Census 2C - 2016

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

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Table of Contents

Introduction

Purpose

The census provides a detailed statistical portrait of Canada and its people by their demographic, social and economic characteristics. This information is important for communities and is vital for planning services such as child care, schooling, family services, and skills training for employment.

Authority

This information is collected under the authority of the Statistics Act, R.S.C. 1985, c. S-19.
Confidential when completed.

Confidentiality

THE LAW PROTECTS WHAT YOU TELL US

The confidentiality of your responses is protected by law. All Statistics Canada employees have taken an oath of secrecy. Your personal information cannot be given to anyone outside Statistics Canada without your consent. This is your right.

Assistance

Visit www.census.gc.ca

Ce questionnaire est disponible en français

REASONS WHY WE ASK THE QUESTIONS

Steps A, B and question 1 are asked to determine who should complete this questionnaire.

Questions 2 to 6 provide information about the living arrangements of people in Canada, the family size, the number of children living with one parent or two parents, and the number of people who live alone. This information is used for planning social programs, such as Old Age Security and the Canada Child Tax Benefit. It is also used by communities to plan a variety of services such as day care centres, schools, police, fire protection and residences for senior citizens.

Questions 7 to 9 are used to provide a profile of the linguistic diversity of Canada's population. This information is used to estimate the need for services in English and French, and to better understand the current status and the evolution of Canada's various language groups.

Question 10 provides each person with the opportunity to make an informed decision about what happens to his or her personal census information in 92 years. Consenting to the release of census information in 92 years will help future generations better understand the Canada of today, and will benefit historical, academic and genealogical research.

Introduction statement

Message from the Chief Statistician of Canada

The census provides a portrait of our people and the places in which we live. Census information is important for your community and is vital for planning its public services. Be part of this new portrait of Canada and complete your census questionnaire.

By law, every person must complete a census questionnaire. Your answers are collected under the authority of the Statistics Act and will be kept strictly confidential. To ensure confidentiality, put your completed questionnaire in the envelope provided and seal it. Return your sealed envelope in accordance with the instructions given by your unit or department. Only Statistics Canada staff will open the envelopes.

In order to reduce the number of questions in this questionnaire, Statistics Canada will obtain your income information from personal income tax and benefits records.

The information that you provide may be used by Statistics Canada for other statistical and research purposes or may be combined with other survey or administrative data sources.

Thank you for your cooperation.

Wayne R. Smith
Chief Statistician of Canada

Reporting instructions

Please print using CAPITAL LETTERS.

Mark circles with an " X ".

STEP A

STEP A - Question identifier:1.

Do you have a permanent place of residence in Canada presently occupied by one or more members of your family?

  • 1: Yes.
    What is the exact location of your permanent place of residence?

    - Number and street or lot and concession
    - Apartment/unit
    - City, municipality, town, village, Indian reserve
    - Province/territory
    - Postal code
    - Telephone number

    Enter the name of an adult living at this address.
    - Family name(s), Given name(s)
  • 2: No.
    What is the address you give for election purposes?
    If you have no such address, enter your last permanent address in Canada.

    - Number and street or lot and concession
    - Apartment/unit
    - City, municipality, town, village, Indian reserve
    - Province/territory
    - Postal code
    - Telephone number

STEP A - Question identifier:2.

Enter the name and address of the military or government establishment outside Canada to which you are presently attached or, if none, the city or town and the country in which you reside.

  • 1: Name of establishment
  • 2: Location - City or town
  • 3: Country

STEP B

STEP B - Question identifier:1.

Including yourself, how many persons usually live at your address (outside Canada) as of May 10, 2016?

  • 1: Number of Persons

STEP B - Question identifier:2.

Including yourself, list all persons who usually live at your address (outside Canada).

  • 1: FAMILY NAME(S), GIVEN NAME(S)

STEP C

Copy the names in step B to question 1.
Keep the same order.
If more than six persons live at your address (outside Canada), you will need an extra questionnaire.
A second questionnaire may be obtained from the representative or official who delivered this one.

STEP C - Question identifier:1.

NAME

  • 1: Family Name, Given Name

STEP C - Question identifier:2.

What is this person's sex?

  • 1: Male
  • 2: Female

STEP C - Question identifier:3.

What are this person's date of birth and age?

  • 1: Day, Month, Year
  • 2: Age

STEP C - Question identifier:4.

What is this person's marital status?

  • 1: Never legally married
  • 2: Legally married (and not separated)
  • 3: Separated, but still legally married
  • 4: Divorced
  • 5: Widowed

STEP C - Question identifier:5.

Is this person living with a common-law partner?

  • 1: Yes
  • 2: No

STEP C - Question identifier:6.

What is the relationship of this person to Person 1?

  • 1: Person 1

    Person 2
    1: Opposite-sex husband or wife of Person 1
    2: Opposite-sex common-law partner of Person 1
    3: Same-sex married spouse of Person 1
    4: Same-sex common-law partner of Person 1
    5: Son or daughter of Person 1 only
    6: Grandchild of Person 1
    7: Son-in-law or daughter-in-law of Person 1
    8: Father or mother of Person 1
    9: Father-in-law or mother-in-law of Person 1
    10: Brother or sister of Person 1
    11: Foster child
    12: Room-mate, lodger or boarder
    13: Other relationship - specify:

    Person 3-6
    1: Son or daughter of both Persons 1 and 2
    2: Son or daughter of Person 1 only
    3: Son or daughter of Person 2 only
    4: Grandchild of Person 1
    5: Son-in-law or daughter-in-law of Person 1
    6: Father or mother of Person 1
    7: Father-in-law or mother-in-law of Person 1
    8: Brother or sister of Person 1
    9: Foster child
    10: Room-mate, lodger or boarder
    11: Other relationship - specify:

STEP C - Question identifier:7.

Can this person 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

STEP C - Question identifier:8. a)

What language does this person speak most often at home?

  • 1: English
  • 2: French
  • 3: Other language - specify:

STEP C - Question identifier:8. b)

Does this person speak any other languages on a regular basis at home?

  • 1: No
  • 2: Yes, English
  • 3: Yes, French
  • 4: Yes, other language - specify:

STEP C - Question identifier:9.

What is the language that this person first learned at home in childhood and still understands?

  • 1: English
  • 2: French
  • 3: Other language - specify:

STEP C - Question identifier:10.

This question is for all persons listed on the questionnaire. If you are answering on behalf of other people, please consult each person.

Does this person agree to make his or her 2016 Census information available in 2108 (92 years after the census)?

  • 1: Yes
  • 2: No

STEP D

If more than six persons live at your address (outside Canada), you will need an extra questionnaire.
A second questionnaire may be obtained from the representative or official who delivered this one.
You have now completed your questionnaire. Please return it in accordance with instructions from your unit or department.
Thank you for your cooperation.

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