Survey of Household Spending 2012

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Your diary of daily expenses

Diary Start Date
DD MM

Diary End Date
DD MM

Goods and services including food from stores and other goods and services

Item #
Date of expense
dd/mm (Example: 21/06)

Description of item

Write one item per line. See page 6 in the Diary Guide for help with this section.

Reminder: Please enter snacks, beverages and meals purchased from restaurants or fast-food outlets in the section that begins on page 7.

Cost - Do not include taxes.  $ ¢ 

For example:

21/06 NO SPENDING
22/06 GAS 36.00

Snacks, beverages and meals purchased from restaurants or fast-food outlets

Item #
Date of expense
dd/mm (Example: 22/06)

Restaurant code

A = Table Service
B = Fast Food
C = Cafeteria
D = Other

See page 9 in the Diary Guide for full descriptions.

Check () the meal type

Breakfast
Lunch
Dinner
Snack or Beverage

Number of meals paid - Include meals paid for people who do not live with you.

Total cost - Include all taxes, tips and alcoholic beverages. $ ¢

Alcoholic beverages - If alcoholic beverages are included in the total cost, please provide an estimated cost. $  ¢

For example:

22/06 A () 02 25.74
22/06 D () 00 2.36

For office use only

Please do not write on this page.

Your interviewer will ask you the questions on this page when he/she returns to pick up this Diary of Daily Expenses.

1. Did you write "no spending" in the diary for the days with no spending for all members of your household?

  1. Yes
  2. No
  3. Sometimes
  4. Made a purchase every day

2. Respondent comments:

3. Some expenses such as gas and other related vehicle costs, lottery tickets, cigarettes and newspapers, meals and beverages bought outside your home, leisure activities, or hair salon and postal services are easily forgotten. Did you, or any member of your household, forget to record any of these expenses or any other expense in the diary?

  1. Yes - go to #4
  2. No - go to #5.

4. Please list the items that have been missed. Interviewer: Enter the description used by the respondent.

Description
Cost

5. During the 14 days when you were recording your purchases in the diary, were any members of your household away from home for overnight or longer?

  1. Yes - go to #6
  2. No - Thank you for participating in this survey.

6. Did you remember to include in the diary, expenses made while away from home such as gas, grocery, restaurant meals, snacks and beverages, admittance fees to tourist attractions and souvenirs?

  1. Yes – Thank you for participating in this survey.
  2. No – go to #7

7. Please list all the items. Do not include expenses that will be reimbursed. Interviewer:  Enter the description used by the respondent.

Description
Cost

Comments

An interviewer will call you on:

Your completed diary will be picked up on:

At:

Thank you! 

We greatly appreciate your participation.

Collected under the authority of the Statistics Act.

Revised Statutes of Canada, 1985, Chapter s19.

Confidential when completed