Portrait of Canadian Society - Experiences During the Pandemic
For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
- Respondent confirmation (RC)
- Main activity (MAC)
- Employment1 (CAB)
- Employment2 (STJ)
- Voting intentions (EC)
- Financial obligations (TR)
- Access to health care services (HCS)
- COVID-19 Vaccination (COV)
- Child care in your community (ARR)
- Perceptions of safety (PS)
- Live in an inclusive community (LWC)
- Life opportunities (OPP)
- Sociodemographic characteristics (PG)
Respondent confirmation (RC)
Respondent confirmation (RC) - Question identifier:RC_R01
The following questions are for ^NAME_OR_EMAIL.
Main activity (MAC)
Main activity (MAC) - Question identifier:MAC_Q05
Last week, was your main activity working at a paid job or business, looking for paid work, going to school, caring for children, household work, retired or something else?
- 01: Working at a paid job or business
- 02: Vacation from paid work
- 03: Looking for paid work
- 04: Going to school, including vacation from school
- 05: Caring for children
- 06: Household work
- 07: Retired
- 08: Maternity, paternity or parental leave
- 09: Long term illness
- 10: Volunteering
- 11: Care-giving other than for children
- 12: Other
Employment1 (CAB)
Employment1 (CAB) - Question identifier:CAB_Q01
Which of the following employment benefits do you have access to as part of your employment?
- 01: Workplace pension plan
- 02: Paid sick leave
- 03: Paid vacation leave
- 04: Disability insurance
- 05: Supplemental medical or dental care
- 06: Worker's compensation
- 07: Maternity, parental or layoff benefits
- 08: Other benefits
- 09: None of these
Employment2 (STJ)
Employment2 (STJ) - Question identifier:STJ_Q09
In the past 12 months, have you had formal training paid for by your employer or by yourself?
- 1: Yes, paid for by my employer
- 2: Yes, paid for by myself as an employee
- 3: Yes, paid for by myself as I am self-employed
- 4: No formal training
Employment2 (STJ) - Question identifier:STJ_Q11
In the past 12 months, have you had informal or on-the-job training from co-workers or supervisors?
- 1: Yes
- 2: No
- 3: Not applicable
Voting intentions (EC)
Voting intentions (EC) - Question identifier:EC_Q05A
If a federal election were to be held in the coming weeks and considering the current situation with COVID-19, do you plan to vote?
- 1: Yes
- 2: No
Voting intentions (EC) - Question identifier:EC_Q05B
What voting method do you plan to use?
- 1: At a polling station on election day
- 2: At an advance polling station
- 3: At a local Elections Canada office before election day
- 4: By mail
- 9: DK
Financial obligations (TR)
Financial obligations (TR) - Question identifier:TR_R05
The following question is about your experience during the COVID-19 pandemic, that is from March 15, 2020 to present.
Financial obligations (TR) - Question identifier:TR_Q05
Which of the following best describes the impact of COVID-19 on your ability to meet financial obligations or essential needs, such as rent or mortgage payments, utilities and groceries?
- 1: Major impact
- 2: Moderate impact
- 3: Minor impact
- 4: No impact
- 9: DK
Access to health care services (HCS)
Access to health care services (HCS) - Question identifier:HCS_Q05
Since the beginning of the COVID-19 pandemic, have you personally experienced problems accessing any of the following health care services?
- 01: Non-emergency surgery (e.g., cardiac, knee or hip replacement, cataract)
- 02: Non-emergency diagnostic test (e.g., MRI, CT scan, ultrasound, angiogram)
- 03: Appointment with your family doctor
- 04: Appointment with a medical specialist (e.g., cardiologist, optometrist, oncologist)
- 05: Appointment for rehabilitative care (e.g., physiotherapist, massage therapist, chiropractor)
- 06: Dental care (e.g., dentist, orthodontist)
- 07: Help for mental health (e.g., counselling appointment, support group)
- 08: Medical treatment (e.g., chemo, radiotherapy, dialysis)
- 09: Natural medicine (e.g., naturopathy, acupuncture)
- 10: Emergency services, urgent care (e.g., hospital emergency room)
- 11: Other health care services
- 12: I did not need these services or I did not experience problems accessing any of these health care services
Access to health care services (HCS) - Question identifier:HCS_Q10
Since the beginning of the COVID-19 pandemic, which of the following types of difficulties did you experience accessing health care services?
- 01: Difficulty getting a referral
- 02: Difficulty getting an appointment
- 03: Difficulty contacting a physician or nurse to get information or advice
- 04: Waited too long between booking an appointment and visit
- 05: Waited too long to get health care service (i.e., in-office waiting)
- 06: The service was not available at time required (i.e., reduced hours of operation)
- 07: Was refused service because I was experiencing symptoms of COVID-19 or because I was considered to have been at risk of exposure to COVID-19
- 08: Transportation problems
- 09: Language problem
- 10: Cost
- 11: Other types of difficulties accessing health care services
Access to health care services (HCS) - Question identifier:HCS_Q15
How was your health affected by the difficulty in accessing any of these health services?
- 1: Worry, anxiety or stress
- 2: Pain
- 3: Unable to do usual activities (e.g., caring for yourself or others, chores around the house, work)
- 4: Overall health deteriorated, condition got worse
- 5: Other impact
- 6: No impact
COVID-19 Vaccination (COV)
COVID-19 Vaccination (COV) - Question identifier:COV_Q20
Have you been vaccinated against COVID-19?
- 1: Yes, received at least one dose of a vaccine
- 2: No
COVID-19 Vaccination (COV) - Question identifier:COV_Q25
How likely is it that you would get a COVID-19 vaccine?
- 1: Very likely
- 2: Somewhat likely
- 3: Somewhat unlikely
- 4: Very unlikely
Child care in your community (ARR)
Child care in your community (ARR) - Question identifier:ARR_Q60A
Are there problems with child care in your community?
- 1: Yes
- 2: No
- 9: DK
Child care in your community (ARR) - Question identifier:ARR_Q60B
What problems are there in your community?
- 01: Child care is too expensive
- 02: Poor quality
- 03: Not enough spots available
- 04: Child care not provided in preferred language
- 05: Hours of care not convenient
- 06: Location of care not convenient
- 07: Reduced child care availability due to the COVID-19 pandemic
- 08: Other problems
Perceptions of safety (PS)
Perceptions of safety (PS) - Question identifier:PS_R05
The following questions are about your perceptions of safety in your neighbourhood.
Perceptions of safety (PS) - Question identifier:PS_Q10
Since the start of the COVID-19 pandemic, how often would you say people are harassed or attacked in your neighbourhood because of their skin colour, ethnic origin or religion?
- 1: Often
- 2: Sometimes
- 3: Rarely
- 4: I am not aware of such situations
Perceptions of safety (PS) - Question identifier:PS_Q20
Since the start of the COVID-19 pandemic, has your overall sense of personal safety from violence increased, decreased, or remained about the same?
- 1: Increased
- 2: Decreased
- 3: About the same
Perceptions of safety (PS) - Question identifier:PS_Q30
Since the start of the COVID-19 pandemic, how safe do you feel from crime when walking alone in your neighbourhood after dark?
- 1: Very safe
- 2: Reasonably safe
- 3: Somewhat unsafe
- 4: Very unsafe
- 5: Do not walk alone after dark
Live in an inclusive community (LWC)
Live in an inclusive community (LWC) - Question identifier:LWC_Q10
In general, would you say that you live in an inclusive community?
- 1: Yes
- 2: No
Life opportunities (OPP)
Life opportunities (OPP) - Question identifier:OPP_Q10
Overall, do you think that your life opportunities will improve, worsen or stay the same in the next year?
- 1: Improve
- 2: Worsen
- 3: Stay the same
Sociodemographic characteristics (PG)
Sociodemographic characteristics (PG) - Question identifier:PG_R20
The following information is collected to support programs that promote equal opportunities for everyone in the social, cultural and economic life of Canada.
Sociodemographic characteristics (PG) - Question identifier:PG_Q20
Which of the following groups best describe you?
- 01: White
- 02: South Asian
- 03: East Asian
- 04: Black
- 05: Southeast Asian
- 06: North African
- 07: Middle Eastern
- 08: Latin American
- 09: Other group
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