Census 1A - 2016

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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

Completion of the census is required by the Statistics Act and information collected is kept strictly confidential.

Confidentiality

CONFIDENTIAL WHEN COMPLETED.

Introduction statement

Census information is important for your community and is vital for planning its public services. The data may also be used by Statistics Canada for other statistical and research purposes or be combined with other survey or administrative data sources. Completion of the census is required by the Statistics Act and information collected is kept strictly confidential.

Collective Dwelling Record

Section I - Identification

- Indicate the form 1A number and the total number of 1A forms for this collective dwelling.

- Final Outcome Code

- Administrative record attached (checkbox)

Sections:
- Survey Specific Identifier (SSID)
- CLD
- Block Number
- Crew leader name
- Name of collective dwelling
- Address
- Maximum occupancy
- Collective dwelling type code
- Total usual residents (URs)
- Total temporary residents (TRs)
- Total foreign residents (FRs)
- Number of private dwellings attached
- Was the number of usual residents (UR) count obtained from census contact cards (Form 7B)? (Yes; No; N/A)
- Contact name
- Contact telephone number
- Contact address
- Contact email

Complete only if final outcome code is '08' (Cancelled)

  • 1: Private dwelling
  • 2: Business/establishment that does not provide overnight accommodation
  • 3: Incorrect address
  • 4: Does not exist
  • 5: Exists in an adjacent CU
  • 6: Duplicate
  • 7: Comments

Section II - Collective dwelling type code and auxiliary questions

Check one collective dwelling type and answer the questions in that section.

  • 1: Hospital (10)
  • 2: Nursing home and/or residence for senior citizens (20)
  • 3: Residential care facility, such as a group home for persons with disabilities or addictions (30)
  • 4: Shelter (40)
  • 5: Correctional or custodial facility (50)
  • 6: Lodging or rooming house (60)
  • 7: Religious establishment such as a convent, monastery or seminary (70)
  • 8: Hutterite colony (80)
  • 9: Establishment with temporary accommodation services such as a hotel, campground, YMCA, Ronald McDonald House or hostel (90)
  • 10: Other establishment such as a school residence, military base, work camp or vessel (91)

Hospital (10)

Hospital (10) - Question identifier:A1)

Is this facility licensed as a hospital?

  • 1: Yes
  • 2: No

Hospital (10) - Question identifier:A2)

What services are provided at this facility?

  • 1: Short-term care
  • 2: Long-term care
  • 3: Both short-term and long-term care

Nursing home and/or residence for senior citizens (20)

Nursing home and/or residence for senior citizens (20) - Question identifier:B1)

What levels of service are provided to residents at this facility?

  • 1: Extended health care services (professional health care monitoring, nursing care and supervision 24 hours a day). Residents are not independent in most activities of daily living.
  • 2: Support services or assisted living services (meals, housekeeping, laundry, supervision of medication, assistance bathing or dressing, etc.), but no extended health care services. Residents are independent in most activities of daily living.
  • 3: Extended health care services to some residents, but only support services or assisted living services to other residents. For example, a facility that is a mix of both a nursing home and a residence for senior citizens.

Residential care facility, such as a group home for persons with disabilities or addictions (30)

Residential care facility, such as a group home for persons with disabilities or addictions (30) - Question identifier:C1)

Is this facility for:

  • 1: primarily children/minors
  • 2: persons with psychological disabilities
  • 3: persons with an addiction
  • 4: persons with physical challenges and/or disabilities
  • 5: persons that are developmentally delayed
  • 6: other - specify:

Shelter (40)

Shelter (40) - Question identifier:D1)

Is this facility primarily for:

  • 1: homeless persons
  • 2: ex-inmates (in halfway houses)
  • 3: abused women and their children
  • 4: other - specify:

Correctional or custodial facility (50)

Correctional or custodial facility (50) - Question identifier:E1)

Is this facility primarily a:

  • 1: federal correctional facility
  • 2: young offenders' facility
  • 3: provincial/territorial custodial facility
  • 4: jail/police lock-up facility

Establishment with temporary accommodation services such as a hotel, campground, YMCA, Ronald McDonald House or hostel (90)

Establishment with temporary accommodation services such as a hotel, campground, YMCA, Ronald McDonald House or hostel (90) - Question identifier:F1)

Is this establishment a:

  • 1: hotel, motel or tourist establishment
  • 2: other establishment with temporary accommodation services such as a YMCA/YWCA, Ronald McDonald House or hostel
  • 3: campground or park

Other establishment such as a school residence, military base, work camp or vessel (91)

Other establishment such as a school residence, military base, work camp or vessel (91) - Question identifier:G1)

Is this establishment a:

  • 1: school residence or training centre residence
  • 2: military base
  • 3: commercial vessel
  • 4: work camp
  • 5: government vessel
  • 6: other

Section III - Occupancy May 9 / May 10

- Room or unit number

- Usually lives here (X). Follow-up if form not returned

- Unoccupied (X)

- Name of occupant (If name not available, enter "X")

- Number of URs

- Number of TRs

- Number of FRs

- Remarks

- Totals for this page

- Cumulative totals

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