Reverse Record Check - Census Quality Survey (Response by selected person) 1E - 2021

For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.

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Information

Purpose

Following each census since the 1961 Census, the Reverse Record Check (RRC) has been carried out to measure census population undercoverage. For the 2021 Census cycle, the RRC has been renamed the Census Undercoverage Survey (CUS). The CUS estimates the number of persons missed in the census.

Additional information

This survey is used to estimate the number of persons missed during the last Census.

Information from the Reverse Record Check survey is used to calculate accurate population counts, which are used to determine the amount of money transferred from the federal government to your region. Provinces and territories use these funds to help finance many social programs including health care, employment and training, education, public transportation and housing. The information may also be used by Statistics Canada for other statistical and research purposes.

Completion of this questionnaire is a legal requirement under the Statistics Act, which ensures that the information provided will be kept strictly confidential.

Authority

CONFIDENTIAL when completed. This information is collected under the authority of the Statistics Act, R.S.C. 1985, c.S-19, and must be provided by law.

Return procedures

Please return the completed questionnaire to Statistics Canada in the enclosed envelope within 5 days of receipt.

THIS QUESTIONNAIRE IS TO BE USED ONLY IF YOUR NAME IS ON THE LABEL ABOVE AND YOU ARE PROVIDING THE INFORMATION YOURSELF.

THIS QUESTIONNAIRE IS TO BE USED ONLY IF YOUR NAME IS ON THE LABEL ABOVE AND YOU ARE PROVIDING THE INFORMATION YOURSELF. - Question identifier:1.

Did you change your name since May 10, 2011, or is it different from the name on the label on page 1?

  • 2: No
  • 1: Yes

THIS QUESTIONNAIRE IS TO BE USED ONLY IF YOUR NAME IS ON THE LABEL ABOVE AND YOU ARE PROVIDING THE INFORMATION YOURSELF. - Question identifier:2.

Is there another name that you use, for example, a different spelling, a variation or a nickname?

  • 2: No
  • 1: Yes

CURRENT ADDRESS

CURRENT ADDRESS - Question identifier:3.

What is the address of your current main residence?

  • 2: Outside Canada
  • 1: In Canada

CURRENT ADDRESS - Question identifier:4.

Does another person live with you at the address above?

  • : Yes
  • : No other person lives with me there

CURRENT ADDRESS - Question identifier:5.

What is the address of your current main residence outside of Canada?

CENSUS DAY ADDRESS

CENSUS DAY ADDRESS - Question identifier:6.

What was the address of your main residence on CENSUS DAY, Tuesday, May 10, 2016?

  • : Outside Canada
  • : In Canada
  • : In Canada - no fixed address (no main residence)

CENSUS DAY ADDRESS - Question identifier:7.

Including yourself, how many persons usually lived at your main residence (at the address from Question 6) on May 10, 2016? If your main residence was outside of Canada on May 10, 2016, go to Question 12.

CENSUS DAY ADDRESS - Question identifier:8.

Including yourself, list all persons who usually lived at your main residence (the address from Question 6) on May 10, 2016. If your main residence was outside of Canada on May 10, 2016, go to Question 12.

CENSUS DAY ADDRESS - Question identifier:9.

Did you leave anyone out of the list above because you were not sure the person should be listed? For example, a student, a child in joint custody, a person temporarily away, a person who lived here temporarily or a resident from another country with a work or study permit, a refugee claimant, etc.

  • 2: No
  • 1: Yes

CENSUS DAY ADDRESS - Question identifier:10.

Copy the names in the list above to the top of the next page. KEEP THE SAME ORDER.

Remember, these questions refer to each person's situation on May 10, 2016.

What is this person's sex?

  • 1: Female
  • 2: Male

What were this person's date of birth and age on May 10, 2016?

What was this person's marital status on May 10, 2016?

  • : Never legally married
  • : Legally married (and not separated)
  • : Separated, but still legally married
  • : Divorced
  • : Widowed

Was this person living with a common-law partner on May 10, 2016?

  • 2: No
  • 1: Yes

What was the relationship of this person to Person 1 on May 10, 2016?

  • : Husband/Wife of Person 1
  • : Common-law partner of Person 1
  • : Father/Mother of Person 1
  • : *Son/Daughter of Person 1
  • : Brother/Sister of Person 1
  • : Grandfather/Grandmother of Person 1
  • : Grandson/Granddaughter of Person 1
  • : In-law of Person 1
  • : Other relative to Person 1
  • : Not related to Person 1

LIVING ABROAD ON CENSUS DAY

LIVING ABROAD ON CENSUS DAY - Question identifier:11.

On Census Day, May 10, 2016, was your main residence outside Canada?

  • 1: Yes
  • 2: No

LIVING ABROAD ON CENSUS DAY - Question identifier:12.

When did you leave Canada?

LIVING ABROAD ON CENSUS DAY - Question identifier:13.

When you left Canada, were you a temporary resident in Canada with a work or study permit, or a refugee status claimant?

  • 1: Yes
  • 2: No

LIVING ABROAD ON CENSUS DAY - Question identifier:14.

What is the main reason you were living outside of Canada on Census Day, May 10, 2016?

  • : Work or looking for work (not permanently)
  • : Moved outside of Canada permanently
  • : Accompanying or joining a spouse or family member
  • : Studies
  • : Visiting or temporarily caring for family or friends
  • : Vacation
  • : Posted with either the Canadian Armed Forces or Foreign Affairs, Trade and Development Canada
  • : Other reason

LIVING ABROAD ON CENSUS DAY - Question identifier:15.

What is the main reason this family member was living outside of Canada on May 10, 2016?

  • : Work or looking for work (not permanently)
  • : Moved outside of Canada permanently
  • : Studies
  • : Visiting or temporarily caring for family or friends
  • : Posted with either the Canadian Armed Forces or Foreign Affairs, Trade and Development Canada
  • : Other reason

LIVING ABROAD ON CENSUS DAY - Question identifier:16.

In what country were you living or staying on May 10, 2016?

LIVING ABROAD ON CENSUS DAY - Question identifier:17.

What is your sex?

  • 1: Female
  • 2: Male

LIVING ABROAD ON CENSUS DAY - Question identifier:18.

What were your date of birth and age on May 10, 2016?

LIVING ABROAD ON CENSUS DAY - Question identifier:19.

What was your marital status on May 10, 2016?

  • : Never legally married
  • : Legally married (and not separated)
  • : Separated, but still legally married
  • : Divorced
  • : Widowed

LIVING ABROAD ON CENSUS DAY - Question identifier:20.

Were you living with a common-law partner on May 10, 2016?

  • 2: No
  • 1: Yes

LIVING ABROAD ON CENSUS DAY - Question identifier:21.

Have you returned to live in Canada?

  • 1: Yes
  • 2: No

LIVING ABROAD ON CENSUS DAY - Question identifier:22.

Do you intend to return to live in Canada?

  • : Yes
  • : No
  • : Don't know if I will return to live in Canada.

LIVING ABROAD ON CENSUS DAY - Question identifier:23.

What was the last address in Canada where you lived before residing outside of Canada?

  • : Same address as in Question 3 (your current address)
  • : Another address

LIVING ABROAD ON CENSUS DAY - Question identifier:24.

Fill out the information below for another person (if any) who lived with you at that address at that time.

  • : No other person lived with me there at that time
  • : Another person lived with me there at that time

LIVING ABROAD ON CENSUS DAY - Question identifier:25.

On May 10, 2016, was there a residence in Canada where one or more members of your family lived, or another residence available for you to live at?

  • 1: Yes
  • 2: No

LIVING ABROAD ON CENSUS DAY - Question identifier:26.

What was the address of that residence?

  • : Same address as in Question 3
  • : Same address as in Question 23
  • : Another address

LIVING ABROAD ON CENSUS DAY - Question identifier:27.

Fill out the information below for another person (if any) who lived at that address at that time.

OTHER CANADIAN ADDRESSES

OTHER CANADIAN ADDRESSES - Question identifier:28.

In 2016, between April and June, did you live or stay at another address not already given in this questionnaire?

  • 1: Yes
  • 2: No

OTHER CANADIAN ADDRESSES - Question identifier:29.

What was the address of that residence?

OTHER CANADIAN ADDRESSES - Question identifier:30.

Fill out the information below for another person (if any) who lived with you at that address at that time.

  • : No other person lived with me there at that time
  • : Another person lived with me there at that time

OTHER CANADIAN ADDRESSES - Question identifier:31.

Is there a secondary residence in Canada, such as a cottage or condominium, that you (or another household member) owned or rented on May 10, 2016 and where you stayed on occasion?

  • 2: No
  • 1: Yes

OTHER CANADIAN ADDRESSES - Question identifier:32.

Fill out the information below for another person (if any) who lived at that address at that time.

OTHER CANADIAN ADDRESSES - Question identifier:33.

Was there any other address in Canada, besides the one in Question 6, where someone may have included your name on a 2016 Census questionnaire?

  • 1: Yes
  • 2: No

OTHER CANADIAN ADDRESSES - Question identifier:34.

What was the address of that residence?

  • : Same address as in Question 3
  • : Same address as in Question 23
  • : Same address as in Question 26
  • : Same address as in Question 29
  • : Same address as in Question 31
  • : Another address

OTHER CANADIAN ADDRESSES - Question identifier:35.

Fill out the information below for a person who lived at that address on May 10, 2016.

OTHER INFORMATION

OTHER INFORMATION - Question identifier:36.

What is the language that you first learned at home in childhood and still understand?

  • 2: French
  • 1: English
  • 3: Other

OTHER INFORMATION - Question identifier:37.

Of what country were you a citizen on May 10, 2016?

  • : Canada, by birth
  • : Canada, by naturalization
  • : Other country

OTHER INFORMATION - Question identifier:38.

Are you now, or have you ever been a landed immigrant?

  • 1: Yes
  • 2: No

OTHER INFORMATION - Question identifier:39.

In what year did you first become a landed immigrant in Canada?

  • : 2016
  • : Other

OTHER INFORMATION - Question identifier:40.

When in 2016 did you become a landed immigrant?

  • : Before May 10, 2016 (Census Day)
  • : On or after May 10, 2016

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