Canadian Social Survey - Well-being and Caregiving
For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
- Household members and geographic region (DEM)
- Sex and gender (GDR)
- Age (AGE)
- General health (GEN)
- Life satisfaction (LSM)
- Meaning and purpose (MP)
- View of the future (FO)
- Loneliness (LON)
- Sense of belonging to local community (SBL)
- Someone to count on (RES)
- Financial well-being (EHA)
- Satisfaction (DOS)
- Paid and unpaid care for people under the age of 15 years old (CHD)
- Paid and unpaid care for people aged 15 years or older 1 (ICG)
- Paid and unpaid care for people aged 15 years or older 2 (APR)
- Paid and unpaid care for people aged 15 years or older 3 (HAP)
- Paid and unpaid care for people aged 15 years or older 4 (LOC)
- Paid and unpaid care for people aged 15 years or older 5 (PAR)
- Paid and unpaid care for people aged 15 years or older 6 (CIP)
- Impacts of paid and unpaid care (ICW)
- Main activity 1 (MAC)
- Main activity 2 (LMA5)
- Main activity 3 (EMP)
- Main activity 4 (ICW2)
- Satisfaction with work-life balance (SWL)
- Emergency preparedness (EPD)
- Marital status (MS)
- Education (ED)
- Language (LAN)
- Indigenous identity (ABM)
- Sociodemographic characteristics (PG)
- Place of birth, immigration and citizenship (DEM1)
- Long-term conditions (LTC)
- Sexual orientation (SOR)
- Future surveys (UCE)
Household members and geographic region (DEM)
Household members and geographic region (DEM) - Question identifier:DEM_Q01A
Provide your first and last name.
First name
Long Answer Length = 50
Household members and geographic region (DEM) - Question identifier:DEM_Q01B
Provide your first and last name.
Last name
Long Answer Length = 50
Household members and geographic region (DEM) - Question identifier:DEM_Q05
Including yourself, how many people live in your household?
Number of people
- 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 members and geographic region (DEM) - Question identifier:DEM_Q10
Including yourself, how many of these people are [15] years of age or more?
Number of people
- 00: 0
- 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 members and geographic region (DEM) - Question identifier:DEM_Q15
To determine which geographic region you live in, provide your postal code.
Postal code
Long Answer Length = 7
Sex and gender (GDR)
Sex and gender (GDR) - Question identifier:GDR_R05
The following questions are about sex at birth, gender and age.
Sex and gender (GDR) - Question identifier:GDR_Q05
What was your sex at birth?
- 1: Male
- 2: Female
Sex and gender (GDR) - Question identifier:GDR_Q10
What is your gender?
- 1: Male
- 2: Female
- 3: Or please specify
Sex and gender (GDR) - Question identifier:GDR_R15
Please verify that all of the information is correct.
If all the information is correct, press the Next button.
To make changes, press the Previous button.
Your information
Sex assigned at birth: [Male/Female/Information not provided]
Gender: [Male/Female/Specify other/Information not provided]
Age (AGE)
Age (AGE) - Question identifier:AGE_Q01A
What is your date of birth?
Year
Min = 0000; Max = 9999
Age (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
Age (AGE) - Question identifier:AGE_Q01C
What is your date of birth?
Day
- 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
- 21: 21
- 22: 22
- 23: 23
- 24: 24
- 25: 25
- 26: 26
- 27: 27
- 28: 28
- 29: 29
- 30: 30
- 31: 31
Age (AGE) - Question identifier:AGE_Q02
What is your age?
Age in years
Min = 0; Max = 999
General health (GEN)
General health (GEN) - Question identifier:GEN_R01
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_Q01
In general, how is your health?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
General health (GEN) - Question identifier:GEN_Q02
In general, how is your mental health?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
Life satisfaction (LSM)
Life satisfaction (LSM) - Question identifier:LSM_Q01
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?
- 00: 0 - Very dissatisfied
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 - Very satisfied
Meaning and purpose (MP)
Meaning and purpose (MP) - Question identifier:MP_Q01
Using a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you feel the things you do in your life are worthwhile?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
View of the future (FO)
View of the future (FO) - Question identifier:FO_Q01
Thinking about your life in general, how often would you say you have a hopeful view of the future?
- 1: Always
- 2: Often
- 3: Sometimes
- 4: Rarely
- 5: Never
Loneliness (LON)
Loneliness (LON) - Question identifier:LON_Q01
How often do you feel lonely?
- 1: Always
- 2: Often
- 3: Sometimes
- 4: Rarely
- 5: Never
Sense of belonging to local community (SBL)
Sense of belonging to local community (SBL) - Question identifier:SBL_Q100
How would you describe your sense of belonging to your local community?
- 1: Very strong
- 2: Somewhat strong
- 3: Somewhat weak
- 4: Very weak
- 5: No opinion
Someone to count on (RES)
Someone to count on (RES) - Question identifier:RES_Q06
How often would you say you have people you can depend on to help you when you really need it?
- 1: Always
- 2: Often
- 3: Sometimes
- 4: Rarely
- 5: Never
Financial well-being (EHA)
Financial well-being (EHA) - Question identifier:EHA_Q10
In the past 12 months, how difficult or easy was it for your household to meet its financial needs in terms of transportation, housing, food, clothing and other necessary expenses?
- 1: Very difficult
- 2: Difficult
- 3: Neither difficult nor easy
- 4: Easy
- 5: Very easy
Satisfaction (DOS)
Satisfaction (DOS) - Question identifier:DOS_Q08
On a scale from 0 to 10, where 0 means you feel "Not at all satisfied" and 10 means you are "Completely satisfied", how satisfied are you with the amount of time you have to do the things that you like doing?
- 00: 0 Not at all satisfied
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely satisfied
Satisfaction (DOS) - Question identifier:DOS_Q09
On a scale from 0 to 10, where 0 means you feel "Not at all satisfied" and 10 means you are "Completely satisfied", how satisfied are you with the quality of your local environment such as access to green space, and air or water quality?
- 00: 0 Not at all satisfied
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely satisfied
Paid and unpaid care for people under the age of 15 years old (CHD)
Paid and unpaid care for people under the age of 15 years old (CHD) - Question identifier:CHD_Q10
During the past 12 months, have you cared for or looked after someone under the age of 15 years old?
- 1: Yes, as part of a paid job
- 2: Yes, unpaid for a family member, friend, or neighbour (If you are a parent, include care provided to your own children under the age of 15 years old.)
- 3: Yes, unpaid on behalf of a volunteer organization
- 4: No
Paid and unpaid care for people under the age of 15 years old (CHD) - Question identifier:CHD_R10A
The following questions will relate to the family, friends and neighbours under the age of 15 years old who you have cared for or looked after. Please exclude help you provided on behalf of a volunteer organization.
Paid and unpaid care for people under the age of 15 years old (CHD) - Question identifier:CHD_R10B
The following questions will relate to the children under the age of 15 years old who you care for or look after as part of your paid job.
Paid and unpaid care for people under the age of 15 years old (CHD) - Question identifier:CHD_Q20
During the past 12 months, where have you primarily cared for or looked after these children under the age of 15 years old as part of your paid job?
- 1: A daycare centre, preschool or CPE
- 2: A home-based childcare
- 3: A hospital
- 4: A school
- 5: The child's home (e.g., babysitter, nanny)
- 6: Some other location
Paid and unpaid care for people under the age of 15 years old (CHD) - Question identifier:CHD_Q30
In an average week, how many hours did you spend caring for or looking after these children [/as part of your paid job]?
Number of hours
Min = 0; Max = 999.99
Paid and unpaid care for people under the age of 15 years old (CHD) - Question identifier:CHD_Q40A
During the past 12 months, how many children have you cared for or looked after in each of the following groups?
If there are no children in one of the age categories, select '0'.
Exclude unpaid help provided on behalf of a volunteer organization.
0 to 5 years old
Number of children
- 00: 0
- 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
Paid and unpaid care for people under the age of 15 years old (CHD) - Question identifier:CHD_Q40B
During the past 12 months, how many children have you cared for or looked after in each of the following groups?
If there are no children in one of the age categories, select '0'.
Exclude unpaid help provided on behalf of a volunteer organization.
6 to 14 years old
Number of children
- 00: 0
- 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
Paid and unpaid care for people under the age of 15 years old (CHD) - Question identifier:CHD_Q50
How many of these children lived in the same household as you?
Number of children
Min = 0; Max = 99
Paid and unpaid care for people under the age of 15 years old (CHD) - Question identifier:CHD_Q60
What is your relationship to the children that you cared for or looked after?
- 1: Your child
- 2: Your grandchild
- 3: Your sibling
- 4: Other family member
- 5: The child of your friend or neighbour
- 6: Some other relationship
Paid and unpaid care for people under the age of 15 years old (CHD) - Question identifier:CHD_R70
A long-term condition is one that has lasted or is expected to last 6 months or longer. Examples include conditions such as chronic or terminal health conditions or mental illness.
Paid and unpaid care for people under the age of 15 years old (CHD) - Question identifier:CHD_Q70
Do any of these children that you have cared for or looked after [/as part of your paid job] have a long-term condition or disability that requires additional help or care?
- 1: Yes
- 2: No
Paid and unpaid care for people under the age of 15 years old (CHD) - Question identifier:CHD_Q80
How has the COVID-19 pandemic affected the average amount of time you spent helping or caring for any of these children in the past 12 months?
- 1: It has increased
- 2: It has decreased
- 3: The amount of time has not changed
Paid and unpaid care for people aged 15 years or older 1 (ICG)
Paid and unpaid care for people aged 15 years or older 1 (ICG) - Question identifier:ICG_R20
The next questions ask about help or care you may have given to someone aged 15 years or older for a long-term condition, disability or problem related to aging. This help may include driving them, shopping with or for them, helping with housework, personal care or anything else.
A long-term condition is one that has lasted or is expected to last 6 months or longer. Examples include conditions such as chronic or terminal health conditions, drug or alcohol dependency, dementia, frailty from aging, or mental illness.
Paid and unpaid care for people aged 15 years or older 1 (ICG) - Question identifier:ICG_Q20
During the past 12 months, have you helped or cared for someone aged 15 years or older who had a long-term condition, a disability or a problem related to aging?
- 1: Yes, as part of a paid job
- 2: Yes, unpaid for a family member, friend, or neighbour
- 3: Yes, unpaid on behalf of a volunteer organization
- 4: No
Paid and unpaid care for people aged 15 years or older 1 (ICG) - Question identifier:ICG_R20A
The following questions will relate to the family, friends and neighbours aged 15 years or older who you have helped or cared for. Please exclude help you provided on behalf of a volunteer organization.
Paid and unpaid care for people aged 15 years or older 1 (ICG) - Question identifier:ICG_R20B
The following questions will relate to the people aged 15 years or older who you help or care for as part of your paid job.
Paid and unpaid care for people aged 15 years or older 2 (APR)
Paid and unpaid care for people aged 15 years or older 2 (APR) - Question identifier:APR_Q90
During the past 12 months, have you helped [anyone/family, friends, or neighbours] aged 15 years or older [/as part of your paid job] with any of the following activities?
- 01: Transportation (e.g., errands, get to medical appointments, get to social events)
- 02: Meal preparation, meal clean-up, house cleaning, or laundry
- 03: House maintenance or outdoor work (e.g., house repairs, lawn maintenance, snow shovelling)
- 04: Personal care (e.g., bathing, dressing, feeding)
- 05: Medical treatments or procedures (e.g., changing bandages or dressings, taking medications, performing blood sugar tests)
- 06: Scheduling or coordinating care (e.g., organizing care schedule, making appointments, hiring professional help)
- 07: Managing their finances (e.g., banking, bill paying, managing health insurance claims)
- 08: Emotional support (e.g., spending time with them, talking with and listening to them)
- 09: Some other activity
Paid and unpaid care for people aged 15 years or older 3 (HAP)
Paid and unpaid care for people aged 15 years or older 3 (HAP) - Question identifier:HAP_Q15
In an average week, how many hours of help or care to these people did you provide with these activities [/as part of your paid job]?
Number of hours
Min = 0; Max = 999.99
Paid and unpaid care for people aged 15 years or older 4 (LOC)
Paid and unpaid care for people aged 15 years or older 4 (LOC) - Question identifier:LOC_Q10
During the past 12 months, where have you primarily provided help or care to these people as part of your paid job?
- 1: A nursing home or senior's residence
- 2: A residential care facility (e.g., group home for persons with disabilities or addictions)
- 3: A hospital
- 4: The care recipient's home (e.g., home care worker, live-in caregiver)
- 5: Some other location
Paid and unpaid care for people aged 15 years or older 5 (PAR)
Paid and unpaid care for people aged 15 years or older 5 (PAR) - Question identifier:PAR_Q10
During the past 12 months, how many family members, friends or neighbours with a long-term condition, disability, or problems related to aging have you helped with any of these activities?
Number of people
Min = 0; Max = 99
Paid and unpaid care for people aged 15 years or older 5 (PAR) - Question identifier:PAR_Q20
How many of these people lived in the same household as you?
Number of people
Min = 0; Max = 99
Paid and unpaid care for people aged 15 years or older 5 (PAR) - Question identifier:PAR_Q30
What is your relationship to the people that you helped or cared for during the past 12 months?
- 1: Your spouse or partner
- 2: Your child
- 3: Your sibling
- 4: Your parent
- 5: Other family member
- 6: Your friend or neighbour
- 7: Some other relationship
Paid and unpaid care for people aged 15 years or older 6 (CIP)
Paid and unpaid care for people aged 15 years or older 6 (CIP) - Question identifier:CIP_Q10
How has the COVID-19 pandemic affected the average amount of time you spent helping or caring for any of these people in the past 12 months?
- 1: It has increased
- 2: It has decreased
- 3: The amount of time has not changed
Impacts of paid and unpaid care (ICW)
Impacts of paid and unpaid care (ICW) - Question identifier:ICW_R10
The next questions ask about impacts of your [paid care work/caregiving responsibilities]. Please include the people aged 15 years or older with a long-term condition, disability, or problems related to aging and children under the age of 15 that you previously mentioned.
[/Exclude unpaid help provided on behalf of a volunteer organization.]
Impacts of paid and unpaid care (ICW) - Question identifier:ICW_Q10
In general, how have you been coping with your [paid care work/caregiving responsibilities]?
- 1: Very well
- 2: Generally well
- 3: Not very well
- 4: Not very well at all
Impacts of paid and unpaid care (ICW) - Question identifier:ICW_Q20
During the past 12 months, [has/have] your [paid care work/caregiving responsibilities] caused you to feel or experience any of the following?
- 01: Tired
- 02: Worried or anxious
- 03: Overwhelmed
- 04: Lonely
- 05: Isolated
- 06: Short-tempered or irritable
- 07: Resentful
- 08: Depressed
- 09: Loss of appetite
- 10: Disturbed sleep
- 11: Some other symptom or feeling
- 12: None
Impacts of paid and unpaid care (ICW) - Question identifier:ICW_Q30
In the past 12 months, [has/have] your [paid care work/caregiving responsibilities] caused strain in your relationships with family members?
- 1: Yes
- 2: No
Impacts of paid and unpaid care (ICW) - Question identifier:ICW_Q60
During the past 12 months, have you experienced financial hardship because of your caregiving responsibilities?
- 1: Yes
- 2: No
Main activity 1 (MAC)
Main activity 1 (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
Main activity 2 (LMA5)
Main activity 2 (LMA5) - Question identifier:LMA5_Q01
What kind of work were you doing?
Specify the kind of work you were doing
Long Answer Length = 50
Main activity 2 (LMA5) - Question identifier:LMA5_Q02
What were your most important activities or duties?
Specify your most important activities or duties
Long Answer Length = 50
Main activity 3 (EMP)
Main activity 3 (EMP) - Question identifier:EMP_Q40
In general, how satisfied are you with your job [/as a paid care worker]?
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Main activity 3 (EMP) - Question identifier:EMP_Q50
Why are you not satisfied with your job?
- 01: Pay is too low
- 02: No benefits or not enough benefits
- 03: Not enough hours
- 04: Too much overtime
- 05: Work hours are unpredictable
- 06: Work hours are not flexible
- 07: Too physically demanding
- 08: Too mentally demanding
- 09: Do not like the work environment
- 10: No opportunities for advancement
- 11: Unstable employment
- 12: Some other reason
Main activity 4 (ICW2)
Main activity 4 (ICW2) - Question identifier:ICW2_Q50
During the past 12 months, how have your employment or job-seeking activities been affected by your caregiving responsibilities?
- 01: You quit or lost a job
- 02: You got an additional job
- 03: You reduced your regular weekly work hours
- 04: You increased your regular weekly work hours
- 05: You adjusted your work schedule to be more flexible
- 06: You reduced work tasks or responsibilities
- 07: You gave up better work opportunities
- 08: You were unable to work at a paid job
- 09: Some other impact
- 10: No impact
Satisfaction with work-life balance (SWL)
Satisfaction with work-life balance (SWL) - Question identifier:SWL_Q01
How satisfied are you with the balance between your job and home life?
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Emergency preparedness (EPD)
Emergency preparedness (EPD) - Question identifier:EPD_R05
The following questions are about potential weather-related events affecting your household.
Emergency preparedness (EPD) - Question identifier:EPD_Q05
How concerned are you about the risk of a weather-related emergency or natural disaster affecting your household?
- 1: Extremely concerned
- 2: Very concerned
- 3: Somewhat concerned
- 4: A little bit concerned
- 5: Not concerned at all
Emergency preparedness (EPD) - Question identifier:EPD_Q10
In the past 12 months, [have you/has anyone in your household] taken steps to prepare in the event of a weather-related emergency or natural disaster affecting your household?
- 1: Yes
- 2: No
Emergency preparedness (EPD) - Question identifier:EPD_Q15
In the past 12 months, have you helped others in your local community prepare in the event of a weather-related emergency or natural disaster affecting their household?
- 1: Yes
- 2: No
Marital status (MS)
Marital status (MS) - Question identifier:MS_Q01
What is your marital status?
- 1: Married (For Quebec residents only, select the "Married" category if your marital status is "civil union".)
- 2: Living common law (Two people who live together as a couple but who are not legally married to each other.)
- 3: Never married and not living common law
- 4: Separated and not living common law
- 5: Divorced and not living common law
- 6: Widowed and not living common law
Education (ED)
Education (ED) - Question identifier:ED_Q05
What is the highest certificate, diploma or degree that you have completed?
- 1: Less than high school diploma or its equivalent
- 2: High school diploma or a high school equivalency certificate
- 3: Trades certificate or diploma
- 4: College, CEGEP or other non-university certificate or diploma (other than trades certificates or diplomas)
- 5: University certificate or diploma below the bachelor's level
- 6: Bachelor's degree (e.g., B.A., B.A. (Hons), B.Sc., B.Ed., LL.B.)
- 7: University certificate, diploma or degree above the bachelor's level
Language (LAN)
Language (LAN) - Question identifier:LAN_Q01
Can you speak English or French well enough to conduct a conversation?
- 1: English only
- 2: French only
- 3: Both English and French
- 4: Neither English nor French
Language (LAN) - Question identifier:LAN_Q02
What language do you currently speak most often at home?
- 1: English
- 2: French
- 3: Other
Language (LAN) - Question identifier:LAN_Q10
What language did you speak most often at home five years ago, that is in [month and year from 5 years before collection date]?
- 1: English
- 2: French
- 3: Other
Language (LAN) - Question identifier:LAN_Q04
What is the language that you first learned at home in childhood and still understand?
- 1: English
- 2: French
- 3: Other
Indigenous identity (ABM)
Indigenous identity (ABM) - Question identifier:ABM_Q01
Are you First Nations, Métis or Inuk (Inuit)?
- 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.
- 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_Q05A
Where were you born?
- 1: Born in Canada
- 2: Born outside Canada
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q05B
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_Q05C
Are you a landed immigrant or permanent resident?
- 1: No
- 2: Yes
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q10
In what year did you first become a landed immigrant or a permanent resident?
If exact year is not known, enter best estimate.
Year of immigration
Min = 0; Max = 9999
Long-term conditions (LTC)
Long-term conditions (LTC) - Question identifier:LTC_R05
The following questions are about any long-term conditions you may have.
Long-term conditions (LTC) - Question identifier:LTC_Q05
Do you have any of the following difficulties?
- 1: Difficulty seeing even when wearing glasses or contact lenses
- 2: Difficulty hearing even when using a hearing aid or cochlear implant
- 3: Difficulty walking, using stairs, using your hands or fingers or doing other physical activities
- 4: Difficulty learning, remembering or concentrating
- 5: Emotional, psychological or mental health conditions (e.g., anxiety, depression, bipolar disorder, substance abuse, anorexia)
- 6: Other health problem or long-term condition that has lasted or is expected to last for six or more months
- 7: I do not have any difficulty or long-term condition that has lasted or is expected to last for six or more months
Long-term conditions (LTC) - Question identifier:LTC_Q10
Do you identify as a person with a disability?
- 1: Yes
- 2: No
Sexual orientation (SOR)
Sexual orientation (SOR) - Question identifier:SOR_Q01
What is your sexual orientation?
- 1: Heterosexual
- 2: Lesbian or gay
- 3: Bisexual
- 4: Or please specify
Future surveys (UCE)
Future surveys (UCE) - Question identifier:UCE_R05
Statistics Canada is planning a series of short, 15-20 minute surveys about important social topics. These surveys will be sent out in the near future and will ask about a wide variety of issues that affect Canadian society. By participating in this survey series, you will be able to share your opinions and thoughts on these issues and compare your ideas with those of other Canadians.
Future surveys (UCE) - Question identifier:UCE_Q05
Would you like to sign-up for future surveys?
- 1: Yes
- 2: No (Note: Your household will remain eligible for other Statistics Canada surveys.)
Future surveys (UCE) - Question identifier:UCE_Q10A
Please provide the following information so we can email or text you to participate in this survey series.
Email address
Long Answer Length = 80
Future surveys (UCE) - Question identifier:UCE_Q10B
Please provide the following information so we can email or text you to participate in this survey series.
Cellular number
Long Answer Length = 10
Future surveys (UCE) - Question identifier:UCE_R10
Thank you for signing up. We will contact you soon.
- Date modified: