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XINT_R01
The Canadian Survey on Disability collects information about adults whose everyday activities are limited due to a condition or health-related problem. The data will be used to plan and evaluate services, programs and policies. It is conducted under the authority of the Statistics Act and is sponsored by Human Resources and Skills Development Canada. Although this survey is voluntary, I hope you will participate as the information could benefit Canadians with activity limitations to help ensure their full participation in society.
XINT_R02
Statistics Canada will combine information collected during the 2011 National Household Survey to the responses you provide in this interview. All information will be kept confidential and used for statistical purposes only.
XDSQ_R01B
The following questions are about difficulties you may have doing certain activities. Please tell me only about difficulties or conditions that have lasted or are expected to last for six months or more.
XDSQ_Q01
Do you have any difficulty seeing or hearing?
DK, RF
XDSQ_Q02
Do you have any difficulty walking, using stairs, using your hands or fingers, or doing other physical activities?
DK, RF
XDSQ_R03
Again, please answer for difficulties or conditions that have lasted or are expected to last for six months or more.
XDSQ_Q03
Do you have any difficulty learning, remembering or concentrating?
DK, RF
XDSQ_Q04
Please remember that your answers will be kept strictly confidential.
Do you have any emotional, psychological or mental health conditions? These may include anxiety, depression, bipolar disorder, substance abuse, anorexia, as well as other conditions.
DK, RF
XDSQ_Q05
Do you have any other health problem or condition that has lasted or is expected to last for six months or more?
DK, RF
XDSQ_S05
(Do you have any other health problem or condition that has lasted or is expected to last for six months or more?)
DK, RF
XDSQ_Q06
How often does this health problem or condition limit your daily activities?
DK, RF
XDSQ_Q07
Do you wear glasses or contact lenses to improve your vision?
DK, RF
XDSQ_Q08
[With your glasses or contact lenses, which/Which] of the following best describes your ability to see: You
DK, RF
XDSQ_Q09
How often does this [difficulty/condition] limit your daily activities?
DK, RF
XDSQ_Q10
Do you use a hearing aid or cochlear implant?
DK, RF
XDSQ_Q11
[With your hearing aid or cochlear implant, which/Which] of the following best describes your ability to hear: You
DK, RF
XDSQ_Q12
How often does this [difficulty/condition] limit your daily activities?
DK, RF
XDSQ_R13
The next questions are about your ability to move around, even when using an aid such as a cane. Again, please answer for any difficulties or conditions that have lasted or are expected to last for six months or more.
XDSQ_Q13
How much difficulty do you have walking on a flat surface for 15 minutes without resting?
DK, RF
XDSQ_Q14
How much difficulty do you have walking up or down a flight of stairs, about 12 steps without resting?
DK, RF
XDSQ_Q15
How often [does this difficulty walking limit/does this difficulty using stairs limit/do these difficulties limit] your daily activities?
DK, RF
XDSQ_R16
The next questions deal with flexibility and dexterity. (Again, answer for difficulties or conditions that have lasted or are expected to last for 6 months or more.)
XDSQ_Q16
How much difficulty do you have bending down and picking up an object from the floor?
DK, RF
XDSQ_Q17
How much difficulty do you have reaching in any direction, for example, above your head?
DK, RF
XDSQ_Q18
How often [does this difficulty bending and picking up an object limit/does this difficulty reaching limit/do these difficulties limit] your daily activities?
DK, RF
XDSQ_Q19
How much difficulty do you have using your fingers to grasp small objects like a pencil or scissors?
DK, RF
XDSQ_Q20
How often does this difficulty using your fingers limit your daily activities?
DK, RF
XDSQ_R21
The next questions are about pain due to a condition that has lasted or is expected to last for 6 months or more.
XDSQ_Q21
Do you have pain that is always present?
DK, RF
XDSQ_Q22
Do you have periods of pain that reoccur from time to time?
DK, RF
XDSQ_Q23
How often does this pain limit your daily activities?
DK, RF
XDSQ_Q24
When you are experiencing this pain, how much difficulty do you have with your daily activities?
DK, RF
XDSQ_Q25
Do you think you have a condition that makes it difficult in general for you to learn? This may include learning disabilities such as dyslexia, hyperactivity, attention problems, as well as other conditions.
DK, RF
XDSQ_Q26
Has a teacher, doctor or other health care professional ever said that you had a learning disability?
DK, RF
XDSQ_Q27
How often are your daily activities limited by this condition?
DK, RF
XDSQ_Q28
How much difficulty do you have with your daily activities because of this condition?
DK, RF
XDSQ_Q29
Has a doctor, psychologist or other health care professional ever said that you had a developmental disability or disorder? This may include Down syndrome, autism, Asperger syndrome or mental impairment due to lack of oxygen at birth, etc.
DK, RF
XDSQ_Q30
How often are your daily activities limited by this condition?
DK, RF
XDSQ_Q31
How much difficulty do you have with your daily activities because of this condition?
DK, RF
XDSQ_R32
Again, please answer for any conditions that have lasted or are expected to last for six months or more.
XDSQ_Q32
Do you have any emotional, psychological or mental health conditions? These may include anxiety disorder, depression, bipolar disorder, substance abuse, anorexia as well as other conditions.
DK, RF
XDSQ_Q33
[You mentioned earlier that you have an emotional, psychological or mental health condition. How /How] often are your daily activities limited by this condition?
DK, RF
XDSQ_Q34
When you are experiencing this condition, how much difficulty do you have with your daily activities?
DK, RF
XDSQ_Q35
Do you have any ongoing memory problems or periods of confusion? Exclude occasional forgetfulness such as not remembering where you put your keys.
DK, RF
XDSQ_Q36
How often are your daily activities limited by this problem?
DK, RF
XDSQ_Q37
How much difficulty do you have with your daily activities because of this problem?
DK, RF
XDSQ_Q38
Do you have any other health problem or condition that has lasted or is expected to last for six months or more?
DK, RF
XDSQ_S38
(Do you have any other health problem or condition that has lasted or is expected to last for six months or more?)
DK, RF
XDSQ_Q39
How often does this health problem or condition limit your daily activities?
DK, RF
Main Cause (XMAC)
XMAC_R01
You reported earlier that you have a condition or health problem that limits your daily activities.
XMAC_Q01
At what age did you first start having any difficulty or activity limitation?
(Difficulty or activity limitation(s) mentioned earlier: [each value collected from Disability Screening Questions [XDSQ])
_ _ _ Years
DK, RF
XMAC_R02
We've been discussing various limitations that people may face. Now, I'd like to ask you about the main condition that may contribute to the difficulties that you have mentioned.
XMAC_Q02
What is the main medical condition which causes you the most difficulty or limits your activities?
- Main condition #1:
- Main condition #2:
DK, RF
XMAC_Q03
Which of the following best describes the cause of [this condition, (which is (refers to XMAC_Q02 main condition #1 response)/the second condition you mentioned, (refers to XMAC_Q02 main condition #2 response)]?
DK, RF
XMAC_S03
(Which of the following best describes the cause of [this condition, (which is (refers to XMAC_Q02 main condition #1 response)/the second condition you mentioned, (refers to XMAC_Q02 main condition #2 response)]?)
DK, RF
Aids and Assistive Devices (XAAD)
XAAD_R01A
The next questions are about aids and assistive devices you may use for your condition(s). By assistive device, we mean any device or tool that is designed or adapted to help a person perform a particular task or activity.
XAAD_R01B
Now some questions about aids and assistive devices that you may use to help with a hearing condition.
XAAD_Q01A
Because of your condition, do you use: a TTY?
DK, RF
XAAD_Q01B
(Because of your condition, do you use:) other telephone related devices, such as volume controllers or flashers?
DK, RF
XAAD_Q01C
(Do you use:) a cell phone or smart phone with specialized features to help with a hearing condition?
DK, RF
XAAD_Q01D
(Do you use:) a computer or similar device to communicate, because of a hearing condition, for example via e-mail, chat service or instant messenger?
DK, RF
XAAD_Q01E
Because of your condition, do you use: closed captioning or subtitles for TV shows and movies?
DK, RF
XAAD_Q01F
(Because of your condition, do you use:) visual or vibrating alarms or alerts?
DK, RF
XAAD_Q01G
(Because of your condition, do you use:) amplifiers such as FM, loop systems or infra-red?
DK, RF
XAAD_Q01H
(Because of your condition, do you use:) a cochlear implant or other implant?
DK, RF
XAAD_Q01I
(Because of your condition, do you use:) a hearing aid?
DK, RF
XAAD_Q02
Do you use any other aid or assistive device for a hearing condition?
DK, RF
XAAD_S02
What is this?
DK, RF
XAAD_Q03
Are there any aids or assistive devices for a hearing condition that you think you need but do not have?
DK, RF
XAAD_Q04
Which aids or assistive devices do you need but do not have?
DK, RF
XAAD_S04
(Which aids or assistive devices do you need but do not have?)
DK, RF
XAAD_Q05A
Why do you not have (refers to XAAD_Q04 response(s))?
DK, RF
XAAD_R05B
The next questions ask about ways you may communicate to help with a hearing condition.
XAAD_Q05B
Do you lip read?
DK, RF
XAAD_Q05C
Do you use sign language such as ASL or LSQ?
DK, RF
XAAD_Q05D
How often do you use a sign language interpreter?
DK, RF
XAAD_R06
Now some questions about aids and assistive devices that you may use to help with a seeing condition.
XAAD_Q06A
Because of your condition, do you use: magnifiers?
DK, RF
XAAD_Q06B
(Because of your condition, do you use:) closed circuit devices (e.g., CCTV’s)?
DK, RF
XAAD_Q06C
Because of your condition, do you use: large print reading materials?
DK, RF
XAAD_Q06D
(Because of your condition, do you use:) dark lined paper or dark ink pens?
DK, RF
XAAD_Q06E
(Because of your condition, do you use:) Braille reading materials or a manual Brailler?
DK, RF
XAAD_Q06F
(Because of your condition, do you use:) a white cane or identification cane?
DK, RF
XAAD_Q06G
(Because of your condition, do you use:) a service animal?
DK, RF
XAAD_Q06H
Do you use: a talking GPS to help with a seeing condition?
DK, RF
XAAD_Q06I
Because of your condition, do you use: recording equipment or a portable note-taking device?
DK, RF
XAAD_Q06J
Because of your condition, do you use: a device for playing audio books or e-books?
DK, RF
XAAD_Q06K
(Do you use:) a cell phone or smart phone with specialized features to help with a seeing condition?
DK, RF
XAAD_Q06L
(Do you use:) a personal computer or laptop with specialized software or other adaptations to help with a seeing condition?
DK, RF
XAAD_Q07A
Because of your condition, does your personal computer or laptop have: speech to text, text to speech or voice recognition software?
DK, RF
XAAD_Q07B
(Because of your condition, does your personal computer or laptop have:) screen magnification software?
DK, RF
XAAD_Q07C
Because of your condition, does your personal computer or laptop have: a scanner?
DK, RF
XAAD_Q07D
(Because of your condition, does your personal computer or laptop have:) a Braille embosser or refreshable Braille display?
DK, RF
XAAD_Q07E
(Does your personal computer or laptop have:) any other software or adaptation to help with a seeing condition?
DK, RF
XAAD_Q08
Do you use any other aid or assistive device for a seeing condition?
DK, RF
XAAD_S08
What is this?
DK, RF
XAAD_Q09
Are there any aids or assistive devices for a seeing condition that you think you need but do not have?
DK, RF
XAAD_Q10
Which aids or assistive devices do you need but do not have?
DK, RF
XAAD_S10
(Which aids or assistive devices do you need but do not have?)
DK, RF
XAAD_Q11
Why do you not have (refers to XAAD_Q10 response(s))?
DK, RF
XAAD_R12
Now some questions about aids and assistive devices that you may use for moving around, to help with bending or reaching or to help with fine motor skills.
XAAD_Q12A
Because of your condition, do you use: a cane, walking stick or crutches?
DK, RF
XAAD_Q12B
(Because of your condition, do you use:) a walker?
DK, RF
XAAD_Q12C
(Because of your condition, do you use:) a scooter?
DK, RF
XAAD_Q12D
(Because of your condition, do you use:) a manual wheelchair?
DK, RF
XAAD_Q12E
(Because of your condition, do you use:) a motorized wheelchair?
DK, RF
XAAD_Q12F
(Because of your condition, do you use:) orthopaedic footwear?
DK, RF
XAAD_Q12G
(Because of your condition, do you use:) an orthotic or brace?
DK, RF
XAAD_Q12H
(Because of your condition, do you use:) a prosthetic device or artificial limb?
DK, RF
XAAD_Q12I
(Because of your condition, do you use:) a grasping tool or reach extender?
DK, RF
XAAD_Q12J
(Because of your condition, do you use:) adapted tools, utensils or special grips?
DK, RF
XAAD_Q12K
Because of your condition, do you use: a device with oversized buttons, such as a remote control or telephone?
DK, RF
XAAD_Q12L
(Because of your condition, do you use:) a device for dressing, such as a button hook, zipper pull, or long-handled shoe horn?
DK, RF
XAAD_Q12M
(Do you use:) a cell phone or smart phone with specialized features to help with your condition?
DK, RF
XAAD_Q12N
(Do you use:) a personal computer or laptop with specialized software or other adaptations to help with your condition?
DK, RF
XAAD_Q13A
Does your personal computer or laptop have: speech to text, text to speech or voice recognition software to help with your condition?
DK, RF
XAAD_Q13B
Does your personal computer or laptop have: a specialized keyboard or trackball to help with your condition?
DK, RF
XAAD_Q13C
(Does your personal computer or laptop have:) a head mouse or Jouse to help with your condition?
DK, RF
XAAD_Q13D
(Does your personal computer or laptop have:) other software or adaptation to help with your condition?
DK, RF
XAAD_R14
The next questions ask about aids, assistive devices and accessibility features you may have at your residence to help with moving around, to help with bending or reaching or to help with fine motor skills.
XAAD_Q14A
Because of your condition, at your residence, do you have: bathroom aids such as a raised toilet seat or grab bars?
DK, RF
XAAD_Q14B
(Because of your condition, at your residence, do you have:) a walk-in bath or shower?
DK, RF
XAAD_Q14C
(Because of your condition, at your residence, do you have:) an access ramp or a ground-level entrance?
DK, RF
XAAD_Q14D
(Because of your condition, at your residence, do you have:) widened doorways or hallways?
DK, RF
XAAD_Q14E
Because of your condition, at your residence, do you have: a lift device or elevator?
DK, RF
XAAD_Q14F
(Because of your condition, at your residence, do you have:) automatic or easy to open doors, including lever handles?
DK, RF
XAAD_Q14G
(Because of your condition, at your residence, do you have:) lowered counters in the kitchen or bathroom?
DK, RF
XAAD_Q15
Do you use any other aid, assistive device or accessibility feature for moving around, to help with bending or reaching or to help with fine motor skills?
DK, RF
XAAD_S15
What is this?
DK, RF
XAAD_Q16
Are there any aids or assistive devices for moving around, to help with bending or reaching, or to help with fine motor skills that you think you need, but do not have?
DK, RF
XAAD_Q17
Which aids or assistive devices do you need, but do not have?
DK, RF
XAAD_S17
(Which aids or assistive devices do you need, but do not have?)
DK, RF
XAAD_Q18
Why do you not have (refers to XAAD_Q17 response(s))?
DK, RF
XAAD_R19
Now some questions about aids and assistive devices that you may use to help with learning difficulties.
XAAD_Q19A
Do you use: recording equipment or a portable note-taking device to help with learning difficulties?
DK, RF
XAAD_Q19B
Do you use: a device for playing audio books or e-books to help with learning difficulties?
DK, RF
XAAD_Q19C
(Because of your condition, do you use:) a portable spell checker, not including a cell phone?
DK, RF
XAAD_Q19D
(Because of your condition, do you use:) a personal digital assistant (PDA), not including a cell phone?
DK, RF
XAAD_Q19E
(Do you use:) a cell phone or smart phone with specialized features to help with learning difficulties?
DK, RF
XAAD_Q19F
(Do you use:) a personal computer or laptop with specialized software or other adaptations to help with learning difficulties?
DK, RF
XAAD_Q20A
Does your personal computer or laptop have: speech to text, text to speech or voice recognition software to help with learning difficulties?
DK, RF
XAAD_Q20B
Does your personal computer or laptop have: a scanner to help with learning difficulties?
DK, RF
XAAD_Q20C
Does your personal computer or laptop have: graphic organizational tools or mind-mapping tools to help with learning difficulties?
DK, RF
XAAD_Q20D
(Does your personal computer or laptop have:) other software or adaptation to help with learning difficulties?
DK, RF
XAAD_Q21
Do you use any other aid or assistive device to help with learning difficulties?
DK, RF
XAAD_S21
What is this?
DK, RF
XAAD_Q22
Are there any aids or assistive devices for learning that you think you need, but do not have?
DK, RF
XAAD_Q23
Which aids or devices do you need, but do not have?
DK, RF
XAAD_S23
(Which aids or devices do you need, but do not have?)
DK, RF
XAAD_Q24
Why do you not have (refers to XAAD_Q23 response(s))?
DK, RF
XAAD_R25
[Now, I would like you to think about all other aids, devices and specialized equipment you use for your condition(s).] You may feel that some of these questions do not apply to you or may seem similar to questions already asked, but it is important that we ask the same questions of everyone.
Please do not include medication taken for your condition(s), as we will be asking about this in a later section.
XAAD_Q25A
Because of your condition(s), do you use: orthopaedic footwear?
DK, RF
XAAD_Q25B
Because of your condition(s), do you use: an orthotic or brace?
DK, RF
XAAD_Q25C
Because of your condition(s), do you use: supportive devices, such as therapeutic cushions or pillows, special chairs or an adjustable bed?
DK, RF
XAAD_Q25D
(Because of your condition(s), do you use:) an electrotherapy device for pain, such as a TENS machine?
DK, RF
XAAD_Q25E
Because of your condition(s), do you use: a voice amplifier?
DK, RF
XAAD_Q25F
(Because of your condition(s), do you use:) diabetic aids, such as a blood glucose monitor or needles?
DK, RF
XAAD_Q25G
(Because of your condition(s), do you use:) oxygen supplies?
DK, RF
XAAD_Q25H
(Because of your condition(s), do you use:) ostomy supplies?
DK, RF
XAAD_Q25I
(Because of your condition(s), do you use:) any other aid or device?
DK, RF
XAAD_S25I
What is this?
DK, RF
XAAD_Q26
Are there any aids, devices or specialized equipment that you think you need but do not have?
DK, RF
XAAD_Q27
Which aids, devices or specialized equipment do you need, but do not have?
DK, RF
XAAD_S27
(Which aids, devices or specialized equipment do you need, but do not have?)
DK, RF
XAAD_Q28
Why do you not have (refers to XAAD_Q27 response(s))?
DK, RF
XAAD_Q29
Thinking about all the aids, assistive devices and specialized equipment you use for your condition(s), in the past 12 months, did you have any out-of-pocket or direct expenses for the purchase, repair or maintenance of these aids?
Please exclude amounts for which you have been or will be reimbursed.
DK, RF
XAAD_Q30
How much did you have to pay out-of-pocket in the past 12 months for aids, devices and specialized equipment?
DK, RF
Medication Use (XMDD)
XMDD_R01
The next questions are about your use of prescription medications taken for your condition.
XMDD_Q01
Because of your condition, do you take any prescription medications at least once a week?
DK, RF
XMDD_Q02
In the past 12 months, were you ever unable to get prescription medications you were supposed to take because of the cost?
DK, RF
XMDD_Q03
In the past twelve months, did you ever take prescription medication less often than you were supposed to, because of the cost?
DK, RF
Help Received for Everyday Activities (XHRE)
XHRE_R01
Now, some questions on help you may receive with everyday activities because of your condition. Include help received from family, friends, neighbours, and from organizations, whether paid or unpaid.
XHRE_Q01
Because of your condition, do you usually receive help preparing meals?
DK, RF
XHRE_Q02
Do you need additional help preparing meals?
DK, RF
XHRE_Q03
Do you think you need help preparing meals?
DK, RF
XHRE_Q04
Because of your condition, do you usually receive help with everyday housework, such as dusting and tidying up?
DK, RF
XHRE_Q05
Do you need additional help with everyday housework?
DK, RF
XHRE_Q06
Do you think you need help with everyday housework?
DK, RF
XHRE_Q07
Because of your condition, do you usually receive help with heavy household chores, such as yard work, snow removal or spring cleaning?
DK, RF
XHRE_Q08
Do you need additional help with heavy household chores?
DK, RF
XHRE_Q09
Do you think you need help with heavy household chores?
DK, RF
XHRE_Q10
Because of your condition, do you usually receive help with getting to appointments and running errands, such as shopping for groceries?
DK, RF
XHRE_Q11
Do you need additional help with getting to appointments and running errands?
DK, RF
XHRE_Q12
Do you think you need help with getting to appointments and running errands?
DK, RF
XHRE_Q13
Because of your condition, do you usually receive help with looking after your personal finances, such as making bank transactions or paying bills?
DK, RF
XHRE_Q14
Do you need additional help with looking after your personal finances?
DK, RF
XHRE_Q15
Do you think you need help with looking after your personal finances?
DK, RF
XHRE_Q16
Because of your condition, do you usually receive help with personal care, such as washing, dressing or taking medication?
DK, RF
XHRE_Q17
Do you need additional help with personal care?
DK, RF
XHRE_Q18
Do you think you need help with personal care?
DK, RF
XHRE_Q19A
Because of your condition, do you usually receive basic medical care at home?
DK, RF
XHRE_Q19B
From whom do you usually receive basic medical care at home?
DK, RF
XHRE_Q20
Do you need additional basic medical care at home?
DK, RF
XHRE_Q21
Do you think you need basic medical care at home?
DK, RF
XHRE_Q22
Because of your condition, do you usually receive help with moving around inside your residence?
DK, RF
XHRE_Q23
Do you need additional help with moving around inside your residence?
DK, RF
XHRE_Q24
Do you think you need help with moving around inside your residence?
DK, RF
XHRE_Q25
Because of your condition, do you usually receive help with childcare?
DK, RF
XHRE_Q26
Do you need additional help with childcare?
DK, RF
XHRE_Q27
Do you think you need help with childcare?
DK, RF
XHRE_Q28
Now, I would like you to think about all the help you receive with everyday activities because of your condition. How often do you usually receive help? Is it… ?
DK, RF
XHRE_Q29
Thinking of all the help you receive, who helps you with your everyday activities?
DK, RF
XHRE_Q30
Of those who help you with your everyday activities, who provides the most help?
DK, RF
XHRE_Q31
Thinking about all the help you receive with your everyday activities because of your condition, in the past 12 months, did you have any out-of-pocket or direct expenses for help received?
Please exclude amounts for which you have been or will be reimbursed.
DK, RF
XHRE_Q32
How much did you have to pay out-of-pocket in the past 12 months for the help you received?
Please exclude amounts for which you have been or will be reimbursed
DK, RF
Education (XEDU)
XEDU_R01
The next few questions are on education.
XEDU_Q01
Are you currently attending school, college, CEGEP or university?
DK, RF
XEDU_Q02
Did you attend school, college, CEGEP or university at any time since September 2011?
DK, RF
XEDU_Q03
What type of educational institution [are you attending/did you attend]?
DK, RF
XEDU_Q04
[Are/Were] you enrolled as... ?
DK, RF
XEDU_Q05
[Are/Were] you studying part-time because of your condition?
DK, RF
XEDU_Q06
Because of your condition, [do/did] you require adapted or modified building features to attend school?
DK, RF
XEDU_Q07
[Do/Did] you require... ?
DK, RF
XEDU_S07
([Do/Did] you require...? other feature)
DK, RF
XEDU_Q08
[Are/Is/Were/Was] (refers to XEDU_Q07 response(s)) available to you?
DK, RF
XEDU_Q09
[Do/Did] you require specialized transportation to attend school?
DK, RF
XEDU_Q10
[Is/Was] specialized transportation available to you?
DK, RF
XEDU_Q11
[Do/Did] you need any assistive devices, support services, modification to curriculum or additional time for testing to follow your courses?
DK, RF
XEDU_Q12
[Do/Did] you need...?
DK, RF
XEDU_S12
([Do/Did] you need...? other aid or service)
DK, RF
XEDU_Q13
[Are/Is/Were/Was] (refers to XEDU_Q12 response(s)) made available to you?
DK, RF
Past School Attendance (XEDP)
XEDP_Q01
Did you attend school, college, CEGEP or university at any time since September 2007?
DK, RF
XEDP_Q02
Did you have your condition when you were attending school (in the past 5 years)?
DK, RF
XEDP_Q03
Because of your condition, did you require adapted or modified building features to attend school?
DK, RF
XEDP_Q04
Did you require... ?
DK, RF
XEDP_S04
(Did you require...? other feature)
DK, RF
XEDP_Q05
[Were/Was] (refers to XEDP_Q04 response(s)) available to you?
DK, RF
XEDP_Q06
Did you require specialized transportation to attend school?
DK, RF
XEDP_Q07
Was specialized transportation available to you?
DK, RF
XEDP_Q08
Did you need any assistive devices, support services, modification to curriculum or additional time for testing to follow your courses?
DK, RF
XEDP_Q09
Did you need...?
DK, RF
XEDP_S09
(Did you need...? other aid or service)
DK, RF
XEDP_Q10
[Were/Was] (refers to XEDP_Q09 response(s)) made available to you?
DK, RF
Educational Experiences (XEEX)
XEEX_R01
Now, think of the time when you completed all your education or training.
XEEX_Q01
Did you have your condition before completing all your formal education or training?
DK, RF
XEEX_Q02
[Have you ever discontinued/Did you discontinue] your formal education or training because of your condition?
DK, RF
XEEX_Q03A
Because of your condition: did you begin school later than most other people your age?
DK, RF
XEEX_Q03B
(Because of your condition:) did you ever change your course of studies?
DK, RF
XEEX_Q03C
(Because of your condition:) was your choice of courses or careers influenced?
DK, RF
XEEX_Q03D
(Because of your condition:) did you take fewer courses or subjects than you otherwise would have?
DK, RF
XEEX_Q03E
Because of your condition: did you take any courses by correspondence or home study?
DK, RF
XEEX_Q03F
Because of your condition: did you ever change schools?
DK, RF
XEEX_Q03G
Because of your condition: did you have to leave your community to attend school?
DK, RF
XEEX_Q03H
(Because of your condition:) did you ever attend a special education school or special education classes in a regular school?
DK, RF
XEEX_Q03I
(Because of your condition:) was your education interrupted for long periods of time?
DK, RF
XEEX_Q03J
Because of your condition: did you ever go back to school for retraining?
DK, RF
XEEX_Q03K
(Because of your condition:) did you have any additional expenses for your schooling?
DK, RF
XEEX_Q03L
(Because of your condition:) did it take you longer to achieve your present level of education?
DK, RF
XEEX_Q04
How much longer?
_ _ Years
DK, RF
XEEX_R05
Now some questions about your experience at school.
XEEX_Q05
Because of your condition: did some people avoid you or did you feel left out of things at school?
DK, RF
XEEX_Q06
Because of your condition: did you experience bullying at school?
DK, RF
Educational Background (XEDB)
XEDB_Q01
What is the highest certificate, diploma or degree that you have completed?
DK, RF
XEDB_Q02
In what year did you complete your highest certificate, diploma or degree?
_ _ _ _ Year
DK, RF
XEDB_Q03
In what country was the institution that granted your highest certificate, diploma or degree located?
DK, RF
XEDB_Q04
In what province or territory?
DK, RF
XEDB_Q05
What was the major field of study of the highest certificate, diploma or degree you completed?
(Specify - Major field of study or area of specialization)
DK, RF
Labour Force Status (XLFS)
XLFS_R01
The next few questions will help us establish your employment status.
XLFS_Q01
Last week, did you work at a job or business? (regardless of the number of hours)
DK, RF
XLFS_Q02
Last week, did you have a job or business from which you were absent?
DK, RF
XLFS_Q03
What was the main reason you were absent from work last week?
DK, RF
XLFS_Q04
Last week, did you have definite arrangements to start a new job within the next four weeks?
DK, RF
XLFS_Q05
Did you look for work during the past four weeks? (For example, did you contact an employment centre, check with employers or search internet job sites, etc.)
DK, RF
XLFS_Q06
Could you have started a job last week had one been available?
DK, RF
Employment Details (XEDE)
XEDE_Q01
How many hours do you usually work per week?
_ _ _ Hours
DK, RF
XEDE_Q02
What is the main reason you usually work less than 30 hours per week?
DK, RF
XEDE_S02
(What is the main reason you usually work less than 30 hours per week?)
DK, RF
XEDE_Q03A
On what date did you start this job?
_ _ Day
DK, RF
XEDE_Q03B
On what date did you start this job?
_ _ Month
DK, RF
XEDE_Q03C
On what date did you start this job?
_ _ _ _ Year
DK, RF
XEDE_Q04
Are you an employee or self-employed?
DK, RF
XEDE_Q05
What is the name of your business?
DK, RF
XEDE_Q06
For whom do you work?
DK, RF
XEDE_Q07
What kind of business, industry or service is this?
DK, RF
XEDE_Q08
What is your work or occupation?
DK, RF
XEDE_Q09
In this work, what are your main activities?
DK, RF
XEDE_Q10
In this job, are you a union member or covered by a union contract or collective agreement?
DK, RF
XEDE_Q11
About how many persons are employed at the location where you now work?
DK, RF
XEDE_Q12
Is your job a permanent job?
DK, RF
XEDE_Q13
In what way is your job not permanent?
DK, RF
XEDE_S13
(In what way is your job not permanent?)
(DK, RF not allowed)
XEDE_Q14
Because of your condition, have you ever:
DK, RF
XEDE_Q15
Does your condition limit the amount or kind of work you can do at your present job or business?
DK, RF
XEDE_Q16
Where were you employed when you first experienced work limitations?
DK, RF
XEDE_Q17
Are you now doing the same kind of work as you were doing at the time you first experienced work limitations?
DK, RF
XEDE_Q18
Is your condition the reason you are now doing a different kind of work?
DK, RF
XEDE_Q19
Do you believe that your condition makes it difficult for you to change jobs or to advance at your present job?
DK, RF
XEDE_Q20
Why do you believe that your condition makes it difficult for you to change jobs or advance at your present job?
DK, RF
XEDE_Q21
Is your employer aware of your work limitation?
DK, RF
Unemployed People (XUDE)
XUDE_Q01
When did you last work, even for a few days? Include as work, working without pay at a family farm or business. Do not include volunteer work, housework, maintenance or repairs for your own home.
_ _ _ _ Year
DK, RF
XUDE_Q02
When you last worked, how many hours did you usually work per week?
_ _ _ Hours
DK, RF
XUDE_Q03
Were you an employee or self-employed?
DK, RF
XUDE_Q04
What was the name of your business?
DK, RF
XUDE_Q05
For whom did you work?
DK, RF
XUDE_Q06
What kind of business, industry or service was this?
DK, RF
XUDE_Q07
What was your work or occupation?
DK, RF
XUDE_Q08
In this work, what were your main activities?
DK, RF
XUDE_Q09
Have you had any periods of employment in the last twelve months; that is to say, periods when you had a job?
DK, RF
XUDE_Q10
How many different periods of employment did you have?
DK, RF
XUDE_Q11
What was the length of the longest period of employment?
DK, RF
XUDE_Q12
Does your condition limit the amount or kind of work you can do at a job or business?
DK, RF
XUDE_Q13
Were you working at a job or business at the time you became limited in the kind or amount of work you can do?
DK, RF
XUDE_Q14
Does your condition affect your ability to look for work?
DK, RF
XUDE_Q15
Because of your condition, are you limited in your ability to:
DK, RF
XUDE_Q16
Was your previous employer aware of your activity limitation?
DK, RF
Not in Labour Force (XNDE)
XNDE_Q01
When did you last work, even for a few days? Include as work, working without pay at a family farm or business. Do not include volunteer work, housework, maintenance or repairs for your own home.
_ _ _ _ Year
DK, RF
XNDE_Q02
Are you permanently retired?
DK, RF
XNDE_Q03A
Is that because of your condition?
DK, RF
XNDE_Q03B
Did you retire from a job or business or did you stop looking for work?
DK, RF
XNDE_Q04
When you last worked, how many hours did you usually work per week?
_ _ _ Hours
DK, RF
XNDE_Q05
Were you an employee or self-employed?
DK, RF
XNDE_Q06
What was the name of your business?
DK, RF
XNDE_Q07
For whom did you work?
DK, RF
XNDE_Q08
What kind of business, industry or service was this?
DK, RF
XNDE_Q09
What was your work or occupation?
DK, RF
XNDE_Q10
In this work, what were your main activities?
DK, RF
XNDE_11
Does your condition completely prevent you from working at a job or business?
DK, RF
XNDE_Q12
Is there some type of workplace arrangement or modification that would enable you to work at a paid job or business, such as modified or different duties or technical aids?
DK, RF
XNDE_Q13
Does your condition limit the amount or kind of work you could do at a job or business?
DK, RF
XNDE_Q14A
Were you working at a job or business at the time you became limited in the amount or kind of work you can do?
DK, RF
XNDE_Q14B
Were you working at a job or business at the time you became completely unable to work?
DK, RF
XNDE_Q15
Does your condition affect your ability to look for work?
DK, RF
XNDE_Q16
Have you looked for work in the past two years?
DK, RF
XNDE_Q17
Some people have encountered barriers which have discouraged them from looking for work. Please think about your own experience and indicate which of the following situations apply to you.
DK, RF
XNDE_Q18
Do you think that you will look for work at any time in the next twelve months?
DK, RF
XNDE_Q19
Is this because...?
DK, RF
XNDE_Q20
Was your previous employer aware of your activity limitation?
DK, RF
Retirement (XRET)
XRET_Q01
When did you retire for the first time?
_ _ _ _ Year
DK, RF
XRET_Q02
When you last worked, how many hours did you usually work per week?
_ _ _ Hours
DK, RF
XRET_Q03
Was this retirement voluntary?
DK, RF
XRET_Q04
Does your condition completely prevent you from working?
DK, RF
XRET_Q05
Does your condition limit the amount or kind of work you could do?
DK, RF
XRET_Q06
Some people have encountered barriers which have discouraged them from looking for work. Could you think about your own situation and indicate which of the following situations might apply to you?
DK, RF
Workplace Training (XETR)
XETR_R01
[The next few questions deal with job-related training paid for or provided by your employer or company./The next few questions deal with job-related training paid for or provided by your most recent employer or company.]
XETR_Q01A
In the past twelve months, have you received any classroom training related to your job?
DK, RF
XETR_Q01B
During the last twelve months of your previous employment, did you receive any classroom training related to your job?
DK, RF
XETR_Q02
In the past twelve months, have you received any on-the-job training?
DK, RF
XETR_Q03
In the last twelve months of your previous employment, did you receive any on-the-job training?
DK, RF
XETR_Q04
In the past twelve months, did you participate in any work-related training that was not paid for or provided by an employer?
DK, RF
XETR_Q05
Who paid for this training?
DK, RF
XETR_Q06
In the past twelve months, did you want to take some work-related training courses?
DK, RF
XETR_Q07
Did any of the following prevent you from taking work-related training courses?
DK, RF
Employment Modifications (XEMO)
XEMO_Q01A
Because of your condition, do you require any of the following to be able to work?
DK, RF
XEMO_S01A
(Because of your condition, do you require any of the following to be able to work? Other equipment, help or work arrangement)
DK, RF
XEMO_Q01B
Because of your condition, would you require any of the following to be able to work?
DK, RF
XEMO_S01B
(Because of your condition, would you require any of the following to be able to work? Other equipment, help or work arrangement)
DK, RF
XEMO_Q02
[Have/Has] (refers to XEMO_Q01A or XEMO_Q01B response(s)) been made available to you?
DK, RF
XEMO_Q03
Did you ask your employer for the work place accommodation[s] that [have/has] not been made available to you?
DK, RF
XEMO_Q04
Why have you not received the workplace accommodation[s] that you need?
DK, RF
XEMO_Q05
Is your employer aware that you need the workplace accommodation[s]?
DK, RF
XEMO_Q06
Why have you not asked for the workplace accommodation[s] that you need?
DK, RF
XEMO_Q07
Did you ask your previous employer for the work place accommodation[s] that [have/has] not been made available to you?
DK, RF
XEMO_Q08
Why did you not receive the workplace accommodation[s] that you needed?
DK, RF
XEMO_Q09
Is your previous employer aware that you needed the workplace accommodation[s]?
DK, RF
XEMO_Q10
Why did you not ask for the workplace accommodation[s] that you needed?
DK, RF
Labour Force Discrimination (XEDI)
XEDI_Q01
In the past five years, do you believe that because of your condition, you have been: refused a job interview?
DK, RF
XEDI_Q02
(In the past five years, do you believe that because of your condition, you have been:) refused a job?
DK, RF
XEDI_Q03
(In the past five years, do you believe that because of your condition, you have been:) refused a job promotion?
DK, RF
XEDI_Q04
Do you consider yourself to be disadvantaged in employment because of your condition?
DK, RF
XEDI_Q05
Do you believe that your current employer or any potential employer would be likely to consider you disadvantaged in employment because of your condition?
DK, RF
Getting Around the Community (XDRV)
XDRV_R01
The next questions are about getting around the city or local community.
XDRV_Q01
Do you regularly use public transit, such as a public bus, subway, Sky Train, metro, street car, or light rail transit?
DK, RF
XDRV_Q02
Is regular public transit available in your city or local community?
DK, RF
XDRV_Q03
Do you regularly use specialized transit service, such as a special bus, van or subsidized accessible taxi service?
DK, RF
XDRV_Q04
Is specialized transit service available in your city or local community?
DK, RF
XDRV_Q05
Because of your condition, do you experience any difficulty using public transit or specialized transit service?
DK, RF
XDRV_Q06
What are the reasons you have difficulty using public transit or specialized transit service?
DK, RF
Source of Income (XSNC)
XSNC_R01
The next questions are about personal income sources.
You may feel that some of these questions do not apply to you, but it is important that we ask the same questions of everyone.
XSNC_Q01A
In 2011, did you receive income from the following sources: Wages and salaries?
DK, RF
XSNC_Q01B
(In 2011, did you receive income from the following sources:) Income from self-employment?
DK, RF
XSNC_Q01C
(In 2011, did you receive income from the following sources:) Workers’ Compensation?
DK, RF
XSNC_Q01D
(In 2011, did you receive income from the following sources:) Canada Pension Plan Disability Benefit?
DK, RF
XSNC_Q01E
(In 2011, did you receive income from the following sources:) Quebec Pension Plan Disability Benefit?
DK, RF
XSNC_Q01F
In 2011, did you receive income from the following sources: Benefits from Canada Pension Plan excluding disability benefits?
DK, RF
XSNC_Q01G
(In 2011, did you receive income from the following sources:) Benefits from Quebec Pension Plan excluding disability benefits?
DK, RF
XSNC_Q01H
(In 2011, did you receive income from the following sources:) Long Term Disability (private plan)?
DK, RF
XSNC_Q01I
(In 2011, did you receive income from the following sources:) Motor Vehicle Accident Insurance Disability Benefit?
DK, RF
XSNC_Q01J
(In 2011, did you receive income from the following sources:) Veterans Affairs disability pension benefit?
DK, RF
XSNC_Q01K
(In 2011, did you receive income from the following sources:) Provincial, Territorial or Municipal Social Assistance or Welfare?
DK, RF
XSNC_Q01L
In 2011, did you receive income from the following sources: Employment insurance (or Quebec Parental Insurance Plan)?
DK, RF
XSNC_Q02
Was this for short term disability (sickness benefit)?
DK, RF
Record Linkage (XRLL)
XRLL_R01
In order to reduce the number of questions in this interview, Statistics Canada may add information from other surveys or administrative data sources such as tax and pension systems to the responses you provided today.