Survey on Health Care Workers' 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
- Employment (EMP)
- Demographic questions (DEM)
- Demographic questions (AGE)
- Demographic questions (GDR)
- Demographic questions (DHH)
- Labour market activities (LMA3)
- Labour market activities (LMA5)
- Labour market activities (OCC)
- Job environment (ENV)
- Infection prevention and control and personal protective equipment (PPE)
- Impacts of COVID-19 on job environment (Job Stress) (ICJ)
- COVID-19 diagnosis (CS)
- COVID-19 vaccination (CV)
- Household composition (HHC)
- Precautions taken at home (ISO)
- Impacts of COVID-19 (IM)
- General health (GEN)
- Chronic conditions (CHR)
- Mental health (ANX)
- Mental health (DEP)
- Mental health (SUI)
- Lifestyle and behaviours (BH)
- Job intention (JI)
- Indigenous identity (IS)
- Sociodemographic characteristics (PG)
- Place of birth, immigration and citizenship (DEM1)
- Total household income (THI)
- Data sharing agreements (DSA)
Employment (EMP)
Employment (EMP) - Question identifier:EMP_Q05
Are you a health care worker or do you work in a health care setting?
- 1: Yes
- 2: No
Employment (EMP) - Question identifier:EMP_Q10
Were you a health care worker or did you work in a health care setting at any point during the COVID-19 pandemic (beginning March 2020)?
- 1: Yes
- 2: No
Employment (EMP) - Question identifier:EMP_Q15
(Were you a health care worker or did you work in a health care setting at any point during the COVID-19 pandemic (beginning March 2020)?) Yes: What is the reason you are no longer working in the health care field?
- 1: Recently retired
- 2: Returned to retirement (only came back temporarily for COVID-19 related work)
- 3: Quit or changed jobs to one outside the health care field
- 4: Went on leave (e.g., parental, disability, personal)
- 5: Loss of job or currently unemployed
- 6: Other
Demographic questions (DEM)
Demographic questions (DEM) - Question identifier:DEM_Q05A
Please confirm your first and last name.
First name
Long Answer Length = 80
Demographic questions (DEM) - Question identifier:DEM_Q05B
Please confirm your first and last name.
Last name
Long Answer Length = 80
Demographic questions (AGE)
Demographic questions (AGE) - Question identifier:AGE_Q01A
What is your date of birth?
Year
Min = 1897; Max = 2018
Demographic questions (AGE) - Question identifier:AGE_Q01B
What is your date of birth?
Month
- 01: January
- 02: February
- 03: March
- 04: April
- 05: May
- 06: June
- 07: July
- 08: August
- 09: September
- 10: October
- 11: November
- 12: December
Demographic questions (AGE) - Question identifier:AGE_Q01C
What is your date of birth?
Day
Min = 1; Max = 31
Demographic questions (AGE) - Question identifier:AGE_Q02
What is your age?
Min = 0; Max = 121
Demographic questions (GDR)
Demographic questions (GDR) - Question identifier:GDR_Q10
What is your gender?
- 1: Male
- 2: Female
- 3: Or please specify
Demographic questions (GDR) - Question identifier:GDR_R15
Please verify that all of the information is correct.
Your information
Gender: [^GDR_S10/Information not provided]
Demographic questions (DHH)
Demographic questions (DHH) - Question identifier:DHH_Q05
To determine which geographic region you live in, please provide your postal code.
Long Answer Length = 6
Demographic questions (DHH) - Question identifier:DHH_Q10
In which province or territory do you currently live?
- 01: Alberta
- 02: British Columbia
- 03: Manitoba
- 04: New Brunswick
- 05: Newfoundland and Labrador
- 06: Northwest Territories
- 07: Nova Scotia
- 08: Nunavut
- 09: Ontario
- 10: Prince Edward Island
- 11: Quebec
- 12: Saskatchewan
- 13: Yukon
Labour market activities (LMA3)
Labour market activities (LMA3) - Question identifier:LMA3_Q01
[Are/Were] you an employee or self-employed?
- 1: Employee
- 2: Self-employed
Labour market activities (LMA5)
Labour market activities (LMA5) - Question identifier:LMA5_R01
The following questions refer to the work or occupation in which you spent most of your time.
Labour market activities (LMA5) - Question identifier:LMA5_Q01
What kind of work [are/were] you doing?
Specify the kind of work you [are/were] doing
Long Answer Length = 50
Labour market activities (LMA5) - Question identifier:LMA5_Q02
What [are/were] your most important activities or duties?
Specify your most important activities or duties
Long Answer Length = 50
Labour market activities (OCC)
Labour market activities (OCC) - Question identifier:OCC_Q10
How many years [have you worked in your current occupation/did you work in your occupation]?
- 01: Less than one year
- 02: 1
- 03: 2
- 04: 3
- 05: 4
- 06: 5
- 07: 6
- 08: 7
- 09: 8
- 10: 9
- 11: 10
- 12: 11
- 13: 12
- 14: 13
- 15: 14
- 16: 15
- 17: 16
- 18: 17
- 19: 18
- 20: 19
- 21: 20 or more
Labour market activities (OCC) - Question identifier:OCC_Q15
Since March 2020, at how many job locations did you work at the same time?
- 1: Only 1 location
- 2: 2
- 3: 3 or more
- 4: I went to multiple locations regularly as part of my job (e.g. visits to multiple clients or patients' homes, work in a mobile unit such as an ambulance or firetruck)
Job environment (ENV)
Job environment (ENV) - Question identifier:ENV_R05
The following questions refer to your primary job location since March 2020. If you worked at multiple locations, please think of the job location at which you worked the most hours.
Job environment (ENV) - Question identifier:ENV_Q05
At which type of health care job location did you work the most hours?
- 01: Hospital
- 02: Inpatient care - specialized medical or health facility (e.g., rehabilitation centre, mental health or addictions treatment centre, cancer centre, birth centre)
- 03: Outpatient medical or health care such as general practitioner's office or walk-in clinic (Include urgent care clinic, specialist's office outside of the hospital, etc.)
- 04: Dental office
- 05: Other medical office or clinic (e.g., counselling, dietary, optical, rehabilitation, chiropractic, physiotherapy or massage therapy clinic)
- 06: Public health centre (Include centres that provide primary health or health promotion services to individuals, families, or communities, such as a community health centre or local community service centres (CLSC).)
- 07: Long-term care facility or seniors residence (e.g., retirement home, nursing home)
- 08: Retail pharmacy
- 09: Laboratory or diagnostic clinic (Include centres that collect samples, conduct ultrasounds or x-rays, etc. or laboratories that conduct analysis on specimens.)
- 10: Mobile unit such as an ambulance or firetruck
- 11: Congregate or communal living setting (e.g., shelter, group home, prison or correctional facility)
- 12: Client or patient's home
- 13: Teleworking from home
- 14: Non-medical office setting (Include call-centres and government offices.)
- 15: Other
Job environment (ENV) - Question identifier:ENV_Q10
(At which type of health care job location did you work the most hours? Long-term care facility or seniors residence) Is this facility:
- 1: Publicly funded
- 2: Privately funded
- 3: Both publicly and privately funded
- 4: Don't know
Job environment (ENV) - Question identifier:ENV_Q15
(At which type of health care job location did you work the most hours? Congregate or communal living setting) Is this facility:
- 1: Publicly funded
- 2: Privately funded
- 3: Both publicly and privately funded
- 4: Don't know
Job environment (ENV) - Question identifier:ENV_Q20
What [is/was] the province or territory of your primary job location?
- 01: Alberta
- 02: British Columbia
- 03: Manitoba
- 04: New Brunswick
- 05: Newfoundland and Labrador
- 06: Northwest Territories
- 07: Nova Scotia
- 08: Nunavut
- 09: Ontario
- 10: Prince Edward Island
- 11: Quebec
- 12: Saskatchewan
- 13: Yukon
Job environment (ENV) - Question identifier:ENV_Q25
Since March 2020, how did you provide health care services to patients or clients at your primary job location?
- 1: Over the phone
- 2: Video meeting
- 3: Email, text or instant messaging
- 4: In-person
- 5: Other
- 6: Did not provide health care services to patients or clients
Job environment (ENV) - Question identifier:ENV_Q30A
(Since March 2020, how did you provide health care services to patients or clients at your primary job location?) Over the phone: Compared with in-person care, how is providing care over the phone?
Would you say:
- 1: Much better
- 2: Somewhat better
- 3: About the same
- 4: Somewhat worse
- 5: Much worse
- 6: I have never provided in-person care
Job environment (ENV) - Question identifier:ENV_Q30B
(Since March 2020, how did you provide health care services to patients or clients at your primary job location?) Video meeting: Compared with in-person care, how is providing care by video meeting?
Would you say:
- 1: Much better
- 2: Somewhat better
- 3: About the same
- 4: Somewhat worse
- 5: Much worse
- 6: I have never provided in-person care
Job environment (ENV) - Question identifier:ENV_Q35
Since March 2020, did you have in-person contact with people at your job location?
- 1: Yes, I had in-person contact with people who were confirmed or suspected cases of COVID-19
- 2: Yes, I had in-person contact with people who were not confirmed or suspected cases of COVID-19 (e.g. people screened for COVID-19 symptoms prior to entry to the location)
- 3: No, I worked alone with no in-person contact with patients, clients or colleagues.
Job environment (ENV) - Question identifier:ENV_Q40
Since March 2020, did you perform or assist with aerosol generating medical procedures (AGMP)?
- 1: Yes
- 2: No
Infection prevention and control and personal protective equipment (PPE)
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_R05
The following questions look at what preventative measures, procedures, or supports were available to you, and how effective they were. If you [work/worked] at more than one location, please consider your primary job location.
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q05
Have you ever received formal training on the Infection Prevention and Control (IPC) practices or protocols for your primary job location?
- 1: Yes
- 2: No
- 3: Workplace [does/did] not have an IPC policy
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q10
Since March 2020, were there new IPC protocols introduced or an increase in the IPC protocols and practices for your position?
- 1: Yes
- 2: No
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q15
(Since March 2020, were there new IPC protocols introduced or an increase in the IPC protocols and practices for your position?) Yes: Since March 2020, which of the following IPC practices were newly introduced or increased?
- 01: Screening of patients, clients or staff
- 02: Requirement of patient or client to wear a mask
- 03: Hand hygiene
- 04: Personal protective equipment practices
- 05: Physical distancing of patients or clients (e.g., signs or arrows for one-way traffic, space markers to maintain physical distancing)
- 06: Environmental cleaning and disinfection
- 07: Installation of physical barriers (e.g., plastic or glass separators)
- 08: Reduction or suspension of in-person contact
- 09: Visitor or volunteer management (e.g., limiting the number of visitors, grouping volunteers)
- 10: Handling of the deceased
- 11: Outbreak management protocol
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q20
Since March 2020, has your position required the use of personal protective equipment (PPE)?
- 1: Yes
- 2: No
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q25
Have you ever received formal training on the proper use of PPE at your primary job location?
- 1: Yes
- 2: No
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q30A
Since March 2020, how would you describe your access overall to the following PPE at your primary job location?
Gloves
- 1: Not needed for my job
- 2: Always available when needed
- 3: Usually available when needed
- 4: Sometimes available when needed
- 5: Never available when needed
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q30B
(Since March 2020, how would you describe your access overall to the following PPE at your primary job location?)
N95 or KN95 respirator mask
- 1: Not needed for my job
- 2: Always available when needed
- 3: Usually available when needed
- 4: Sometimes available when needed
- 5: Never available when needed
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q30C
(Since March 2020, how would you describe your access overall to the following PPE at your primary job location?)
Other mask
- 1: Not needed for my job
- 2: Always available when needed
- 3: Usually available when needed
- 4: Sometimes available when needed
- 5: Never available when needed
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q30D
(Since March 2020, how would you describe your access overall to the following PPE at your primary job location?)
Gown
- 1: Not needed for my job
- 2: Always available when needed
- 3: Usually available when needed
- 4: Sometimes available when needed
- 5: Never available when needed
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q30E
(Since March 2020, how would you describe your access overall to the following PPE at your primary job location?)
Face shield or eye protection
- 1: Not needed for my job
- 2: Always available when needed
- 3: Usually available when needed
- 4: Sometimes available when needed
- 5: Never available when needed
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q35
At any time since March 2020, were there any of the following conditions or restrictions on the supply of PPE at your primary job location?
- 01: Needed permission to use specific PPE
- 02: Not permitted access to specific PPE (e.g., PPE issued only for specific jobs or under special circumstances)
- 03: Extended use of PPE, beyond the normal use
- 04: Needed to supply your own PPE
- 05: Required to re-use PPE previously worn by you without decontamination
- 06: Required to re-use PPE previously worn by others without decontamination
- 07: Use of decontamination systems for N95s, KN95s, surgical masks or other PPE so that they can be re-worn
- 08: Use of expired PPE
- 09: Use of wrong type of PPE
- 10: No conditions or restrictions on the supply of PPE
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q40A
Please indicate to what extent you agree or disagree with each statement.
There was sufficient training on the proper use of PPE
- 1: Strongly agree
- 2: Agree
- 3: Neither agree nor disagree
- 4: Disagree
- 5: Strongly disagree
- 6: Not applicable
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q40B
(Please indicate to what extent you agree or disagree with each statement.)
There was sufficient training on infection prevention and control (IPC) guidelines or protocols
- 1: Strongly agree
- 2: Agree
- 3: Neither agree nor disagree
- 4: Disagree
- 5: Strongly disagree
- 6: Not applicable
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q40C
(Please indicate to what extent you agree or disagree with each statement.)
Policies regarding PPE or IPC were consistently followed by other people in my workplace
- 1: Strongly agree
- 2: Agree
- 3: Neither agree nor disagree
- 4: Disagree
- 5: Strongly disagree
- 6: Not applicable
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q40D
(Please indicate to what extent you agree or disagree with each statement.)
IPC policies were enforced and maintained
- 1: Strongly agree
- 2: Agree
- 3: Neither agree nor disagree
- 4: Disagree
- 5: Strongly disagree
- 6: Not applicable
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q40E
(Please indicate to what extent you agree or disagree with each statement.)
I had someone to ask when I had problems using equipment
- 1: Strongly agree
- 2: Agree
- 3: Neither agree nor disagree
- 4: Disagree
- 5: Strongly disagree
- 6: Not applicable
Infection prevention and control and personal protective equipment (PPE) - Question identifier:PPE_Q40F
(Please indicate to what extent you agree or disagree with each statement.)
Professional emotional support (e.g., counselling) was available to those who needed help
- 1: Strongly agree
- 2: Agree
- 3: Neither agree nor disagree
- 4: Disagree
- 5: Strongly disagree
- 6: Not applicable
Impacts of COVID-19 on job environment (Job Stress) (ICJ)
Impacts of COVID-19 on job environment (Job Stress) (ICJ) - Question identifier:ICJ_Q05
Did you experience any of the following during the COVID-19 pandemic?
Would you say:
- 01: There was more conflict among colleagues at work
- 02: There was more conflict between employees and management
- 03: Felt more stressed at work
- 04: Had to do work that normally you don't do
- 05: Had an increased workload
- 06: Had to work overtime or additional hours beyond regular schedule
- 07: Had reduced hours
- 08: Was laid off (either permanently or temporarily)
- 09: Had a loss of income
- 10: Had an increase in income
- 11: Had to take unpaid leave ( e.g., sick leave, leave to care for a family member)
- 12: Was refused vacation or leave
- 13: Had to change method of delivery of health care (e.g., partially or fully transitioned to video or telephone patient care)
- 14: Did not experience any of the above
COVID-19 diagnosis (CS)
COVID-19 diagnosis (CS) - Question identifier:CS_Q25
Have you ever been tested for COVID-19?
- 1: Yes
- 2: No
COVID-19 diagnosis (CS) - Question identifier:CS_Q30
(Have you ever been tested for COVID-19?) Yes: How long did it take to receive the result of the most recent test?
- 01: Less than one day
- 02: 1
- 03: 2
- 04: 3
- 05: 4
- 06: 5
- 07: 6
- 08: 7
- 09: 8 or more
- 10: Waiting for results
COVID-19 diagnosis (CS) - Question identifier:CS_Q35
Have you ever had a positive test result?
- 1: Yes
- 2: No
- 3: Waiting for results
COVID-19 diagnosis (CS) - Question identifier:CS_Q40
(Have you ever had a positive test result?) Yes: Were you hospitalized for COVID-19?
- 1: Yes
- 2: No
COVID-19 diagnosis (CS) - Question identifier:CS_Q45
Where did you contract COVID-19?
- 1: Workplace
- 2: Community or household
- 3: Travel
- 4: Other
- 5: Unknown
COVID-19 diagnosis (CS) - Question identifier:CS_Q50
Why did you get tested?
- 01: Showing symptoms
- 02: Recent exposure to someone not living with you who had symptoms or was confirmed as having COVID-19
- 03: Recent exposure to someone you live with who had symptoms or was confirmed as having COVID-19
- 04: Required by employer
- 05: Recent exposure at school or daycare
- 06: Did not have any symptoms but had concerns of infecting others
- 07: Recent international travel
- 08: Other
COVID-19 vaccination (CV)
COVID-19 vaccination (CV) - Question identifier:CV_Q05
Have you been vaccinated against COVID-19?
- 1: Yes, I received at least one dose of the vaccine
- 2: No
COVID-19 vaccination (CV) - Question identifier:CV_Q10
(Have you been vaccinated against COVID-19?) No: What are the reasons that you have not been vaccinated against COVID-19?
- 01: Not available to you yet (e.g., not a prioritized health professional)
- 02: You have an upcoming vaccination appointment
- 03: Did not want the type of vaccine offered
- 04: Lack of time
- 05: You did not think it was necessary
- 06: Doctor or other health professional did not think it was necessary
- 07: Did not know where to go
- 08: Feelings of fear, concern or discomfort
- 09: Bad reaction to previous vaccine
- 10: Unsure of or do not believe in benefits of vaccine
- 11: Do not want vaccine for fear of what it contains
- 12: Other
Household composition (HHC)
Household composition (HHC) - Question identifier:HHC_Q05
Including yourself, how many people live in your household?
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20 or more
Household composition (HHC) - Question identifier:HHC_Q10
Excluding yourself, do any of the following individuals live in your household?
- 1: Child or children under 5 years of age
- 2: Child or children 5 to 17 years of age
- 3: Adult aged 65 years and older
- 4: Someone with a disability (Include any person who has a long-term or recurring impairment such as vision, hearing, mobility, flexibility, dexterity, pain, learning, developmental, memory or mental health-related impairment which limits their daily activities...)
- 5: Someone with a chronic condition which is high risk for COVID-19 complications (Include chronic medical conditions such as lung disease, heart disease, high blood pressure, diabetes, kidney disease, liver disease, dementia, stroke, etc.)
- 6: None of the above
Precautions taken at home (ISO)
Precautions taken at home (ISO) - Question identifier:ISO_Q05
Since March 2020, what isolation mechanisms or precautions did you take at home to minimize the risk of contracting or spreading COVID-19?
- 1: Family or roommates moved away from home to minimize risk
- 2: You moved into a different residence temporarily to minimize risk
- 3: Took measures to reduce contact with those outside your household. (e.g. had groceries delivered instead of going to the grocery store, homeschooled children)
- 4: Increased physical distancing with members of household
- 5: Increased handwashing and sanitization (e.g. cleaned and disinfected surfaces regularly, washed or changed clothes immediately after work)
- 6: Other
- 7: Did not take any additional precautions at home
Impacts of COVID-19 (IM)
Impacts of COVID-19 (IM) - Question identifier:IM_Q10
Have you experienced any of the following impacts due to the COVID-19 pandemic?
- 01: Difficulty balancing caregiving responsibilities, such as child care or caring for an elderly family member
- 02: Difficulty meeting financial obligations or essential needs (e.g., rent or mortgage payments, utilities and groceries)
- 03: Death of a family member, friend or colleague due to COVID-19
- 04: Feelings of loneliness or isolation
- 05: Emotional distress (e.g., grief, anger, worry)
- 06: Physical health problems (e.g., weight gain or loss, high blood pressure, headaches, sleep problems)
- 07: Challenges in personal relationships with members of your household (e.g., children, spouse, parent, grandparents)
- 08: Concerns about the physical and mental health of members of your household
- 09: Other
- 10: None of the above
General health (GEN)
General health (GEN) - Question identifier:GEN_R05
The following questions are about 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_Q05
In general, how is your health?
Would you say:
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
General health (GEN) - Question identifier:GEN_Q10
Compared to before the COVID-19 pandemic, how would you say your health is now?
Would you say:
- 1: Much better now
- 2: Somewhat better now
- 3: About the same
- 4: Somewhat worse now
- 5: Much worse now
General health (GEN) - Question identifier:GEN_Q15
In general, how is your mental health?
Would you say :
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
General health (GEN) - Question identifier:GEN_Q20
Compared to before the COVID-19 pandemic, how would you say your mental health is now?
Is it :
- 1: Much better now
- 2: Somewhat better now
- 3: About the same
- 4: Somewhat worse now
- 5: Much worse now
General health (GEN) - Question identifier:GEN_Q25
Thinking about the amount of stress in your life, how would you describe most of your days?
Would you say :
- 1: Not at all stressful
- 2: Not very stressful
- 3: A bit stressful
- 4: Quite a bit stressful
- 5: Extremely stressful
General health (GEN) - Question identifier:GEN_Q30
Compared to before the COVID-19 pandemic, and thinking about the amount of stress in your life, how would you say most of your days are now?
Are they :
- 1: Much better now
- 2: Somewhat better now
- 3: About the same
- 4: Somewhat worse now
- 5: Much worse now
General health (GEN) - Question identifier:GEN_Q35
Please indicate to what extent you agree or disagree with the following statement: I tend to bounce back quickly after hard times.
- 1: Strongly agree
- 2: Agree
- 3: Neither agree nor disagree
- 4: Disagree
- 5: Strongly disagree
Chronic conditions (CHR)
Chronic conditions (CHR) - Question identifier:CHR_Q05
Have you been diagnosed by a health care professional with any of the following long-term health conditions? Include only conditions that have lasted six months or more.
- 01: Chronic lung condition (e.g., emphysema, bronchitis, chronic obstructive pulmonary disease (COPD))
- 02: Asthma
- 03: Chronic heart disease
- 04: Diabetes (Exclude gestational diabetes.)
- 05: Chronic kidney disease
- 06: Liver disease (e.g., chronic hepatitis)
- 07: High blood pressure
- 08: Chronic blood disorder
- 09: A weakened immune system (e.g., due to disease or medication)
- 10: Chronic neurological disorder
- 11: Stroke
- 12: Alzheimer's disease or other dementia
- 13: Cancer
- 14: Arthritis
- 15: Mood disorder (e.g., depression, bipolar disorder, mania or dysthymia)
- 16: Anxiety disorder (e.g., phobia, obsessive-compulsive disorder (OCD) or a panic disorder)
- 17: Post-traumatic stress disorder (PTSD)
- 18: Other
- 19: None of the above
Mental health (ANX)
Mental health (ANX) - Question identifier:ANX_Q05A
Over the last 2 weeks, how often have you been bothered by the following problems?
Feeling nervous, anxious or on edge
- 1: Not at all
- 2: Several days
- 3: More than half the days
- 4: Nearly every day
Mental health (ANX) - Question identifier:ANX_Q05B
(Over the last 2 weeks, how often have you been bothered by the following problems?)
Not being able to stop or control worrying
- 1: Not at all
- 2: Several days
- 3: More than half the days
- 4: Nearly every day
Mental health (DEP)
Mental health (DEP) - Question identifier:DEP_Q05A
(Over the last 2 weeks, how often have you been bothered by the following problems?)
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
Mental health (DEP) - Question identifier:DEP_Q05B
(Over the last 2 weeks, how often have you been bothered by the following problems?)
Felt down, depressed, or hopeless
- 1: Not at all
- 2: Several days
- 3: More than half the days
- 4: Nearly every day
Mental health (SUI)
Mental health (SUI) - Question identifier:SUI_R005
The following questions may be sensitive to some people, but we have to ask the same questions of everyone.
Mental health (SUI) - Question identifier:SUI_Q005
Have you seriously contemplated suicide since the COVID-19 pandemic began?
- 1: Yes
- 2: No
Lifestyle and behaviours (BH)
Lifestyle and behaviours (BH) - Question identifier:BH_Q35
Are you currently doing any of the following activities to maintain or improve your health? By health, we mean not only the absence of disease or injury but also physical, mental and social well-being.
Are you:
- 01: Communicating with friends, family or peers
- 02: Communicating with health professionals (e.g., seeking treatment from a counsellor or therapist)
- 03: Communicating through social media
- 04: Meditating or seeking spiritual guidance
- 05: Exercising
- 06: Participating in hobbies (e.g., gardening, journaling or crafts)
- 07: Ensuring adequate sleep (e.g., avoiding screen time before sleep, avoiding caffeinated drinks or maintaining regular sleep cycle)
- 08: Other
- 09: None of the above
Lifestyle and behaviours (BH) - Question identifier:BH_Q40A
During the COVID-19 pandemic, how did your weekly behaviours change for any of the following activities when compared to before the pandemic?
Watching television or spending time on the Internet
- 1: Increased
- 2: Decreased
- 3: No change
- 4: Not applicable
Lifestyle and behaviours (BH) - Question identifier:BH_Q40B
(During the COVID-19 pandemic, how did your weekly behaviours change for any of the following activities when compared to before the pandemic?)
Eating junk food or sweets
- 1: Increased
- 2: Decreased
- 3: No change
- 4: Not applicable
Lifestyle and behaviours (BH) - Question identifier:BH_Q40C
(During the COVID-19 pandemic, how did your weekly behaviours change for any of the following activities when compared to before the pandemic?)
Consuming alcohol
- 1: Increased
- 2: Decreased
- 3: No change
- 4: Not applicable
Lifestyle and behaviours (BH) - Question identifier:BH_Q40D
(During the COVID-19 pandemic, how did your weekly behaviours change for any of the following activities when compared to before the pandemic?)
Using tobacco products
- 1: Increased
- 2: Decreased
- 3: No change
- 4: Not applicable
Lifestyle and behaviours (BH) - Question identifier:BH_Q40E
(During the COVID-19 pandemic, how did your weekly behaviours change for any of the following activities when compared to before the pandemic?)
Vaping nicotine products
- 1: Increased
- 2: Decreased
- 3: No change
- 4: Not applicable
Lifestyle and behaviours (BH) - Question identifier:BH_Q40F
(During the COVID-19 pandemic, how did your weekly behaviours change for any of the following activities when compared to before the pandemic?)
Consuming cannabis
- 1: Increased
- 2: Decreased
- 3: No change
- 4: Not applicable
Lifestyle and behaviours (BH) - Question identifier:BH_Q40G
(During the COVID-19 pandemic, how did your weekly behaviours change for any of the following activities when compared to before the pandemic?)
Using pain relievers non-therapeutically
- 1: Increased
- 2: Decreased
- 3: No change
- 4: Not applicable
Lifestyle and behaviours (BH) - Question identifier:BH_Q40H
(During the COVID-19 pandemic, how did your weekly behaviours change for any of the following activities when compared to before the pandemic?)
Using any illegal drugs
- 1: Increased
- 2: Decreased
- 3: No change
- 4: Not applicable
Job intention (JI)
Job intention (JI) - Question identifier:JI_Q05
How long are you planning to stay in your current job?
- 1: Less than 6 months
- 2: 6 months to less than a year
- 3: 1 to 2 years
- 4: 3 to 5 years
- 5: 6 or more years
Job intention (JI) - Question identifier:JI_Q10
What are the reasons that you might consider leaving or changing your job?
- 01: Retiring
- 02: Job stress or burnout
- 03: Lack of job satisfaction
- 04: Concerns about your physical health and safety
- 05: Concerns about your mental health and well-being
- 06: Concerns about the physical and mental health of household members or others close to you
- 07: Financial impacts or concerns
- 08: Long-term impacts of COVID-19 on health care system, including changes in method of delivery of health care
- 09: Other career opportunity
- 10: Other
Indigenous identity (IS)
Indigenous identity (IS) - Question identifier:IS_Q01
Are you First Nations, Métis or Inuk (Inuit)?
Would you say:
- 1: No, not First Nations, Métis or Inuk (Inuit)
- 2: Yes, First Nations (North American Indian)
- 3: Yes, Métis
- 4: Yes, Inuk (Inuit)
Sociodemographic characteristics (PG)
Sociodemographic characteristics (PG) - Question identifier:PG_Q05
The following question collects information in accordance with the Employment Equity Act and its Regulations and Guidelines to support programs that promote equal opportunity for everyone to share in the social, cultural, and economic life of Canada.
Are you:
- 01: White
- 02: South Asian (e.g., East Indian, Pakistani, Sri Lankan)
- 03: Chinese
- 04: Black
- 05: Filipino
- 06: Arab
- 07: Latin American
- 08: Southeast Asian (e.g., Vietnamese, Cambodian, Laotian, Thai)
- 09: West Asian (e.g., Iranian, Afghan)
- 10: Korean
- 11: Japanese
- 12: Other
Place of birth, immigration and citizenship (DEM1)
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q30A
Where were you born?
- 1: Born in Canada
- 2: Born outside Canada
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q30B
(Where were you born?) Born outside Canada: Are you a Canadian citizen?
- 1: Yes, a Canadian citizen by birth
- 2: Yes, a Canadian citizen by naturalization (Canadian citizen by naturalization refers to an immigrant who was granted citizenship of Canada under the Citizenship Act.)
- 3: No, not a Canadian citizen
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q30C
(Are you a Canadian citizen?) No, not a Canadian citizen: Are you a landed immigrant or permanent resident?
- 1: No
- 2: Yes
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q35
In what year did you first become a landed immigrant or a permanent resident?
Min = 0; Max = 9999
Total household income (THI)
Total household income (THI) - Question identifier:THI_R01
Now a question about total household income.
Total household income (THI) - Question identifier:THI_Q01
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, 2020?
Rounded to the nearest CAN$
Long Answer Length = 8
Data sharing agreements (DSA)
Data sharing agreements (DSA) - Question identifier:DSA_R01
To avoid duplication of questionnaires, Statistics Canada may enter into agreements to share the data from this questionnaire with the Public Health Agency of Canada, Health Canada[, the "Institut de la statistique du Québec"/null] and provincial and territorial ministries of health. Only organizations that have agreed to keep your information confidential and use it only for statistical purposes will receive the data.
Data sharing agreements (DSA) - Question identifier:DSA_Q01
Do you agree to share your information with the Public Health Agency of Canada, Health Canada[, the "Institut de la statistique du Québec"/null] and provincial and territorial ministries of health?
- 1: Yes
- 2: No
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