • 1: Always
  • 2: Often
  • 3: Sometimes
  • 4: Rarely
  • 5: Never
  • 8: RF
  • 9: DK

Sun safety behaviours (SSB) - Question identifier:SSB_Q025

In the summer months, on a typical weekend or day off, when you are in the sun for 30 minutes or more, how often do you:

wear long pants or a long skirt?

  • 1: Always
  • 2: Often
  • 3: Sometimes
  • 4: Rarely
  • 5: Never
  • 8: RF
  • 9: DK

Sun safety behaviours (SSB) - Question identifier:SSB_Q030

In the summer months, on a typical weekend or day off, when you are in the sun for 30 minutes or more, how often do you:

wear sunglasses?

  • 1: Always
  • 2: Often
  • 3: Sometimes
  • 4: Rarely
  • 5: Never
  • 8: RF
  • 9: DK

Sun safety behaviours (SSB) - Question identifier:SSB_Q035

In the summer months, on a typical weekend or day off, when you are in the sun for 30 minutes or more, how often do you:

use sunscreen on your face?

  • 1: Always
  • 2: Often
  • 3: Sometimes
  • 4: Rarely
  • 5: Never
  • 8: RF
  • 9: DK

Sun safety behaviours (SSB) - Question identifier:SSB_Q040

What Sun Protection Factor (SPF) do you usually use on your face?

  • 1: Less than 15
  • 2: 15 to 29
  • 3: 30 to 44
  • 4: 45 or higher
  • 8: RF
  • 9: DK

Sun safety behaviours (SSB) - Question identifier:SSB_Q045

In the summer months, on a typical weekend or day off, when you are in the sun for 30 minutes or more, how often do you:

use sunscreen on your body?

  • 1: Always
  • 2: Often
  • 3: Sometimes
  • 4: Rarely
  • 5: Never
  • 8: RF
  • 9: DK

Sun safety behaviours (SSB) - Question identifier:SSB_Q050

What Sun Protection Factor (SPF) do you usually use on your body?

  • 1: Less than 15
  • 2: 15 to 29
  • 3: 30 to 44
  • 4: 45 or higher
  • 8: RF
  • 9: DK

Sun safety behaviours (SSB) - Question identifier:SSB_Q055

In the past 12 months, have you used a tanning bed or booth with tanning lamps?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Sun safety behaviours (SSB) - Question identifier:SSB_Q060

How often?

Min = 1; Max = 365

Sun safety behaviours (SSB) - Question identifier:SSB_N060A

Select the reporting period.

  • 1: Per day
  • 2: Per week
  • 3: Per month
  • 4: Per year
  • 8: RF
  • 9: DK

Sun safety behaviours (SSB) - Question identifier:SSB_Q065

What is the main reason that you use tanning beds or booths with lamps?

  • 1: It is a safe way of getting a tan
  • 2: To get a good base tan that will provide protection prior to sun exposure
  • 3: To look good / obtain a healthy glow
  • 4: To boost vitamin D intake
  • 5: To treat a skin condition or for other medical reasons
  • 6: Other
  • 8: RF
  • 9: DK

Sedentary behaviours (SBE)

Sedentary behaviours (SBE) - Question identifier:SBE_R001

The next questions are about the time you spent sitting in the last 7 days.

Sedentary behaviours (SBE) - Question identifier:SBE_Q005

On a school or work day, how much of your free time did you spend watching television or a screen on any electronic device while sitting or lying down?

  • 1: 2 hours or less per day
  • 2: More than 2 hours but less than 4 hours
  • 3: 4 hours to less than 6 hours
  • 4: 6 hours to less than 8 hours
  • 5: 8 hours or more per day
  • 6: Was not at work or school
  • 8: RF
  • 9: DK

Sedentary behaviours (SBE) - Question identifier:SBE_Q010

On a day that was not a school or workday, how much of your free time did you spend watching television or a screen on any electronic device while sitting or lying down?

  • 1: 2 hours or less per day
  • 2: More than 2 hours but less than 4 hours
  • 3: 4 hours to less than 6 hours
  • 4: 6 hours to less than 8 hours
  • 5: 8 hours or more per day
  • 8: RF
  • 9: DK

Maternal experiences (MEX)

Maternal experiences (MEX) - Question identifier:MEX_R001

The next questions are specific to women's health.

Maternal experiences (MEX) - Question identifier:MEX_Q005

Are you taking a vitamin supplement containing folic acid?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q010

Have you given birth in the past 5 years?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q015

What is the name of your last born child?

Long Answer Length = 50

Maternal experiences (MEX) - Question identifier:MEX_Q020

What is [your last child]'s date of birth?

Min = 1; Max = 31

Maternal experiences (MEX) - Question identifier:MEX_Q025

What is [your last child]'s date of birth?

  • 01: January
  • 02: February
  • 03: March
  • 04: April
  • 05: May
  • 06: June
  • 07: July
  • 08: August
  • 09: September
  • 10: October
  • 11: November
  • 12: December
  • 98: RF
  • 99: DK

Maternal experiences (MEX) - Question identifier:MEX_Q030

What is [your last child]'s date of birth?

Min = 2010; Max = 2099

Maternal experiences (MEX) - Question identifier:MEX_R040

The next questions are about your maternal experiences related to [your last child].

Maternal experiences (MEX) - Question identifier:MEX_Q040

In the three months before you got pregnant with [your last child], did you take a folic acid supplement or a multivitamin containing folic acid?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q045

Did you take it every day or almost every day?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q050

During the first three months of your pregnancy (with [your last child]), did you take a folic acid supplement or a multivitamin containing folic acid?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q055

Did you take it every day or almost every day?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q060

Before your pregnancy (with [your last child]), were you aware that taking folic acid before becoming pregnant can help prevent some birth defects?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q065

During your pregnancy (with [your last child]), did you take a vitamin supplement containing iron?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q070

Just before your pregnancy (with [your last child]), how much did you weigh?

Min = 1; Max = 700

Maternal experiences (MEX) - Question identifier:MEX_N075

Was that in pounds or kilograms?

  • 1: Pounds
  • 2: Kilograms

Maternal experiences (MEX) - Question identifier:MEX_Q080

How much weight did you gain during that pregnancy?

Min = -50; Max = 199

Maternal experiences (MEX) - Question identifier:MEX_N085

Was that in pounds or kilograms?

  • 1: Pounds
  • 2: Kilograms

Maternal experiences (MEX) - Question identifier:MEX_Q090

[How often does [your last child]/When [your last child] was less than one year old, how often did he/she] sleep in the same bed with you or anyone else?

  • 1: Every day or almost every day
  • 2: Once or twice a week
  • 3: A few times a month
  • 4: Less than once a month
  • 5: Never
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q095

What is the main reason [your last child] [is/was] sleeping in the same bed with you or someone else?

  • 1: To breastfeed
  • 2: So the baby would sleep / So I could get some sleep
  • 3: Did not have room for a crib
  • 4: Could not afford a crib
  • 5: Believe that bedsharing was best for my child
  • 6: Child was sick
  • 7: Other
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q100

Was [your last child] breastfed or given breast milk even for a short time?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q105

What is the main reason that you did not breastfeed or give breast milk?

  • 1: Bottle feeding is easier
  • 2: Formula is as good as breast milk
  • 3: Breastfeeding is unappealing
  • 4: Medical condition - mother
  • 5: Other - Specify
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q110

Are you still breastfeeding or giving breast milk to [your last child]?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q115

How long did you breastfeed or give breast milk to [your last child]?

Min = 1; Max = 730

Maternal experiences (MEX) - Question identifier:MEX_N115A

Was this time in days, weeks, months or years?

If respondent reports less than 1 year but with a fraction, round the amount up. For example, 3 and ¿ months would become 4 months.

If the respondent reports more than a year, with half values, report in months. For example, 2 ¿ years = 30 months.

  • 1: Days
  • 2: Weeks
  • 3: Months
  • 4: Years

Maternal experiences (MEX) - Question identifier:MEX_Q120

What is the main reason that you stopped breastfeeding or giving breast milk?

  • 01: Not enough breast milk
  • 02: Baby was ready for solid foods
  • 03: Inconvenience / fatigue due to breastfeeding
  • 04: Difficulty with breastfeeding (e.g., sore nipples, engorged breasts, mastitis)
  • 05: Medical condition - mother
  • 06: Medical condition - baby
  • 07: Planned to stop at this time
  • 08: Child weaned him / herself (e.g., baby refusing breast, lack of interest)
  • 09: Returned to work / school
  • 10: Other - Specify
  • 98: RF
  • 99: DK

Maternal experiences (MEX) - Question identifier:MEX_Q125

[Are you giving [your last child] a vitamin D supplement?/When [your last child] was less than a year old, did you give him/her a vitamin D supplement?/When [your last child] was less than one year old and fed breast milk, did you give him/her a vitamin D supplement?/When [your last child] was fed breast milk, did you give him/her a vitamin D supplement?]

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q130

[Now that [your last child] is more than a year old, are you still giving him/her a vitamin D supplement?/When [your last child] was older than one and fed breast milk, did you continue to give him/her a vitamin D supplement?]

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q140

Overall, how often [do/did] you give [your last child] a supplement containing vitamin D?

  • 1: Every day
  • 2: Almost every day
  • 3: Once or twice a week
  • 4: Less than once a week
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q150

[While you were still breastfeeding, had/Have] liquids such as milk, formula, water, juice, tea or herbal mixture been introduced to [your last child]'s feeds?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q155

How old was your last child when other liquids were first added to the feeds?

Min = 1; Max = 730

Maternal experiences (MEX) - Question identifier:MEX_N160

Was this time in days, weeks, months or years?

If respondent reports less than 1 year but with a fraction, round the amount up. For example, 3 and ¿ months would become 4 months.

If the respondent reports more than a year, with half values, report in months. For example, 2 ¿ years = 30 months.

  • 1: Days
  • 2: Weeks
  • 3: Months
  • 4: Years

Maternal experiences (MEX) - Question identifier:MEX_Q170

Have solid foods such as cereals, mashed up or pureed meat, vegetables or fruits been introduced to the baby's feeds?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q175

How old was [your last child] when solid foods (such as cereals, mashed up or pureed meat, vegetables or fruits) were first added to their feeds?

Min = 1; Max = 730

Maternal experiences (MEX) - Question identifier:MEX_N180

Was this time in days, weeks, months or years?

If respondent reports less than 1 year but with a fraction, round the amount up. For example, 3 and ¿ months would become 4 months.

If the respondent reports more than a year, with half values, report in months. For example, 2 ¿ years = 30 months.

  • 1: Days
  • 2: Weeks
  • 3: Months
  • 4: Years

Maternal experiences (MEX) - Question identifier:MEX_Q190

What was the first solid food added to ^BABYSNAME's feeds?

  • 1: Infant cereals
  • 2: Meat, fish or poultry
  • 3: Meat alternatives (includes eggs, tofu, legumes, peas or lentils)
  • 4: Fruits or vegetables
  • 5: Other
  • 8: RF
  • 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q195

What is the main reason [other liquids/solid foods/other liquids and solid foods] were first added to [your last child]'s feeds?

  • 01: Not enough breast milk
  • 02: [Baby was ready for solid foods]
  • 03: Inconvenience / fatigue due to breastfeeding
  • 04: Difficulty with breastfeeding (e.g., sore nipples, engorged breasts, mastitis)
  • 05: Medical condition - mother
  • 06: Medical condition - baby
  • 07: Advice from health professional / family
  • 08: Returned to work / school
  • 09: Formula equally healthy for baby
  • 10: Other - Specify
  • 98: RF
  • 99: DK

Smoking during maternal experience (MXS)

Smoking during maternal experience (MXS) - Question identifier:MXS_Q005

In the three months before your pregnancy with ^DT_BABYSNAME, or before you realized you were pregnant, did you smoke cigarettes?

  • 1: Everyday
  • 2: Almost everyday
  • 3: About 2 or 3 times a week
  • 4: About once a week
  • 5: Once or twice
  • 6: Never
  • 8: RF
  • 9: DK

Smoking during maternal experience (MXS) - Question identifier:MXS_Q010

Once you found out you were pregnant (with ^DT_BABYSNAME), did you smoke?

  • 1: Everyday
  • 2: Almost everyday
  • 3: About 2 or 3 times a week
  • 4: About once a week
  • 5: Once or twice
  • 6: Never
  • 8: RF
  • 9: DK

Smoking during maternal experience (MXS) - Question identifier:MXS_Q015

During the last 3 months of your pregnancy (with ^DT_BABYSNAME), did you smoke?

  • 1: Everyday
  • 2: Almost everyday
  • 3: About 2 or 3 times a week
  • 4: About once a week
  • 5: Once or twice
  • 6: Never
  • 8: RF
  • 9: DK

Smoking during maternal experience (MXS) - Question identifier:MXS_Q020

Did anyone regularly smoke in your presence during your pregnancy with ^DT_BABYSNAME?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Alcohol use during maternal experience (MXA)

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q005

In the three months before your pregnancy with ^DT_BABYSNAME, or before you realized you were pregnant, did you drink any alcohol?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q010

How often did you drink?

  • 1: Less than once per month
  • 2: Once per month
  • 3: 2 to 3 times per month
  • 4: Once a week
  • 5: 2 to 3 times per week
  • 6: 4 to 6 times per week
  • 7: Everyday
  • 8: RF
  • 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q015

Once you found out you were pregnant with ^DT_BABYSNAME, did you drink any alcohol?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q020

How often did you drink?

  • 1: Less than once per month
  • 2: Once per month
  • 3: 2 to 3 times per month
  • 4: Once a week
  • 5: 2 to 3 times per week
  • 6: 4 to 6 times per week
  • 7: Everyday
  • 8: RF
  • 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q025

During the last 3 months of your pregnancy (with ^DT_BABYSNAME), did you drink any alcohol?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q030

How often did you drink?

  • 1: Less than once per month
  • 2: Once per month
  • 3: 2 to 3 times per month
  • 4: Once a week
  • 5: 2 to 3 times per week
  • 6: 4 to 6 times per week
  • 7: Everyday
  • 8: RF
  • 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q035

While you were breastfeeding (^DT_BABYSNAME), did you drink any alcohol?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q040

How often did you drink?

  • 1: Less than once per month
  • 2: Once per month
  • 3: 2 to 3 times per month
  • 4: Once a week
  • 5: 2 to 3 times per week
  • 6: 4 to 6 times per week
  • 7: Everyday
  • 8: RF
  • 9: DK

Driving and safety (DRV)

Driving and safety (DRV) - Question identifier:DRV_R001

The next questions are about the use of a motor vehicle.

Driving and safety (DRV) - Question identifier:DRV_Q005

In the past 12 months, excluding motorcycles and off-road vehicles, have you driven a motor vehicle such as a car, truck or a van?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_Q010

In the past 12 months, how often did you use a hands-free device such as Bluetooth when talking on the cell phone while driving a motor vehicle?

  • 1: Often
  • 2: Sometimes
  • 3: Rarely
  • 4: Never
  • 5: Does not possess or have access to a cell phone
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_Q015

In the past 12 months, excluding hands-free use, how often did you talk on a cell phone while driving a motor vehicle?

  • 1: Often
  • 2: Sometimes
  • 3: Rarely
  • 4: Never
  • 5: Does not possess or have access to a cell phone
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_Q020

In the past 12 months, how often did you text on a cell phone while driving a motor vehicle?

  • 1: Often
  • 2: Sometimes
  • 3: Rarely
  • 4: Never
  • 5: Does not possess or have access to a cell phone
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_Q025

In the past 12 months, how often did you use a cell phone for any other reason while driving a motor vehicle, for example, to send or receive emails, use social media, look at maps, etc.?

  • 1: Often
  • 2: Sometimes
  • 3: Rarely
  • 4: Never
  • 5: Does not possess or have access to a cell phone
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_Q030

In the past 12 months, have you driven a motorcycle?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_Q035

In the past 12 months, how often did you [drive any vehicle] when you were feeling tired?

  • 1: Often
  • 2: Sometimes
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_R040

The next few questions are about substance use while driving. Please be assured that anything you say will remain confidential.

Driving and safety (DRV) - Question identifier:DRV_Q040

In the past 12 months, have you driven a motor vehicle after having 2 or more drinks in the hour before you drove?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_Q045

How many times (in the past 12 months)?

Min = 1; Max = 95

Driving and safety (DRV) - Question identifier:DRV_Q050

In the past 12 months, have you driven a motor vehicle under the influence of an illicit substance such as marijuana or hashish?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_Q055

How many times (in the past 12 months)?

Min = 1; Max = 95

Driving and safety (DRV) - Question identifier:DRV_R060

Now some questions about driving leisure vehicles and being a passenger in different vehicles.

Driving and safety (DRV) - Question identifier:DRV_Q060

In the past 12 months, have you been a passenger with a driver who had 2 or more drinks in the hour before driving?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_Q065

How many times (in the past 12 months)?

Min = 1; Max = 95

Driving and safety (DRV) - Question identifier:DRV_Q070

In the past 12 months, have you been the driver of, or a passenger on, an ATV (all-terrain vehicle) or a snowmobile?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_Q075

How often do you wear a helmet when on an ATV or a snowmobile?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_Q080

In the past 12 months, have you driven an ATV or snowmobile after having 2 or more drinks in the hour before you drove?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_Q085

How many times (in the past 12 months)?

Min = 1; Max = 95

Driving and safety (DRV) - Question identifier:DRV_Q090

In the past 12 months, have you driven an ATV or snowmobile under the influence of an illicit substance such as marijuana or hashish?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_Q095

How many times (in the past 12 months)?

Min = 1; Max = 95

Driving and safety (DRV) - Question identifier:DRV_Q100

In the past 12 months, have you been a passenger on an ATV or snowmobile with a driver who had 2 or more drinks in the hour before driving?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Driving and safety (DRV) - Question identifier:DRV_Q105

How many times (in the past 12 months)?

Min = 1; Max = 95

Flu shots (FLU)

Flu shots (FLU) - Question identifier:FLU_R001

Now a few questions about your use of various health care services.

Flu shots (FLU) - Question identifier:FLU_Q005

Have you ever had a seasonal flu shot, excluding the H1N1 flu shot?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Flu shots (FLU) - Question identifier:FLU_Q010

When did you have your last seasonal flu shot?

  • 1: Less than 1 year ago
  • 2: 1 year to less than 2 years ago
  • 3: 2 years ago or more
  • 8: RF
  • 9: DK

Flu shots (FLU) - Question identifier:FLU_Q015

In which month did you have your last seasonal flu shot?

  • 01: January
  • 02: February
  • 03: March
  • 04: April
  • 05: May
  • 06: June
  • 07: July
  • 08: August
  • 09: September
  • 10: October
  • 11: November
  • 12: December
  • 98: RF
  • 99: DK

Flu shots (FLU) - Question identifier:FLU_Q020

Was that this year or last year?

  • 1: This year
  • 2: Last year
  • 8: RF
  • 9: DK

Flu shots (FLU) - Question identifier:FLU_Q025

What are the reasons that you have not had a seasonal flu shot in the past year?

  • 01: Lack of time
  • 02: Respondent - did not think it was necessary
  • 03: Doctor - did not think it was necessary
  • 04: Not available - at time required
  • 05: Did not know where to go / uninformed
  • 06: Feelings of fear or discomfort
  • 07: Bad reaction to previous flu shot
  • 08: Bad reaction to previous vaccine other than flu shot
  • 09: Unsure of / does not believe in benefits of vaccine
  • 10: Does not want vaccine for fear of what it contains
  • 11: Other
  • 98: RF
  • 99: DK

Blood pressure check (BPC)

Blood pressure check (BPC) - Question identifier:BPC_R001

Now, a few questions about blood pressure measurement.

Blood pressure check (BPC) - Question identifier:BPC_Q005

Have you ever had your blood pressure measured by a health professional?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Blood pressure check (BPC) - Question identifier:BPC_Q010

When was the last time you had your blood pressure measured (by a health professional)?

  • 1: Less than 1 year to 1 year ago
  • 2: More than 1 year to 2 years ago
  • 3: More than 2 years to 3 years ago
  • 4: More than 3 years to 5 years ago
  • 5: More than 5 years ago
  • 8: RF
  • 9: DK

Blood pressure check (BPC) - Question identifier:BPC_Q015

What are the reasons that you have not had your blood pressure measured (by a health professional) in the past 2 years?

  • 1: Lack of time
  • 2: Respondent did not think it was necessary
  • 3: Doctor did not think it was necessary
  • 4: Feelings of fear or discomfort
  • 5: Don't have a doctor
  • 6: Other
  • 8: RF
  • 9: DK

Blood pressure check (BPC) - Question identifier:BPC_Q020

Were you pregnant the last time your blood pressure was measured (by a health professional)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pap smear test (PAP)

Pap smear test (PAP) - Question identifier:PAP_Q005

Have you ever had a Pap smear test?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pap smear test (PAP) - Question identifier:PAP_Q010

When was the last time?

  • 1: Less than 1 year to 1 year ago
  • 2: More than 1 year to 2 years ago
  • 3: More than 2 years to 3 years ago
  • 4: More than 3 years to 5 years ago
  • 5: More than 5 years ago
  • 8: RF
  • 9: DK

Pap smear test (PAP) - Question identifier:PAP_Q015

What are the reasons that you have not had a Pap smear test in the past 3 years?

  • 1: Lack of time
  • 2: Respondent did not think it was necessary
  • 3: Doctor did not think it was necessary/ he never brought it up
  • 4: Feelings of fear or discomfort
  • 5: Don't have a doctor
  • 6: [Had a complete hysterectomy]
  • 7: Other
  • 8: RF
  • 9: DK

Pap smear test (PAP) - Question identifier:PAP_Q020

How often do you usually have this test?

  • 1: It was the first time
  • 2: More than once a year
  • 3: Between once a year to less than every 3 years
  • 4: Every 3 years
  • 5: Less often than every 3 years
  • 6: No fixed frequency
  • 8: RF
  • 9: DK

Mammography (MAM)

Mammography (MAM) - Question identifier:MAM_Q005

Have you ever had a mammogram, that is, a breast x-ray?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Mammography (MAM) - Question identifier:MAM_Q010

When was the last time?

  • 1: Less than 1 year to 1 year ago
  • 2: More than 1 year to 2 years ago
  • 3: More than 2 years to 3 years ago
  • 4: More than 3 years to 5 years ago
  • 5: More than 5 years ago
  • 8: RF
  • 9: DK

Mammography (MAM) - Question identifier:MAM_Q015

What were the reasons for having this mammogram?

  • 01: Family history of breast cancer
  • 02: Part of regular check-up / routine screening
  • 03: Age
  • 04: Previously detected lump
  • 05: Follow-up of breast cancer treatment
  • 06: On hormone replacement therapy
  • 07: Breast problem
  • 08: Other
  • 98: RF
  • 99: DK

Mammography (MAM) - Question identifier:MAM_Q020

What are the reasons you have not had a [mammogram in the past 3 years/mammogram]?

  • 1: Lack of time
  • 2: Respondent did not think it was necessary
  • 3: Doctor did not think it was necessary/ he never brought it up
  • 4: Feelings of fear or discomfort
  • 5: Don't have a doctor
  • 6: Had a bilateral mastectomy (both breasts were removed)
  • 7: Other
  • 8: RF
  • 9: DK

Mammography (MAM) - Question identifier:MAM_Q025

How often do you usually have this test?

  • 1: It was the first time
  • 2: More than once a year
  • 3: Between once a year to less than every 3 years
  • 4: Every 3 years
  • 5: Less often than every 3 years
  • 6: No fixed frequency
  • 8: RF
  • 9: DK

Prostate cancer screening (PSA)

Prostate cancer screening (PSA) - Question identifier:PSA_R001

Now, a few questions related to prostate exams.

Prostate cancer screening (PSA) - Question identifier:PSA_Q005

Have you ever had a prostate specific antigen test for prostate cancer, that is, a PSA blood test?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Prostate cancer screening (PSA) - Question identifier:PSA_Q010

When was the last time?

  • 1: Less than 1 year to 1 year ago
  • 2: More than 1 year to 2 years ago
  • 3: More than 2 years to 3 years ago
  • 4: More than 3 years to 5 years ago
  • 5: More than 5 years ago
  • 8: RF
  • 9: DK

Prostate cancer screening (PSA) - Question identifier:PSA_Q015

Why did you have it?

  • 1: Family history of prostate cancer
  • 2: Part of regular check-up / routine screening
  • 3: Age
  • 4: Race
  • 5: Follow-up of problem
  • 6: Follow-up of prostate cancer treatment
  • 7: Other
  • 8: RF
  • 9: DK

Prostate cancer screening (PSA) - Question identifier:PSA_Q020

A Digital Rectal Exam is an exam in which a gloved finger is inserted into the rectum in order to feel the prostate gland.
Have you ever had this exam?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Prostate cancer screening (PSA) - Question identifier:PSA_Q025

When was the last time?

  • 1: Less than 1 year to 1 year ago
  • 2: More than 1 year to 2 years ago
  • 3: More than 2 years to 3 years ago
  • 4: More than 3 years to 5 years ago
  • 5: More than 5 years ago
  • 8: RF
  • 9: DK

Colorectal cancer testing (CCT)

Colorectal cancer testing (CCT) - Question identifier:CCT_R001

Now a few questions about colorectal tests.

Colorectal cancer testing (CCT) - Question identifier:CCT_Q005

A fecal test is a test to check for blood in the stool, in which a stick is used to smear a small stool sample on a special card.

Have you ever had this test?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Colorectal cancer testing (CCT) - Question identifier:CCT_Q010

When was the last time?

  • 1: 6 months ago or less
  • 2: More than 6 months to 1 year ago
  • 3: More than 1 year to 2 years ago
  • 4: More than 2 years to 5 years ago
  • 5: More than 5 years ago
  • 8: RF
  • 9: DK

Colorectal cancer testing (CCT) - Question identifier:CCT_Q015

What are the reasons you did not have a fecal test in the past 2 years?

  • 01: Lack of time
  • 02: No access to test (distance, clinic hours or cost)
  • 03: Respondent did not think it was necessary
  • 04: Doctor did not think it was necessary/ he never brought it up
  • 05: Feelings of fear or discomfort
  • 06: Don't have a doctor
  • 07: Had a colonoscopy or sigmoidoscopy instead
  • 08: Did not know it existed/it was a possibility
  • 09: Other
  • 98: RF
  • 99: DK

Colorectal cancer testing (CCT) - Question identifier:CCT_Q020

How often do you usually have this test?

  • 1: It was the first time
  • 2: More than once a year
  • 3: Every year
  • 4: Every 2 years
  • 5: Less than once every 2 years
  • 6: No fixed frequency
  • 8: RF
  • 9: DK

Colorectal cancer testing (CCT) - Question identifier:CCT_R025

A sigmoidoscopy and a colonoscopy are two tests in which a tube is inserted into the rectum in order to detect signs of cancer or other health problems.

A colonoscopy examines the entire colon, while a sigmoidoscopy only examines the first section of the colon. The sigmoidoscopy requires less preparation.

Colorectal cancer testing (CCT) - Question identifier:CCT_Q025

Have you ever had either one of these tests?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Colorectal cancer testing (CCT) - Question identifier:CCT_Q030

What are the reasons you have not had these tests?

  • 01: Lack of time
  • 02: No access to test (distance, clinic hours or cost)
  • 03: Respondent did not think it was necessary
  • 04: Doctor did not think it was necessary/ he never brought it up
  • 05: Feelings of fear or discomfort
  • 06: Don't have a doctor
  • 07: Had a fecal test instead
  • 08: Did not know it existed/it was a possibility
  • 09: Other
  • 98: RF
  • 99: DK

Colorectal cancer testing (CCT) - Question identifier:CCT_Q035

Which of these tests have you had, a colonoscopy, a sigmoidoscopy or both?

  • 1: Colonoscopy
  • 2: Sigmoidoscopy
  • 3: Both
  • 8: RF
  • 9: DK

Colorectal cancer testing (CCT) - Question identifier:CCT_Q040

When was the last time you had a sigmoidoscopy?

  • 1: 1 year ago or less
  • 2: More than 1 year to 2 years ago
  • 3: More than 2 years to 5 years ago
  • 4: More than 5 years to 10 years ago
  • 5: More than 10 years ago
  • 8: RF
  • 9: DK

Colorectal cancer testing (CCT) - Question identifier:CCT_Q045

What are the reasons you have not had this test in the past 10 years?

  • 01: Lack of time
  • 02: No access to test (distance, clinic hours or cost)
  • 03: Respondent did not think it was necessary
  • 04: Doctor did not think it was necessary/ he never brought it up
  • 05: Feelings of fear or discomfort
  • 06: Don't have a doctor
  • 07: Had a different colorectal test instead
  • 08: Did not know it existed/it was a possibility
  • 09: Other
  • 98: RF
  • 99: DK

Colorectal cancer testing (CCT) - Question identifier:CCT_Q050

How often do you usually have this test?

  • 1: It was the first time
  • 2: More than once every 5 years
  • 3: Every 5 years
  • 4: Less than once every 5 years
  • 5: No fixed frequency
  • 8: RF
  • 9: DK

Colorectal cancer testing (CCT) - Question identifier:CCT_Q055

When was the last time you had a colonoscopy?

  • 1: 1 year ago or less
  • 2: More than 1 year to 2 years ago
  • 3: More than 2 years to 5 years ago
  • 4: More than 5 years to 10 years ago
  • 5: More than 10 years ago
  • 8: RF
  • 9: DK

Colorectal cancer testing (CCT) - Question identifier:CCT_Q065

What are the reasons you have not had this test in the past 10 years?

  • 01: Lack of time
  • 02: No access to test (distance, clinic hours or cost)
  • 03: Respondent did not think it was necessary
  • 04: Doctor did not think it was necessary/ he never brought it up
  • 05: Feelings of fear or discomfort
  • 06: Don't have a doctor
  • 07: Had a different colorectal test instead
  • 08: Did not know it existed/it was a possibility
  • 09: Other
  • 98: RF
  • 99: DK

Colorectal cancer testing (CCT) - Question identifier:CCT_Q070

How often do you usually have this test?

  • 1: It was the first time
  • 2: More than once every 10 years
  • 3: Every 10 years
  • 4: Less than once every 10 years
  • 5: No fixed frequency
  • 8: RF
  • 9: DK

Colorectal cancer testing (CCT) - Question identifier:CCT_Q075

Was the colonoscopy or sigmoidoscopy a follow-up of the results of a fecal test?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Colorectal cancer testing (CCT) - Question identifier:CCT_Q080

Were you prescribed [a colonoscopy/a sigmoidoscopy/one of these tests] because of a family history, an inflammatory bowel disease, a colorectal cancer follow-up or other symptoms?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Diabetes care (DIA)

Diabetes care (DIA) - Question identifier:DIA_R001

You reported earlier that you have diabetes. The following questions are about diabetes care.

Diabetes care (DIA) - Question identifier:DIA_Q005

In the past 12 months, has a health care professional tested you for haemoglobin "A-one-C"? (An "A-one-C" haemoglobin test measures the average level of blood sugar over a 3-month period.)

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Diabetes care (DIA) - Question identifier:DIA_Q010

How many times? (In the past 12 months, has a health care professional tested you for haemoglobin "A-one-C"?)

Min = 1; Max = 99

Diabetes care (DIA) - Question identifier:DIA_Q015

In the past 12 months, has a health care professional checked your feet for any sores or irritations?

  • 1: Yes
  • 2: No
  • 3: No feet
  • 8: RF
  • 9: DK

Diabetes care (DIA) - Question identifier:DIA_Q020

How many times? (In the past 12 months, has a health care professional checked your feet for any sores or irritations?)

Min = 1; Max = 99

Diabetes care (DIA) - Question identifier:DIA_Q025

In the past 12 months, has a health care professional tested your urine for protein (i.e., Microalbumin)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Diabetes care (DIA) - Question identifier:DIA_Q030

Have you ever had an eye exam where the pupils of your eyes were dilated? (This procedure would have made you temporarily sensitive to light.)

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Diabetes care (DIA) - Question identifier:DIA_Q035

When was the last time?

  • 1: Less than 1 year ago
  • 2: 1 year to less than 2 years ago
  • 3: 2 or more years ago
  • 8: RF
  • 9: DK

Diabetes care (DIA) - Question identifier:DIA_Q040

In the past 12 months, has a dietitian provided you with nutrition therapy adapted for people with diabetes? Please exclude advice received by a nurse.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Diabetes care (DIA) - Question identifier:DIA_R045

Now, some questions about diabetes care not provided by a health care professional.

Diabetes care (DIA) - Question identifier:DIA_Q045

How often do you usually have your blood checked for glucose or sugar by yourself or by a family member or friend?

Min = 0; Max = 365

Diabetes care (DIA) - Question identifier:DIA_N045A

Select the reporting period.

  • 1: Per day
  • 2: Per week
  • 3: Per month
  • 4: Per year

Diabetes care (DIA) - Question identifier:DIA_Q050

How often do you usually have your feet checked for any sores or irritations by yourself or by a family member or friend?

Min = 0; Max = 365

Diabetes care (DIA) - Question identifier:DIA_N050A

Select the reporting period.

  • 1: Per day
  • 2: Per week
  • 3: Per month
  • 4: Per year

Diabetes care (DIA) - Question identifier:DIA_R055

Now, a few questions about medication.

Diabetes care (DIA) - Question identifier:DIA_Q055

In the past month, have you taken any medicine for high blood pressure?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Diabetes care (DIA) - Question identifier:DIA_Q060

In the past month, have you taken any medicine for high blood cholesterol or lipids?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Consultations about mental health (CMH)

Consultations about mental health (CMH) - Question identifier:CMH_R001

Now I would like to ask you some questions about mental and emotional well-being.

Consultations about mental health (CMH) - Question identifier:CMH_Q005

In the past 12 months, that is, from [CURRENTDATE - 1] to yesterday, have you seen or talked to a health professional about your emotional or mental health?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Consultations about mental health (CMH) - Question identifier:CMH_Q010

How many times (in the past 12 months)?

Min = 1; Max = 366

Consultations about mental health (CMH) - Question identifier:CMH_Q015

Whom did you see or talk to?

  • 1: Family doctor or general practitioner
  • 2: Psychiatrist
  • 3: Psychologist
  • 4: Nurse
  • 5: Social worker or counsellor
  • 6: Other - Specify
  • 8: RF
  • 9: DK

Satisfaction with life (SWL)

Satisfaction with life (SWL) - Question identifier:SWL_R001

Now, I'd like to ask about your satisfaction with various aspects of your life. For each question, please tell me whether you are very satisfied, satisfied, neither satisfied nor dissatisfied, dissatisfied or very dissatisfied.

Satisfaction with life (SWL) - Question identifier:SWL_Q005

How satisfied are you with your job or main activity?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 8: RF
  • 9: DK

Satisfaction with life (SWL) - Question identifier:SWL_Q010

How satisfied are you with your leisure activities?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 8: RF
  • 9: DK

Satisfaction with life (SWL) - Question identifier:SWL_Q015

How satisfied are you with your financial situation?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 8: RF
  • 9: DK

Satisfaction with life (SWL) - Question identifier:SWL_Q020

How satisfied are you with yourself?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 8: RF
  • 9: DK

Satisfaction with life (SWL) - Question identifier:SWL_Q025

How satisfied are you with the way your body looks?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 8: RF
  • 9: DK

Satisfaction with life (SWL) - Question identifier:SWL_Q030

How satisfied are you with your relationships with family members?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 8: RF
  • 9: DK

Satisfaction with life (SWL) - Question identifier:SWL_Q035

How satisfied are you with your relationships with friends?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 8: RF
  • 9: DK

Satisfaction with life (SWL) - Question identifier:SWL_Q040

How satisfied are you with your housing?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 8: RF
  • 9: DK

Satisfaction with life (SWL) - Question identifier:SWL_Q045

How satisfied are you with your neighbourhood?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 8: RF
  • 9: DK

Distress (DIS)

Distress (DIS) - Question identifier:DIS_R001

The following questions deal with feelings you may have had during the past month.

Distress (DIS) - Question identifier:DIS_Q005

During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:

tired out for no good reason?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q010

During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:

nervous?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q015

During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:

so nervous that nothing could calm you down?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q020

During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:

hopeless?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q025

During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:

restless or fidgety?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q030

During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:

so restless you could not sit still?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q035

During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:

sad or depressed?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q040

During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:

so depressed that nothing could cheer you up?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q045

During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:

that everything was an effort?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q050

During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:

worthless?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q055

We just talked about feelings that occurred to different degrees during the past month. Putting them all together, did these feelings occur more often in the past month than is usual for you, less often than usual or about the same as usual?

  • 1: More often
  • 2: Less often
  • 3: About the same
  • 4: Never have had any
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q060

Is that a lot more, somewhat more or only a little more often than usual?

  • 1: A lot
  • 2: Somewhat
  • 3: A little
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q065

Is that a lot less, somewhat less or only a little less often than usual?

  • 1: A lot
  • 2: Somewhat
  • 3: A little
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q070

During the past month, how much did these feelings usually interfere with your life or activities?

  • 1: A lot
  • 2: Some
  • 3: A little
  • 4: Not at all
  • 8: RF
  • 9: DK

Depression (DEP)

Depression (DEP) - Question identifier:DEP_R001

The following questions deal with problems you may have had during the last two weeks.

Depression (DEP) - Question identifier:DEP_Q005

Over the last two weeks, how often have you:

had little interest or pleasure in doing things?

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day
  • 8: RF
  • 9: DK

Depression (DEP) - Question identifier:DEP_Q010

Over the last two weeks, how often have you:

felt down, depressed, or hopeless?

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day
  • 8: RF
  • 9: DK

Depression (DEP) - Question identifier:DEP_Q015

Over the last two weeks, how often have you:

had trouble falling or staying asleep, or sleeping too much?

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day
  • 8: RF
  • 9: DK

Depression (DEP) - Question identifier:DEP_Q020

Over the last two weeks, how often have you:

felt tired or had little energy?

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day
  • 8: RF
  • 9: DK

Depression (DEP) - Question identifier:DEP_Q025

Over the last two weeks, how often have you:

had poor appetite or overate?

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day
  • 8: RF
  • 9: DK

Depression (DEP) - Question identifier:DEP_Q030

Over the last two weeks, how often have you:

felt bad about yourself, or that you are a failure or have let yourself or your family down?

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day
  • 8: RF
  • 9: DK

Depression (DEP) - Question identifier:DEP_Q035

Over the last two weeks, how often have you:

had trouble concentrating on things, such as reading the newspaper or watching television?

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day
  • 8: RF
  • 9: DK

Depression (DEP) - Question identifier:DEP_Q040

Over the last two weeks, how often have you:

been moving or speaking so slowly that other people could have noticed? Or the opposite, being so fidgety or restless that you have been moving around a lot more than usual?

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day
  • 8: RF
  • 9: DK

Depression (DEP) - Question identifier:DEP_Q045

Over the last two weeks, how often have you:

had thoughts that you would be better off dead, or of hurting yourself?

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day
  • 8: RF
  • 9: DK

Depression (DEP) - Question identifier:DEP_Q050

How difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?

  • 1: Not difficult at all
  • 2: Somewhat difficult
  • 3: Very difficult
  • 4: Extremely difficult
  • 8: RF
  • 9: DK

Sources of stress (STS)

Sources of stress (STS) - Question identifier:STS_R001

Now a few questions about the stress in your life.

Sources of stress (STS) - Question identifier:STS_Q005

In general, how would you rate your ability to handle unexpected and difficult problems, for example, a family or personal crisis? Would you say your ability is...?

  • 1: Excellent
  • 2: Good
  • 3: Fair
  • 4: Poor
  • 8: RF
  • 9: DK

Sources of stress (STS) - Question identifier:STS_Q010

In general, how would you rate your ability to handle the day-to-day demands in your life, for example, handling work, family and volunteer responsibilities? Would you say your ability is...?

  • 1: Excellent
  • 2: Good
  • 3: Fair
  • 4: Poor
  • 8: RF
  • 9: DK

Sources of stress (STS) - Question identifier:STS_Q015

Thinking about stress in your day-to-day life, what would you say is the most important thing contributing to feelings of stress you may have?

  • 01: Work
  • 02: Financial concerns
  • 03: Family
  • 04: School work
  • 05: Time pressures / not enough time
  • 06: Health
  • 07: Other - Specify
  • 08: None
  • 98: RF
  • 99: DK

Social provisions (SPS)

Social provisions (SPS) - Question identifier:SPS_R001

The next questions are about your current relationships with friends, family members, co-workers, community members, and so on. Please indicate to what extent each statement describes your current relationships with other people.

Social provisions (SPS) - Question identifier:SPS_Q005

There are people I can depend on to help me if I really need it.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social provisions (SPS) - Question identifier:SPS_Q010

There are people who enjoy the same social activities I do.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social provisions (SPS) - Question identifier:SPS_Q015

I have close relationships that provide me with a sense of emotional security and wellbeing.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social provisions (SPS) - Question identifier:SPS_Q020

There is someone I could talk to about important decisions in my life.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social provisions (SPS) - Question identifier:SPS_Q025

I have relationships where my competence and skill are recognized.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social provisions (SPS) - Question identifier:SPS_Q030

There is a trustworthy person I could turn to for advice if I were having problems.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social provisions (SPS) - Question identifier:SPS_Q035

I feel part of a group of people who share my attitudes and beliefs.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social provisions (SPS) - Question identifier:SPS_Q040

I feel a strong emotional bond with at least one other person.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social provisions (SPS) - Question identifier:SPS_Q045

There are people who admire my talents and abilities.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social provisions (SPS) - Question identifier:SPS_Q050

There are people I can count on in an emergency.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Stress and relationships (STR)

Stress and relationships (STR) - Question identifier:STR_R001

Now a few questions about stress and relationships.

Stress and relationships (STR) - Question identifier:STR_Q005

In general, how would you rate your ability to handle the day-to-day demands in your life, for example, handling work, family and volunteer responsibilities? Would you say your ability is...?

  • 1: Excellent
  • 2: Good
  • 3: Fair
  • 4: Poor
  • 8: RF
  • 9: DK

Stress and relationships (STR) - Question identifier:STR_Q010

Please indicate to what extent the following statement describes your current relationships with other people.

There are people I can depend on to help me if I really need it.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Primary health care (PHC)

Primary health care (PHC) - Question identifier:PHC_R001

Now I'd like to ask about your primary health care. It is often the first point of entry to the Canadian health system. It incorporates diagnosis, treatment and management of health problems.

Primary health care (PHC) - Question identifier:PHC_Q005

Is there a place that you usually go to when you need immediate care for a minor health problem?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Primary health care (PHC) - Question identifier:PHC_Q010

What kind of place is it?

  • 1: A doctor's office
  • 2: A hospital outpatient clinic
  • 3: A community health centre [or CLSC]
  • 4: A walk-in clinic
  • 5: A hospital emergency room
  • 6: Some other place
  • 8: RF
  • 9: DK

Primary health care (PHC) - Question identifier:PHC_Q015

Is this...?

  • 1: An office with one doctor working in a solo practice
  • 2: An office with several health care professionals working together as a team, that may include a dietician, nurse, social worker or psychologist
  • 3: An office with several doctors working independently of each other, who may share one or more nurses
  • 4: Other
  • 8: RF
  • 9: DK

Primary health care (PHC) - Question identifier:PHC_Q020

Do you have a regular health care provider? By this, we mean one health professional that you regularly see or talk to when you need care or advice for your health.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Primary health care (PHC) - Question identifier:PHC_Q025

What are the reasons why you do not have a regular health care provider?

  • 1: Do not need one in particular, but you have a usual place of care
  • 2: No one available in the area
  • 3: No one in the area is taking new patients
  • 4: [You] have not tried to find one
  • 5: Had one who left or retired
  • 6: Other
  • 8: RF
  • 9: DK

Primary health care (PHC) - Question identifier:PHC_Q030

Is that regular health care provider a...?

  • 1: Family doctor or general practitioner
  • 2: Medical specialist such as a cardiologist or a pediatrician
  • 3: Nurse practitioner
  • 4: Other
  • 8: RF
  • 9: DK

Primary health care (PHC) - Question identifier:PHC_Q035

When you need immediate care for a minor health problem, how long do you usually have to wait before you can have an appointment with this [family physician/specialist/nurse practitioner/regular health care provider, or another care provider from the same office?]

  • 1: On the same day
  • 2: The next day
  • 3: In 2 to 3 days
  • 4: In 4 to 6 days
  • 5: In 1 to 2 weeks
  • 6: Between 2 weeks and one month
  • 7: One month or more
  • 8: RF
  • 9: DK

Primary health care (PHC) - Question identifier:PHC_Q040

Do you usually speak in English, in French or in another language with this [family physician/specialist/nurse practitioner/regular health care provider]?

  • 1: English
  • 2: French
  • 3: English and French
  • 4: English and another language
  • 5: French and another language
  • 6: Another language
  • 8: RF
  • 9: DK

Primary health care (PHC) - Question identifier:PHC_Q045

Is there one or more nurses working with your [family physician/specialist/nurse practitioner/regular health care provider] who are regularly involved in your health care?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Primary health care (PHC) - Question identifier:PHC_Q050

Other than doctors and nurses, are there other health professionals like nutritionists working in the same office where you get your regular health care?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Primary health care (PHC) - Question identifier:PHC_Q055

Other than from your [family physician/specialist/nurse practitioner/regular health care provider], who do you receive regular health care from?

  • 01: Another family doctor or general practitioner
  • 02: Specialist doctor
  • 03: Nurse / Nurse practitioner
  • 04: Chiropractor
  • 05: Registered dietician
  • 06: Pharmacist
  • 07: Physiotherapist
  • 08: Psychologist / Mental Health Professional
  • 09: Social Worker
  • 10: Other
  • 11: None
  • 98: RF
  • 99: DK

Primary health care (PHC) - Question identifier:PHC_Q060

In general, how would you rate the level of coordination between your [family physician/specialist/nurse practitioner/regular health care provider] and other health professionals who provide you with regular care? Would you say the coordination is...?

  • 1: Excellent
  • 2: Very good
  • 3: Good
  • 4: Fair
  • 5: Poor
  • 6: Not applicable
  • 8: RF
  • 9: DK

Medical doctor attachment (MDA)

Medical doctor attachment (MDA) - Question identifier:MDA_Q005

How long have you had your family doctor or general practitioner for?

  • 1: Less than 6 months
  • 2: 6 months to less than 1 year
  • 3: 1 year to less than 2 years
  • 4: 2 years or more
  • 8: RF
  • 9: DK

Medical doctor attachment (MDA) - Question identifier:MDA_Q010

Are you currently looking for a family doctor or general practitioner?

  • 1: Yes
  • 2: No
  • 3: Not applicable; [I already have one]
  • 8: RF
  • 9: DK

Medical doctor attachment (MDA) - Question identifier:MDA_Q015

Earlier you said that you have a usual place to go when you need care for a minor health problem. In this place, is there more than one medical doctor who you can see?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Medical doctor attachment (MDA) - Question identifier:MDA_Q020

When you go to that usual place, how often are you taken care of by the same medical doctor?

  • 1: Always
  • 2: Often
  • 3: Sometimes
  • 4: Rarely
  • 5: Never
  • 6: Not applicable
  • 8: RF
  • 9: DK

Contacts with health professionals - extended block (CP2)

Contacts with health professionals - extended block (CP2) - Question identifier:CP2_Q005

[Not counting when you were an overnight patient, in the past 12 months/In the past 12 months], have you seen or talked to any of the following health professionals about your physical, emotional or mental health:

a chiropractor?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with health professionals - extended block (CP2) - Question identifier:CP2_Q010

How many times (in the past 12 months)?

Min = 1; Max = 366

Contacts with health professionals - extended block (CP2) - Question identifier:CP2_Q015

[Not counting when you were an overnight patient, in the past 12 months/In the past 12 months], have you seen or talked to

a physiotherapist?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with health professionals - extended block (CP2) - Question identifier:CP2_Q020

How many times (in the past 12 months)?

Min = 1; Max = 366

Contacts with health professionals - extended block (CP2) - Question identifier:CP2_Q025

[Not counting when you were an overnight patient, in the past 12 months/In the past 12 months], have you seen or talked to

a psychologist (about your physical, emotional or mental health)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with health professionals - extended block (CP2) - Question identifier:CP2_Q030

How many times (in the past 12 months)?

Min = 1; Max = 366

Contacts with health professionals - extended block (CP2) - Question identifier:CP2_Q035

[Not counting when you were an overnight patient, in the past 12 months/In the past 12 months], have you seen or talked to:

a social worker or counsellor?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with health professionals - extended block (CP2) - Question identifier:CP2_Q040

How many times (in the past 12 months)?

Min = 1; Max = 366

Contacts with health professionals - extended block (CP2) - Question identifier:CP2_Q045

[Not counting when you were an overnight patient, in the past 12 months/In the past 12 months], have you seen or talked to

an audiologist, a speech or occupational therapist?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with health professionals - extended block (CP2) - Question identifier:CP2_Q050

How many times (in the past 12 months)?

Min = 1; Max = 200

Contacts with health professionals - extended block (CP2) - Question identifier:CP2_Q055

[Not counting when you were an overnight patient, in the past 12 months/In the past 12 months], have you seen or talked to

a dietician or nutritionist?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with health professionals - extended block (CP2) - Question identifier:CP2_Q060

How many times (in the past 12 months)?

Min = 1; Max = 366

Contacts with health professionals - extended block (CP2) - Question identifier:CP2_Q065

[Not counting when you were an overnight patient, in the past 12 months/In the past 12 months], have you consulted with or sought advice from a pharmacist?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with health professionals - extended block (CP2) - Question identifier:CP2_Q070

How many times (in the past 12 months)?

Min = 1; Max = 366

Perceived need for care (PNC)

Perceived need for care (PNC) - Question identifier:PNC_R01

The following questions deal with the different kinds of help you received, or thought you needed, for problems with your emotions, mental health or use of alcohol or drugs.

Perceived need for care (PNC) - Question identifier:PNC_Q01

During the past 12 months, did you receive the following kinds of help because of problems with your emotions, mental health or use of alcohol or drugs?

  • 1: Information about these problems, treatments or available services
  • 2: Medication
  • 3: Counselling, therapy, or help for problems with personal relationships
  • 4: Other type of help
  • 5: None
  • 8: RF
  • 9: DK

Perceived need for care (PNC) - Question identifier:PNC_Q02A

You mentioned that you received:

[information about these problems, treatments or available services/medication/counselling, therapy, or help for problems with personal relationships/other help].

Do you think you got as much of [each of these kinds/this kind] of help as you needed (during the past 12 months)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Perceived need for care (PNC) - Question identifier:PNC_Q02B

Which kind of help did you need more of (during the past 12 months)?

  • 1: Information about these problems, treatments or available services
  • 2: Medication
  • 3: Counselling, therapy, or help for problems with personal relationships
  • 4: Other
  • 8: RF
  • 9: DK

Perceived need for care (PNC) - Question identifier:PNC_Q03

Why didn't you get [more information about these problems, treatments or available services/more medication/more counselling, therapy, or help for problems with personal relationships/more of the other kind of help you mentioned] (during the past 12 months)?

  • 01: You preferred to manage yourself
  • 02: You didn't know how or where to get this kind of help
  • 03: You haven't gotten around to it (e.g., too busy)
  • 04: Your job interfered (e.g., workload, hours of work or no cooperation from supervisor)
  • 05: Help was not readily available
  • 06: You didn't have confidence in health care system or social services
  • 07: You couldn't afford to pay
  • 08: Insurance did not cover
  • 09: You were afraid of what others would think of you
  • 10: Language problems
  • 11: Help is ongoing
  • 12: Other
  • 98: RF
  • 99: DK

Perceived need for care (PNC) - Question identifier:PNC_Q04

Which of the following best describes why you preferred to manage yourself rather than seek help (during the past 12 months)?

  • 01: You didn't think they knew how to help
  • 02: You were uncomfortable talking about these problems
  • 03: You relied on faith and spirituality
  • 04: You relied on family and friends
  • 05: You felt you'd be treated differently if people thought you had these problems
  • 06: You didn't feel ready to seek help
  • 07: You couldn't get this kind of help where you live
  • 08: Other
  • 98: RF
  • 99: DK

Perceived need for care (PNC) - Question identifier:PNC_Q05A

You mentioned that you did not receive:

[Information about these problems, treatments or available services/medication/counselling, therapy, or help for problems with personal relationships/other help].

Do you think you needed [this kind/any of these kinds] of help (during the past 12 months)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Perceived need for care (PNC) - Question identifier:PNC_Q05B

Which kind of help did you need (during the past 12 months)?

  • 1: Information about these problems, treatments or available services
  • 2: Medication
  • 3: Counselling, therapy, or help for problems with personal relationships
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC)

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_R001

The next questions are about community-based health care which include other health care services received outside of a hospital or doctor's office.

Examples are: home nursing care, home-based counselling or therapy, personal care and community health clinics.

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q005

In the past 12 months, have you received any community-based care?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q010

Overall, how would you rate the quality of the community-based care you received? Would you say it was...?

  • 1: Excellent
  • 2: Good
  • 3: Fair
  • 4: Poor
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q015

Using a scale of 0 to 5, where 0 means "Very dissatisfied" and 5 means "Very satisfied", overall, how satisfied were you with the way community-based care was provided?

  • 0: Very dissatisfied
  • 1: |
  • 2: |
  • 3: |
  • 4: V
  • 5: Very satisfied
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q020

In the past 12 months, have you received any home nursing care?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q025

Overall, how would you rate the quality of the home nursing care you received? Would you say it was...?

  • 1: Excellent
  • 2: Good
  • 3: Fair
  • 4: Poor
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q030

Using a scale of 0 to 5, where 0 means "Very dissatisfied" and 5 means "Very satisfied", overall, how satisfied were you with the way the home nursing care was provided?

  • 0: Very dissatisfied
  • 1: |
  • 2: |
  • 3: |
  • 4: V
  • 5: Very satisfied
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q035

In the past 12 months, have you received any home-based counselling or therapy?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q040

Overall, how would you rate the quality of the home-based counselling or therapy you received? Would you say it was...?

  • 1: Excellent
  • 2: Good
  • 3: Fair
  • 4: Poor
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q045

Using a scale of 0 to 5, where 0 means "Very dissatisfied" and 5 means "Very satisfied", overall, how satisfied were you with the way the home-based counselling or therapy was provided?

  • 0: Very dissatisfied
  • 1: |
  • 2: |
  • 3: |
  • 4: V
  • 5: Very satisfied
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q050

In the past 12 months, have you received any personal care services?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q055

Overall, how would you rate the quality of the personal care service you received? Would you say it was...?

  • 1: Excellent
  • 2: Good
  • 3: Fair
  • 4: Poor
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q060

Using a scale of 0 to 5, where 0 means "Very dissatisfied" and 5 means "Very satisfied", overall, how satisfied were you with the way the personal care service was provided?

  • 0: Very dissatisfied
  • 1: |
  • 2: |
  • 3: |
  • 4: V
  • 5: Very satisfied
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q065

In the past 12 months, have you received any services from a community walk-in clinic?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q070

Overall, how would you rate the quality of the service you received at the community walk-in clinic? Would you say it was...?

  • 1: Excellent
  • 2: Good
  • 3: Fair
  • 4: Poor
  • 8: RF
  • 9: DK

Patient satisfaction - community-based care (PSC) - Question identifier:PSC_Q075

Using a scale of 0 to 5, where 0 means "Very dissatisfied" and 5 means "Very satisfied", overall, how satisfied were you with the way the community walk-in clinic service was provided?

  • 0: Very dissatisfied
  • 1: |
  • 2: |
  • 3: |
  • 4: V
  • 5: Very satisfied
  • 8: RF
  • 9: DK

Consultations with health professionals on smoking (SPC)

Consultations with health professionals on smoking (SPC) - Question identifier:SPC_Q005

Does your [regular health care provider] know that you [smoke/smoked] cigarettes?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Consultations with health professionals on smoking (SPC) - Question identifier:SPC_Q010

In the past 12 months, did your [regular health care provider] advise you to reduce or quit smoking?

  • 1: Yes
  • 2: No
  • 3: Did not see or talk to him or her
  • 8: RF
  • 9: DK

Consultations with health professionals on smoking (SPC) - Question identifier:SPC_Q015

In the past 12 months, did your [regular health care provider] give you any specific help or information to reduce or quit smoking?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Consultations with health professionals on smoking (SPC) - Question identifier:SPC_Q020

What type of help did the [regular health care provider] give?

  • 01: Referral to a one-on-one cessation program
  • 02: Referral to a group cessation program
  • 03: Recommended use of nicotine patch or nicotine gum
  • 04: Recommended Zyban or other medication
  • 05: Provided self-help information (e.g., pamphlet, referral to website)
  • 06: Referral to a 1-800 telephone quit line or other smoker help lines
  • 07: Family physician offered counselling
  • 08: Other
  • 98: RF
  • 99: DK

Consultations with health professionals on smoking (SPC) - Question identifier:SPC_Q025

Does your dental professional know that you [smoke/smoked] cigarettes?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Consultations with health professionals on smoking (SPC) - Question identifier:SPC_Q030

In the past 12 months, did your dental professional advise you to reduce or quit smoking?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Consultations with health professionals on smoking (SPC) - Question identifier:SPC_Q035

In the past 12 months, did your dental professional give you any specific help or information to reduce or quit smoking?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Consultations with health professionals on smoking (SPC) - Question identifier:SPC_Q040

What type of help did the dental professional give?

  • 01: Referral to a one-on-one cessation program
  • 02: Referral to a group cessation program
  • 03: Recommended use of nicotine patch or nicotine gum
  • 04: Recommended Zyban or other medication
  • 05: Provided self-help information (e.g., pamphlet, referral to website)
  • 06: Referral to a 1-800 telephone quit line or other smoker help lines
  • 07: Dentist offered counselling
  • 08: Other
  • 98: RF
  • 99: DK

Consultations with health professionals on smoking (SPC) - Question identifier:SPC_Q045

In the past 12 months, have you asked a pharmacist for advice to help you to reduce or quit smoking?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Consultations with health professionals on smoking (SPC) - Question identifier:SPC_Q050

What type of help did the pharmacist give?

  • 1: Referral to a one-on-one cessation program
  • 2: Referral to a group cessation program
  • 3: Recommended use of nicotine patch or nicotine gum
  • 4: Recommended Zyban or other medication
  • 5: Provided self-help information (e.g., pamphlet, referral to website)
  • 6: Referral to a 1-800 telephone quit line or other smoker help lines
  • 7: Other
  • 8: RF
  • 9: DK

Access to health care services (ACC)

Access to health care services (ACC) - Question identifier:ACC_R001

The next questions are about the use of various health care services.

I will start by asking about your experiences getting health care from a medical specialist such as a cardiologist, endocrinologist, allergist, [urologist/gynaecologist] or psychiatrist (excluding an optometrist).

Access to health care services (ACC) - Question identifier:ACC_Q005

In the past 12 months, did you require a visit to a medical specialist for a diagnosis or a consultation?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q010

In the past 12 months, did you ever experience any difficulties getting the specialist care you needed for a diagnosis or consultation?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q015

What types of difficulties did you experience?

  • 01: Difficulty getting a referral
  • 02: Difficulty getting an appointment
  • 03: Waited too long between booking appointment and visit
  • 04: Waited too long to see the specialist (i.e. in-office waiting)
  • 05: Service not available at time required
  • 06: Service not available in the area
  • 07: Transportation problems
  • 08: Language problem
  • 09: Cost
  • 10: General deterioration of health
  • 11: Appointment cancelled or deferred by specialist
  • 12: Unable to leave the house because of a health problem
  • 13: Other
  • 98: RF
  • 99: DK

Access to health care services (ACC) - Question identifier:ACC_R020

The following questions are about any surgery, not provided in an emergency, that you may have required, such as cardiac surgery, joint surgery - knee or hip[, caesarean sections/,] and cataract surgery, excluding laser eye surgery.

Access to health care services (ACC) - Question identifier:ACC_Q020

In the past 12 months, did you require any non-emergency surgery?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q025

In the past 12 months, did you ever experience any difficulties getting the surgery you needed?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q030

What types of difficulties did you experience?

  • 01: Difficulty getting an appointment
  • 02: Difficulty getting a diagnosis including obtaining a diagnostic test
  • 03: Waited too long for a hospital bed to become available
  • 04: Waited too long for surgery
  • 05: Service not available at time required
  • 06: Service not available in the area
  • 07: Transportation problems
  • 08: Language problem
  • 09: Cost
  • 10: General deterioration of health
  • 11: Appointment cancelled or deferred by surgeon or hospital
  • 12: Unable to leave the house because of a health problem
  • 13: Other
  • 98: RF
  • 99: DK

Access to health care services (ACC) - Question identifier:ACC_R035

Now, some questions about MRIs, CAT Scans and angiographies provided in a non-emergency situation.

Access to health care services (ACC) - Question identifier:ACC_Q035

In the past 12 months, did you require one of these tests?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q040

In the past 12 months, did you ever experience any difficulties getting the tests you needed?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q045

What types of difficulties did you experience?

  • 01: Difficulty getting a referral
  • 02: Difficulty getting an appointment
  • 03: Waited too long to get an appointment
  • 04: Waited too long to get test (i.e. in-office waiting)
  • 05: Service not available at time required
  • 06: Service not available in the area
  • 07: Transportation problems
  • 08: Language problem
  • 09: Cost
  • 10: General deterioration of health
  • 11: Did not know where to go (i.e. information problems)
  • 12: Unable to leave the house because of a health problem
  • 13: Other
  • 98: RF
  • 99: DK

Access to health care services (ACC) - Question identifier:ACC_R050A

Now, I'd like you to think about yourself and family members living in your dwelling.

The next questions are about your experiences getting health information or advice when you needed it for yourself or a family member living in your dwelling.

Access to health care services (ACC) - Question identifier:ACC_R050B

The next questions are about your experiences getting health information or advice when you needed it.

Access to health care services (ACC) - Question identifier:ACC_Q050

In the past 12 months, have you required health information or advice for yourself or a family member?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q055

Whom did you contact when you needed health information or advice advice [for yourself or a family member]?

  • 01: A doctor's office
  • 02: A community health centre [or CLSC]
  • 03: A walk-in clinic
  • 04: A telephone health line (for example, HealthLinks, Telehealth Ontario, Health-Line, TeleCare, Info-Santé)
  • 05: Internet (for example, AboutKidsHealth)
  • 06: An emergency department or emergency room
  • 07: A hospital outpatient clinic
  • 08: Other - Specify
  • 98: RF
  • 99: DK

Access to health care services (ACC) - Question identifier:ACC_Q060

In the past 12 months, did you ever experience any difficulties getting the health information or advice [for yourself or a family member]?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q065

Did you experience difficulties during "regular" office hours (that is, 9:00 am to 5:00 pm, Monday to Friday)?

  • 1: Yes
  • 2: No
  • 3: Not required at this time
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q070

What types of difficulties did you experience?

  • 01: Difficulty contacting a physician or nurse
  • 02: Did not have a phone number
  • 03: Could not get through (i.e. no answer)
  • 04: Waited too long to speak to someone
  • 05: Did not get adequate info or advice
  • 06: Language problem
  • 07: Did not know where to go / call / uninformed
  • 08: Unable to leave the house because of a health problem
  • 09: Other
  • 98: RF
  • 99: DK

Access to health care services (ACC) - Question identifier:ACC_Q075

Did you experience difficulties getting health information or advice during evenings and weekends (that is, 5:00 pm to 9:00 pm Monday to Friday, or 9:00 am to 5:00 pm, Saturdays and Sundays)?

  • 1: Yes
  • 2: No
  • 3: Not required at this time
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q080

What types of difficulties did you experience?

  • 01: Difficulty contacting a physician or nurse
  • 02: Did not have a phone number
  • 03: Could not get through (i.e. no answer)
  • 04: Waited too long to speak to someone
  • 05: Did not get adequate info or advice
  • 06: Language problem
  • 07: Did not know where to go / call / uninformed
  • 08: Unable to leave the house because of a health problem
  • 09: Other
  • 98: RF
  • 99: DK

Access to health care services (ACC) - Question identifier:ACC_Q085

Did you experience difficulties getting health information or advice during the middle of the night?

  • 1: Yes
  • 2: No
  • 3: Not required at this time
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q090

What types of difficulties did you experience?

  • 01: Difficulty contacting a physician or nurse
  • 02: Did not have a phone number
  • 03: Could not get through (i.e. no answer)
  • 04: Waited too long to speak to someone
  • 05: Did not get adequate info or advice
  • 06: Language problem
  • 07: Did not know where to go / call / uninformed
  • 08: Unable to leave the house because of a health problem
  • 09: Other
  • 98: RF
  • 99: DK

Access to health care services (ACC) - Question identifier:ACC_R095A

Now, some questions about your experiences when you needed health care services for routine or on-going care such as a medical or dental exam or follow-up for yourself or a family member living in your dwelling.

Access to health care services (ACC) - Question identifier:ACC_R095B

Now, some questions about your experiences when you needed health care services for routine or on-going care such as a medical or dental exam or follow-up.

Access to health care services (ACC) - Question identifier:ACC_Q095

Do you have a regular health care provider?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q100

In the past 12 months, did you require any routine or on-going care for yourself or a family member?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q105

In the past 12 months, did you ever experience any difficulties getting the routine or on-going care [you or a family member] needed?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q110

Did you experience difficulties getting such care during "regular" office hours (that is, 9:00 am to 5:00 pm, Monday to Friday)?

  • 1: Yes
  • 2: No
  • 3: Not required at this time
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q115

What types of difficulties did you experience?

  • 01: Difficulty contacting a health care provider
  • 02: Difficulty getting an appointment
  • 03: Do not have a regular health care provider
  • 04: Waited too long to get an appointment
  • 05: Waited too long to see the health care provider (i.e. in-office waiting)
  • 06: Service not available at time required
  • 07: Service not available in the area
  • 08: Transportation problems
  • 09: Language problem
  • 10: Cost
  • 11: Did not know where to go (i.e. information problems)
  • 12: Unable to leave the house because of a health problem
  • 13: Other
  • 98: RF
  • 99: DK

Access to health care services (ACC) - Question identifier:ACC_Q120

Did you experience difficulties getting such care during evenings and weekends (that is, 5:00 pm to 9:00 pm, Monday to Friday, or 9:00 am to 5:00 pm, Saturdays and Sundays)?

  • 1: Yes
  • 2: No
  • 3: Not required at this time
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q125

What types of difficulties did you experience?

  • 01: Difficulty contacting a health care provider
  • 02: Difficulty getting an appointment
  • 03: Do not have a regular health care provider
  • 04: Waited too long to get an appointment
  • 05: Waited too long to see the health care provider (i.e. in-office waiting)
  • 06: Service not available at time required
  • 07: Service not available in the area
  • 08: Transportation problems
  • 09: Language problem
  • 10: Cost
  • 11: Did not know where to go (i.e. information problems)
  • 12: Unable to leave the house because of a health problem
  • 13: Other
  • 98: RF
  • 99: DK

Access to health care services (ACC) - Question identifier:ACC_R130

The next questions are about situations when [you or a family member] have needed immediate care for a minor health problem such as fever, headache, a sprained ankle, vomiting or an unexplained rash.

Access to health care services (ACC) - Question identifier:ACC_Q130

In the past 12 months, did [you or a family member] require immediate health care services for a minor health problem?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q135

In the past 12 months, did you ever experience any difficulties getting the immediate care needed for a minor health problem [for yourself or a family member]?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q140

Did you experience difficulties getting such care during "regular" office hours (that is, 9:00 am to 5:00 pm, Monday to Friday)?

  • 1: Yes
  • 2: No
  • 3: Not required at this time
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q145

What types of difficulties did you experience?

  • 01: Difficulty contacting a health care provider
  • 02: Difficulty getting an appointment
  • 03: Do not have a regular health care provider
  • 04: Waited too long to get an appointment
  • 05: Waited too long to see the health care provider (i.e. in-office waiting)
  • 06: Service not available at time required
  • 07: Service not available in the area
  • 08: Transportation problems
  • 09: Language problem
  • 10: Cost
  • 11: Did not know where to go (i.e. information problems)
  • 12: Unable to leave the house because of a health problem
  • 13: Other
  • 98: RF
  • 99: DK

Access to health care services (ACC) - Question identifier:ACC_Q150

Did you experience difficulties getting such care during evenings and weekends (that is, 5:00 pm to 9:00 pm, Monday to Friday, or 9:00 am to 5:00 pm, Saturdays and Sundays)?

  • 1: Yes
  • 2: No
  • 3: Not required at this time
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q155

What types of difficulties did you experience?

  • 01: Difficulty contacting a health care provider
  • 02: Difficulty getting an appointment
  • 03: Do not have a regular health care provider
  • 04: Waited too long to get an appointment
  • 05: Waited too long to see the health care provider (i.e. in-office waiting)
  • 06: Service not available at time required
  • 07: Service not available in the area
  • 08: Transportation problems
  • 09: Language problem
  • 10: Cost
  • 11: Did not know where to go (i.e. information problems)
  • 12: Unable to leave the house because of a health problem
  • 13: Other
  • 98: RF
  • 99: DK

Access to health care services (ACC) - Question identifier:ACC_Q160

Did you experience difficulties getting such care during the middle of the night?

  • 1: Yes
  • 2: No
  • 3: Not required at this time
  • 8: RF
  • 9: DK

Access to health care services (ACC) - Question identifier:ACC_Q165

What types of difficulties did you experience?

  • 01: Difficulty contacting a health care provider
  • 02: Difficulty getting an appointment
  • 03: Do not have a regular health care provider
  • 04: Waited too long to get an appointment
  • 05: Waited too long to see the health care provider (i.e. in-office waiting)
  • 06: Service not available at time required
  • 07: Service not available in the area
  • 08: Transportation problems
  • 09: Language problem
  • 10: Cost
  • 11: Did not know where to go (i.e. information problems)
  • 12: Unable to leave the house because of a health problem
  • 13: Other
  • 98: RF
  • 99: DK

Home care services - with palliative care (HMC)

Home care services - with palliative care (HMC) - Question identifier:HMC_R005

Now some questions on home care services that [you or anyone in your household] may have received because of a health condition or a limitation in daily activities. These include services provided in your own home such as nursing care, meal preparation, someone to help with bathing or housework, etc. Do not include the help from family, friends or neighbours.

Home care services - with palliative care (HMC) - Question identifier:HMC_Q005

In the past 12 months, what type of home care services have [you or anyone in your household] received?

  • 1: Nursing care (e.g., dressing changes, preparing
    medications, V.O.N. visits)
  • 2: Other health care services (e.g., physiotherapy,
    occupational or speech therapy, nutrition counselling)
  • 3: Medical equipment or supplies (e.g., wheelchair, pads for incontinence, help with using a ventilator or oxygen equipment)
  • 4: Personal or home support (such as bathing, housekeeping, meal preparation)
  • 5: Palliative or end-of-life care
  • 6: Other services (such as transportation, meals-on-wheels)
  • 7: No one in the household received any home care services
  • 8: RF
  • 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q010

Were [the nursing care/the other health care/the medical equipment or supplies/the personal or home support/the palliative care/the other] services provided for yourself or someone else living in the household?

  • 1: Home care provided to selected respondent only
  • 2: Home care provided to other household member only
  • 3: Home care provided to selected respondent and other household member
  • 8: RF
  • 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_R015

For the next two questions please only report for the home care services provided for you.

Home care services - with palliative care (HMC) - Question identifier:HMC_Q015

How long [have you/have other household members] been receiving [the nursing care/the other health care/the medical equipment or supplies/the personal or home support/the palliative care/the other] services?

  • 1: Less than 1 month
  • 2: 1 month to less than 3 months
  • 3: 3 months to less than 6 months
  • 4: 6 months to less than 1 year
  • 5: 1 year to 3 years
  • 6: More than 3 years
  • 8: RF
  • 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q020

In a typical month over the past 12 months, how much [have you/have other household members] paid for [the nursing care/the other health care/the medical equipment or supplies/the personal or home support/the palliative care/the other] services?

  • 01: $0
  • 02: $1 to less than $50
  • 03: $50 to less than $100
  • 04: $100 to less than $200
  • 05: $200 to less than $300
  • 06: $300 to less than $400
  • 07: $400 to less than $1000
  • 08: $1000 and more
  • 98: RF
  • 99: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q025

Who paid for these services?

  • 1: Out of your / their own pocket
  • 2: Family or friend living in the same household
  • 3: Someone living outside the household (e.g., family, friends, volunteer organization)
  • 4: Insurance
  • 5: Government
  • 6: Other
  • 8: RF
  • 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q030

Overall, how satisfied [were you/were the other household members] with the home care services received?

[were you/were the other household members]...?

  • 1: Very satisfied
  • 2: Somewhat satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Somewhat dissatisfied
  • 5: Very dissatisfied
  • 8: RF
  • 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q035

What are the reasons why [you were/the other household members were] not satisfied?

  • 1: Poor quality (i.e. concerns about provider competence, reliability of services, etc.)
  • 2: Services did not address perceived needs
  • 3: Services provided were insufficient
  • 4: Long wait times to receive services
  • 5: Other reason
  • 8: RF
  • 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q040

During the past 12 months, was there ever a time when [you or anyone in your household] felt that home care services were needed but were not received?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q045

Were these (home care) services needed for yourself or someone else living in the household?

  • 1: Selected Respondent only
  • 2: Other household member only
  • 3: Selected respondent and other household member
  • 8: RF
  • 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_R050

For the following questions, please only report for the home care services you (personally) needed.

Home care services - with palliative care (HMC) - Question identifier:HMC_Q050

Thinking of the most recent time, what type of home care was needed?

  • 1: Nursing care (e.g., dressing changes, preparing
    medications, V.O.N. visits)
  • 2: Other health care services (e.g., physiotherapy,
    occupational or speech therapy, nutrition counselling)
  • 3: Medical equipment or supplies (e.g., wheelchair, pads for incontinence, help with using a ventilator or oxygen equipment)
  • 4: Personal or home support (such as bathing, housekeeping, meal preparation)
  • 5: Palliative or end-of-life care
  • 6: Other services (such as transportation, meals-on-wheels)
  • 8: RF
  • 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q055

Again, thinking of the most recent time, why didn't [you/they] get these services?

  • 01: Not available in the area
  • 02: Not available at time required (e.g., inconvenient hours)
  • 03: Waiting time too long
  • 04: Cost
  • 05: Didn't get around to it / didn't bother
  • 06: Didn't know where to go / call
  • 07: Language barrier
  • 08: Decided not to seek services
  • 09: Doctor did not think it was necessary
  • 10: Not eligible for home care
  • 11: Still waiting for home care
  • 12: Other
  • 98: RF
  • 99: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q060

Where did [you/they] try to get these home care services?

  • 1: A government Home Care Program (e.g., CLSC in Quebec, CCAC in Ontario, Extramural Program in New Brunswick)
  • 2: A private agency
  • 3: A family member, friend or neighbour
  • 4: A volunteer organization
  • 5: Nowhere - did not try to get service
  • 6: Other
  • 8: RF
  • 9: DK

Unmet health care needs (UCN)

Unmet health care needs (UCN) - Question identifier:UCN_Q005

During the past 12 months, was there ever a time when you felt that you needed health care, other than homecare services, but you did not receive it?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Unmet health care needs (UCN) - Question identifier:UCN_Q010

Thinking of the most recent time you felt this way, why didn't you get care?

  • 01: Care not available in the area
  • 02: Care not available at time required (e.g., doctor busy, away from office or no longer at that practice, inconvenient hours)
  • 03: Do not have a regular health care provider
  • 04: Waiting time too long
  • 05: Appointment was cancelled
  • 06: Felt would receive inadequate care
  • 07: Cost
  • 08: Decided not to seek care
  • 09: Doctor didn't think it was necessary
  • 10: Transportation issue
  • 11: Other
  • 98: RF
  • 99: DK

Unmet health care needs (UCN) - Question identifier:UCN_Q015

Again, thinking of the most recent time, what was the type of care that was needed?

  • 01: Treatment of a chronic physical health condition diagnosed by a health professional
  • 02: Treatment of a chronic mental health condition diagnosed by a health professional
  • 03: Treatment of an acute infectious disease (e.g., cold, flu and stomach flu)
  • 04: Treatment of an acute physical condition (non-infectious)
  • 05: Treatment of an acute mental health condition (e.g., acute stress reaction)
  • 06: A regular check-up (including pre-natal care)
  • 07: Care of an injury
  • 08: Dental care
  • 09: Medication / Prescription refill
  • 10: Other
  • 98: RF
  • 99: DK

Unmet health care needs (UCN) - Question identifier:UCN_Q020

Did you actively try to obtain the health care that was needed?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Unmet health care needs (UCN) - Question identifier:UCN_Q025

Where did you try to get the service you were seeking?

  • 1: A doctor's office
  • 2: A hospital outpatient clinic
  • 3: A community health centre [or CLSC]
  • 4: A walk-in clinic
  • 5: An emergency department or emergency room
  • 6: Other
  • 8: RF
  • 9: DK

Labour force (LBF)

Labour force (LBF) - Question identifier:LBF_Q005A

Many of the following questions concern [your] activities last week. By last week, I mean the week beginning on ^REFBEGE, and ending ^REFENDE.

Last week, did you work at a job or business? (regardless of the number of hours)

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Labour force (LBF) - Question identifier:LBF_Q005B

Last week, did you have a job or business from which you were absent?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Labour force (LBF) - Question identifier:LBF_Q005C

What was the main reason you were absent from work last week?

  • 01: Own illness or disability
  • 02: Caring for own children
  • 03: Caring for elder relative (60 years of age or older)
  • 04: Maternity or parental leave
  • 05: Other personal or family responsibilities
  • 06: Vacation
  • 07: Labour dispute (strike or lockout) (Employees only)
  • 08: Temporary layoff due to business conditions (Employees only)
  • 09: Seasonal layoff (Employees only)
  • 10: Casual job, no work available (Employees only)
  • 11: Work schedule (e.g., shift work) (Employees only)
  • 12: Self-employed, no work available (Self-employed only)
  • 13: Seasonal business (Excluding employees)
  • 14: Other - Specify
  • 98: RF
  • 99: DK

Labour force (LBF) - Question identifier:LBF_R010

The next questions are about your current job or business.

Labour force (LBF) - Question identifier:LBF_Q010

Were you an employee or self-employed?

  • 1: Employee
  • 2: Self-employed
  • 3: Working in a family business without pay
  • 8: RF
  • 9: DK

Labour force (LBF) - Question identifier:LBF_Q015A

What was the name of your business?

Long Answer Length = 50

Labour force (LBF) - Question identifier:LBF_Q015B

For whom did you work?

Long Answer Length = 50

Labour force (LBF) - Question identifier:LBF_Q015C

What kind of business, industry or service was this?

Long Answer Length = 50

Labour force (LBF) - Question identifier:LBF_Q020A

What was your work or occupation?

Long Answer Length = 50

Labour force (LBF) - Question identifier:LBF_Q020B

In this work, what were your main activities?

Long Answer Length = 50

Labour force (LBF) - Question identifier:LBF_Q025

On average, how many hours do you usually work per week?

Min = 0.0; Max = 168.0

Labour force (LBF) - Question identifier:LBF_Q030

Did you have more than one job or business last week?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Labour force (LBF) - Question identifier:LBF_Q035

On average, how many hours do you usually work per week at your other job(s)?

Min = 1; Max = 168

Socio-demographic characteristics (SDC)

Socio-demographic characteristics (SDC) - Question identifier:SDC_R001

Now, some general background questions which will help us compare the health of people in Canada.

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q005

In what country were you born?

  • 1: Search
  • 3: Other - Specify
  • 8: RF
  • 9: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q006

In which province or territory were you born?

  • 10: Newfoundland and Labrador
  • 11: Prince Edward Island
  • 12: Nova Scotia
  • 13: New Brunswick
  • 24: Quebec
  • 35: Ontario
  • 46: Manitoba
  • 47: Saskatchewan
  • 48: Alberta
  • 59: British Columbia
  • 60: Yukon
  • 61: Northwest Territories
  • 62: Nunavut
  • 98: RF
  • 99: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q007

Are you now, or have you ever been a landed immigrant in Canada?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q008

In what year did you first become a landed immigrant in Canada?

Min = 1870; Max = 2100

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q010

To which ethnic or cultural groups did your ancestors belong? (For example: French, Scottish, Chinese, East Indian)

  • 01: Canadian
  • 02: French
  • 03: English
  • 04: German
  • 05: Scottish
  • 06: Irish
  • 07: Italian
  • 08: Ukrainian
  • 09: Dutch (Netherlands)
  • 10: Chinese
  • 11: Jewish
  • 12: Polish
  • 13: Portuguese
  • 14: South Asian (e.g., East Indian, Pakistani, Sri Lankan)
  • 15: Norwegian
  • 16: Welsh
  • 17: Swedish
  • 18: First Nations (North American Indian)
  • 19: Métis
  • 20: Inuit
  • 21: Other - Specify
  • 98: RF
  • 99: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q015

Are you an Aboriginal person, that is, First Nations, Métis or Inuk (Inuit)? First Nations includes Status and Non-Status Indians.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q016

Are you First Nations, Métis or Inuk (Inuit)?

  • 1: First Nations (North American Indian)
  • 2: Métis
  • 3: Inuk (Inuit)
  • 8: RF
  • 9: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q020

You may belong to one or more racial or cultural groups on the following list. Are you... ?

  • 01: White
  • 02: South Asian (e.g., East Indian, Pakistani, Sri Lankan)
  • 03: Chinese
  • 04: Black
  • 05: Filipino
  • 06: Latin American
  • 07: Arab
  • 08: Southeast Asian (e.g., Vietnamese, Cambodian,
    Malaysian, Laotian)
  • 09: West Asian (e.g., Iranian, Afghan)
  • 10: Korean
  • 11: Japanese
  • 12: Other - Specify
  • 98: RF
  • 99: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q025

Of English or French, which language(s) do you speak well enough to conduct a conversation? Is it... ?

  • 1: English only
  • 2: French only
  • 3: Both English and French
  • 4: Neither English nor French
  • 8: RF
  • 9: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q026

What language do you speak most often at home?

Long Answer Length = 80

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q027

What is the language that you first learned at home in childhood and still understand?

Long Answer Length = 80

Socio-demographic characteristics (SDC) - Question identifier:SDC_R030

Now a question about the dwelling in which you live.

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q030

Is this dwelling...?

  • 1: Owned by you or a member of this household, even if it is still being paid for
  • 2: Rented, even if no cash rent is paid
  • 8: RF
  • 9: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_R035

Now, one additional background question which will help us compare the health of people in Canada.

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q035

Do you consider yourself to be...?

  • 1: Heterosexual (sexual relations with people of the opposite sex)
  • 2: Homosexual, that is lesbian or gay (sexual relations with people of your own sex)
  • 3: Bisexual (sexual relations with people of both sexes)
  • 8: RF
  • 9: DK

Person most knowledgeable about household situation (PMK)

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R010

For the last few questions, I would like to speak with someone who would be best able to answer questions about the entire household such as household income and food purchases.

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_Q010

Who would this person be?

  • 01: MEMBER1
  • 02: MEMBER2
  • 03: MEMBER3
  • 04: MEMBER4
  • 05: MEMBER5
  • 06: MEMBER6
  • 07: MEMBER7
  • 08: MEMBER8
  • 09: MEMBER9
  • 10: MEMBER10
  • 11: MEMBER11
  • 12: MEMBER12
  • 13: MEMBER13
  • 14: MEMBER14
  • 15: MEMBER15
  • 16: MEMBER16
  • 17: MEMBER17
  • 18: MEMBER18
  • 19: MEMBER19
  • 20: MEMBER20

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_Q015

Is [MEMBER#] available?

  • 1: Yes
  • 2: No
  • 3: Person most knowledgeable about household refuses to participate.

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R025

This completes your portion of the interview. On behalf of Statistics Canada, I would like to thank you very much for your time.

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R030

This completes your portion of the interview. On behalf of Statistics Canada, I would like to thank you very much for your time. I would now like to try and find the best time to speak with [MEMBER#].

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R035

This completes your portion of the interview. On behalf of Statistics Canada, I would like to thank you very much for your time. I would now like to speak with ^MEMBERNAME.

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R040

Hello, My name is... I've just completed the main portion of the interview with <Respondent's name>. At this point I need to finish the interview with a few general questions on your household's situation. <Respondent's name> said you would be the best person to answer these types of questions.

Health insurance coverage (INS)

Health insurance coverage (INS) - Question identifier:INS_R001

Now, turning to [your] health insurance coverage. Please include any private, government or employer-paid plans.

Health insurance coverage (INS) - Question identifier:INS_Q005

[Do you] have insurance that covers all or part of the cost of [your] prescription medications?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health insurance coverage (INS) - Question identifier:INS_Q010

Is it...?

  • 1: A government-sponsored plan
  • 2: An employer-sponsored benefit plan
  • 3: A plan sponsored through an association such as a union, trade association or student organization
  • 4: Other, such as your own private plan purchased from an insurance company
  • 8: RF
  • 9: DK

Health insurance coverage (INS) - Question identifier:INS_Q015

[Do you] have insurance that covers all or part of [your] long-term care costs, including home care?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health insurance coverage (INS) - Question identifier:INS_Q020

Is it...?

  • 1: A government-sponsored plan
  • 2: An employer-sponsored benefit plan
  • 3: A plan sponsored through an association such as a union, trade association or student organization
  • 4: Other, such as your own private plan purchased from an insurance company
  • 8: RF
  • 9: DK

Prescriptions - cost-related non-adherence - short version (PCN2)

Prescriptions - cost-related non-adherence - short version (PCN2) - Question identifier:PCN2_Q003

[Do you] have insurance that covers all or part of the cost of [your] prescription medications? Please include any private, government or employer-paid plans.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Prescriptions - cost-related non-adherence - short version (PCN2) - Question identifier:PCN2_Q005

During the last 12 months, was there a time when [you] did not fill or collect a prescription for [your] medicine, or [you] skipped doses of [your] medicine because of the cost?

  • 1: Yes
  • 2: No
  • 3: Not applicable, [I] had no medication prescription to fill in the last 12 months
  • 8: RF
  • 9: DK

Prescriptions - cost-related non-adherence - short version (PCN2) - Question identifier:PCN2_Q010

In the last 12 months, was there a time when [you] reduced the dosage of [your] medication or delayed filling [your] prescription, because of the cost?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Food security (FSC)

Food security (FSC) - Question identifier:FSC_R010

The following questions are about the food situation for your household in the past 12 months. I'm going to read you several statements that may be used to describe the food situation for a household. Please tell me if the statement was often true, sometimes true, or never true for [you and other household members] in the past 12 months.

Food security (FSC) - Question identifier:FSC_Q010

The first statement is: [You and other household members] worried that food would run out before you got money to buy more. Was that often true, sometimes true, or never true in the past 12 months?

  • 1: Often true
  • 2: Sometimes true
  • 3: Never true
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_Q015

The food that [you and other household members] bought just didn't last, and there wasn't any money to get more. Was that often true, sometimes true, or never true in the past 12 months?

  • 1: Often true
  • 2: Sometimes true
  • 3: Never true
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_Q020

[You and other household members] couldn't afford to eat balanced meals. In the past 12 months was that often true, sometimes true, or never true?

  • 1: Often true
  • 2: Sometimes true
  • 3: Never true
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_R025

Now, I'm going to read a few statements that may describe the food situation for households with children.

Food security (FSC) - Question identifier:FSC_Q025

[You or other adults in your household] relied on only a few kinds of low-cost food to feed [the children] because you were running out of money to buy food. Was that often true, sometimes true, or never true in the past 12 months?

  • 1: Often true
  • 2: Sometimes true
  • 3: Never true
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_Q030

[You or other adults in your household] couldn't feed [the children] a balanced meal, because you couldn't afford it. Was that often true, sometimes true, or never true in the past 12 months?

  • 1: Often true
  • 2: Sometimes true
  • 3: Never true
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_Q035

[The children were] not eating enough because [you or other adults in your household] just couldn't afford enough food. Was that often, sometimes, or never true in the past 12 months?

  • 1: Often true
  • 2: Sometimes true
  • 3: Never true
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_R040

The following few questions are about the food situation in the past 12 months for you or any other adults in your household.

Food security (FSC) - Question identifier:FSC_Q040

In the past 12 months, since last ^CURRENTMONTH, did [you or other adults in your household] ever cut the size of your meals or skip meals because there wasn't enough money for food?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_Q045

How often did this happen? Was it...?

  • 1: Almost every month
  • 2: Some months but not every month
  • 3: Only 1 or 2 months
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_Q050

In the past 12 months, did you (personally) ever eat less than you felt you should because there wasn't enough money to buy food?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_Q055

In the past 12 months, were you (personally) ever hungry but didn't eat because you couldn't afford enough food?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_Q060

In the past 12 months, did you (personally) ever lose weight because you didn't have enough money for food?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_Q065

In the past 12 months, did [you or other adults in your household] ever not eat for a whole day because there wasn't enough money for food?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_Q070

How often did this happen? Was it...?

  • 1: Almost every month
  • 2: Some months but not every month
  • 3: Only 1 or 2 months
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_R075

Now, a few questions on the food experiences for children in your household.

Food security (FSC) - Question identifier:FSC_Q075

In the past 12 months, did [you or other adults in your household] ever cut the size of [any of the children's] meals because there wasn't enough money for food?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_Q080

In the past 12 months, did [any of the children] ever skip meals because there wasn't enough money for food?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_Q085

How often did this happen? Was it...?

  • 1: Almost every month
  • 2: Some months but not every month
  • 3: Only 1 or 2 months
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_Q090

In the past 12 months, [were any of the children] ever hungry but you just couldn't afford more food?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Food security (FSC) - Question identifier:FSC_Q095

In the past 12 months, did [any of the children] ever not eat for a whole day because there wasn't enough money for food?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Administration information (ADM)

Administration information (ADM) - Question identifier:ADM_Q005

[To minimize the number of questions asked/To enhance the information you have provided], Statistics Canada will combine [your responses] with information from [the tax data of all members of the household/your tax data]. [Statistics Canada, your [territorial/provincial] ministry of health and the "Institut de la Statistique du Québec"/Statistics Canada and your [territorial/provincial] ministry of health] may also 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 doctors' offices.

  • 1: Continue (Go to ADM_D010A)
  • 2: Respondent does not want his or her responses combined with other sources
  • 3: Other [e.g., respondent hung up, interview suspended or interrupted]

Administration information (ADM) - Question identifier:ADM_Q010

Having a provincial or territorial health number will assist us in linking to this other information.

[Do you] have [a Newfoundland and Labrador/a Prince Edward Island/a Nova Scotia/a New Brunswick/a Quebec/an Ontario/a Manitoba/a Saskatchewan/an Alberta/a British Columbia/a Yukon/a Northwest Territories/a Nunavut] health number?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Administration information (ADM) - Question identifier:ADM_Q015

For which province or territory is [your] health number?

  • 10: Newfoundland and Labrador
  • 11: Prince Edward Island
  • 12: Nova Scotia
  • 13: New Brunswick
  • 24: Quebec
  • 35: Ontario
  • 46: Manitoba
  • 47: Saskatchewan
  • 48: Alberta
  • 59: British Columbia
  • 60: Yukon
  • 61: Northwest Territories
  • 62: Nunavut
  • 88: Does not have a Canadian health number
  • 98: RF
  • 99: DK

Administration information (ADM) - Question identifier:ADM_Q24

What is your health number?

Long Answer Length = 12

Administration information (ADM) - Question identifier:ADM_R025

To avoid duplication of surveys, Statistics Canada has signed agreements to share the data from this survey with provincial and territorial ministries of health, Health Canada and the Public Health Agency of Canada.

Provincial ministries of health may make the data available to local health authorities. With the exception of postal code, [names, addresses, telephone numbers and health numbers will be provided/names, addresses and telephone numbers will be provided].

Administration information (ADM) - Question identifier:ADM_R030

To avoid duplication of surveys, Statistics Canada has signed agreements to share the data from this survey with provincial and territorial ministries of health, the "Institut de la Statistique du Québec", Health Canada and the Public Health Agency of Canada.

The "Institut de la Statistique du Québec" and provincial ministries of health may make this data available to local health authorities. With the exception of postal code, [names, addresses, telephone numbers and health numbers will be provided/names, addresses and telephone numbers will be provided].

Administration information (ADM) - Question identifier:ADM_Q035

These organizations have agreed to keep the data confidential and use it only for statistical purposes.

Do you agree to share the data provided?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Administration information (ADM) - Question identifier:ADM_Q037

To reduce the number of questions in this questionnaire, Statistics Canada will use information from your tax forms submitted to the Canada Revenue Agency. With your consent Statistics Canada will disclose this information from your forms to [provincial and territorial ministries of health, the "Institut de la Statistique du Québec", Health Canada and the Public Health Agency of Canada/provincial and territorial ministries of health, Health Canada and the Public Health Agency of Canada]. These organizations have agreed to keep the information confidential and to use it only for statistical and research purposes.

Do you give Statistics Canada permission to disclose your tax information to [provincial and territorial ministries of health, the "Institut de la Statistique du Québec", Health Canada and the Public Health Agency of Canada/provincial and territorial ministries of health, Health Canada and the Public Health Agency of Canada]?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Income (INC)

Income (INC) - Question identifier:INC_R001

Although many health expenses are covered by health insurance, there is still an important relationship between health and income. Please be assured that, like all other information you have provided, these answers will be kept strictly confidential.

Income (INC) - Question identifier:INC_Q005

Thinking about the total income for all household members, from which of the following sources did your household receive any income in the year ending December 31, [CURRENTYEAR [minus] 1]?

  • 01: Wages and salaries
  • 02: Income from self-employment
  • 03: Dividends and interest (e.g., on bonds, savings)
  • 04: Employment insurance
  • 05: Workers' compensation
  • 06: Benefits from Canada or Quebec Pension Plan
  • 07: Job-related retirement pensions, superannuation and annuities
  • 08: RRSP/RRIF (Registered Retirement Savings Plan/Registered Retirement Income Fund)
  • 09: Old Age Security and Guaranteed Income Supplement
  • 10: Provincial or municipal social assistance or welfare
  • 11: Child Tax Benefit or family allowances
  • 12: Child support
  • 13: Alimony
  • 14: Other (e.g., rental income, scholarships)
  • 15: None
  • 98: RF
  • 99: DK

Income (INC) - Question identifier:INC_Q010

Does this amount include a supplement for people with disabilities?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Income (INC) - Question identifier:INC_Q015

What was the main source of household income?

  • 01: Wages and salaries
  • 02: Income from self-employment
  • 03: Dividends and interest (e.g., on bonds, savings)
  • 04: Employment insurance
  • 05: Workers' compensation
  • 06: Benefits from Canada or Quebec Pension Plan
  • 07: Job-related retirement pensions, superannuation and annuities
  • 08: RRSP/RRIF (Registered Retirement Savings Plan/Registered Retirement Income Fund)
  • 09: Old Age Security and Guaranteed Income Supplement
  • 10: Provincial or municipal social assistance or welfare
  • 11: Child Tax Benefit or family allowances
  • 12: Child support
  • 13: Alimony
  • 14: Other (e.g., rental income, scholarships)
  • 15: None
  • 98: RF
  • 99: DK

Income (INC) - Question identifier:INC_Q25

Now a question about your total household income.

What is your best estimate of your total household income received by all household members, from all sources, before taxes and deductions, during the year ending December 31,[CURRENTYEAR [minus] 1] ]?

Income can come from various sources such as from work, investments, pensions or government. Examples include Employment Insurance, Social Assistance, Child Tax Benefit and other income such as child support, spousal support (alimony) and rental income.

Min = -9000000; Max = 90000000

Income (INC) - Question identifier:INC_Q30

Can you estimate in which of the following groups your household income falls? Was the total household income during the year ending December 31, [CURRENTYEAR [minus] 1]... ?

  • 1: Less than $50,000, including income loss
  • 2: $50,000 and more
  • 8: RF
  • 9: DK

Income (INC) - Question identifier:INC_Q35

Please stop me when I have read the category which applies to your household.

Was it... ?

  • 1: Less than $5,000
  • 2: $5,000 to less than $10,000
  • 3: $10,000 to less than $15,000
  • 4: $15,000 to less than $20,000
  • 5: $20,000 to less than $30,000
  • 6: $30,000 to less than $40,000
  • 7: $40,000 to less than $50,000
  • 8: RF
  • 9: DK

Income (INC) - Question identifier:INC_Q40

Please stop me when I have read the category which applies to your household.

Was it... ?

  • 1: $50,000 to less than $60,000
  • 2: $60,000 to less than $70,000
  • 3: $70,000 to less than $80,000
  • 4: $80,000 to less than $90,000
  • 5: $90,000 to less than $100,000
  • 6: $100,000 to less than $150,000
  • 7: $150,000 and over
  • 8: RF
  • 9: DK
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