Survey of Service Industries: Repair and Maintenance Services, 2011 - Full Questionnaire
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For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
A - Introduction
If necessary, please make address label corrections in the boxes below.
- 1: Legal name
- 2: Business name
- 3: Title of contact
- 4: First name of contact
- 5: Last name of contact
- 6: Address (number and street)
- 7: City
- 8: Province/territory or state
- 9: Country
- 10: Postal code/ zip code
What is your language of preference?
- 1: English
- 2: French
Purpose
This survey collects the financial and operating data needed to develop national and regional economic policies and programs.
Authority
This information is collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.
COMPLETION OF THIS QUESTIONNAIRE IS A LEGAL REQUIREMENT UNDER THIS ACT.
This document is confidential when completed.
Si vous préférez recevoir ce questionnaire en français, veuillez nous appeler au numéro sans frais suivant : 1-800-972-9692.
Confidentiality
The Statistics Act protects the confidentiality of information collected by Statistics Canada.
Your answers are confidential.
Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation. Therefore, for example, the Canada Revenue Agency cannot access identifiable survey records from Statistics Canada.
Information from this survey will be used for statistical purposes only and will be published in aggregate form only.
Data-sharing agreements
To reduce respondent burden, Statistics Canada has entered into data sharing agreements with provincial and territorial statistical agencies and other government organizations, which must keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.
Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.
For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, and the Yukon.
The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.
Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician and returning it with the completed questionnaire. Please specify the organizations with which you do not want to share your data.
For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut.
For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.
Record linkage
To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.
Security of emails and faxes
Statistics Canada advises you that there could be a risk of disclosure during facsimile or other electronic transmission. However, upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.
Return procedures
Please return the questionnaire within 30 days.
Please mail the completed questionnaire in the enclosed envelope or fax it to Statistics Canada at 1-888-883-7999.
Lost the return envelope or need help? Call us at 1-800-972-9692 or mail to:
Statistics Canada, Operations and Integration Division, 150 Tunney's Pasture Driveway, Ottawa, Ontario K1A 0T6
Reporting instructions
- Report for business unit(s) specified on the label on the front page.
- Complete only the questions that apply to your business.
- When precise figures are not available, please provide your best estimate.
- Report in Canadian dollars. Dollar amounts and percentages should be rounded to whole numbers.
- Consult the reporting guide at www.statcan.gc.ca/guides-e for further information.
B - Main business activity
B - Main business activity - Question identifier:1.
Please describe the nature of your business.
B - Main business activity - Question identifier:2.
Please check the one main activity which most accurately represents your main source of revenue.
- 1: General automotive mechanical and electrical repair and maintenance
- 2: Automotive exhaust systems repair
- 3: Automotive body, paint and interior repair and maintenance
- 4: Other specialized motor vehicle repair and maintenance (e.g., brake, radiator, transmission repair shops)
- 5: Automotive glass replacement shops
- 6: Car washes
- 7: All other automotive repair and maintenance (e.g., diagnostic centres, emissions testing, tire repair, oil and lube services)
- 8: Electronic and precision equipment repair and maintenance
- 9: Commercial and industrial machinery and equipment repair and maintenance
- 10: None of the above - Please call the contact telephone number on the cover page for further instructions.
B - Main business activity - Question identifier:3.
Is the sole purpose of this business unit to provide services to your parent company, an affiliated company or a professional practice?
- 1: yes, please provide the name of the company or professional practice
- 2: no
C - Reporting period information
C - Reporting period information - Question identifier:1.
Please report information for your fiscal year (normal business year) ending between April 1, YYYY and March 31, YYYY. Please indicate below the period covered by this questionnaire.
- 1: Date from (YYYY MM DD) to (YYYY MM DD)
C - Reporting period information - Question identifier:2.
If the reporting period does not cover a full year, please check the reason(s) below:
- 1: seasonal operations
- 2: new business
- 3: change of fiscal year
- 4: change of ownership
- 5: ceased operations
- 6: temporarily inactive
D - Revenue
D - Revenue - Question identifier:1.
Sales of goods and services (e.g., rental and leasing income, commissions, fees, admissions, services revenue) Report net of returns and allowances.
D - Revenue - Question identifier:2.
Grants, subsidies, donations and fundraising
D - Revenue - Question identifier:3.
Royalties, rights, licensing and franchise fees
D - Revenue - Question identifier:4.
Investment income (dividends and interest)
D - Revenue - Question identifier:5.
Other revenue
(please specify):
D - Revenue - Question identifier:6.
Total revenue (sum of questions 1 to 5)
E - Expenses
E - Expenses - Question identifier:1.
Salaries and wages of employees who have been issued a T4 statement
E - Expenses - Question identifier:2.
Employer portion of employee benefits (include employer contributions to pension, medical/life insurance plans, employment insurance, etc.)
E - Expenses - Question identifier:3.
Commissions paid to non-employees
E - Expenses - Question identifier:4.
Professional and business services fees (e.g., legal, accounting)
E - Expenses - Question identifier:5.
Subcontract expenses (include contract labour, contract work and custom work)
E - Expenses - Question identifier:6.
Charges for services provided by your head office
E - Expenses - Question identifier:7.
Cost of goods sold, if applicable (purchases plus opening inventory minus closing inventory)
E - Expenses - Question identifier:8.
Office supplies
E - Expenses - Question identifier:9.
Rental and leasing (include rental of premises, equipment, motor vehicles, etc.)
E - Expenses - Question identifier:10.
Repair and maintenance (e.g., property, equipment, vehicles)
E - Expenses - Question identifier:11.
Insurance (include professional liability, motor vehicles, etc.)
E - Expenses - Question identifier:12.
Advertising, marketing and promotions (report charitable donations at question 22)
E - Expenses - Question identifier:13.
Travel, meals and entertainment
E - Expenses - Question identifier:14.
Utilities and telecommunications expenses (include gas, heating, hydro, water, telephone and Internet expenses)
E - Expenses - Question identifier:15.
Property and business taxes, licences and permits
E - Expenses - Question identifier:16.
Royalties, rights, licensing and franchise fees
E - Expenses - Question identifier:17.
Delivery, warehousing, postage and courier
E - Expenses - Question identifier:18.
Financial services fees
E - Expenses - Question identifier:19.
Interest expenses
E - Expenses - Question identifier:20.
Amortization and depreciation of tangible and intangible assets
E - Expenses - Question identifier:21.
Bad debts
E - Expenses - Question identifier:22.
All other expenses
(please specify):
E - Expenses - Question identifier:23.
Total expenses (sum of questions 1 to 22)
E - Expenses - Question identifier:24.
Corporate taxes, if applicable
E - Expenses - Question identifier:25.
Gains (losses) and other items (see reporting guide)
E - Expenses - Question identifier:26.
Net profit/loss after tax and other items (see reporting guide)
F - Industry characteristics
Please provide a breakdown of your sales from:
F - Industry characteristics - Question identifier:1.
Automotive repair and maintenance
F - Industry characteristics - Question identifier:a)
Automobiles and light trucks
- i: repair and maintenance (exclude washing, and regulatory inspections)
- ii: regulatory safety and emissions inspection services
- iii: washing and cleaning services
F - Industry characteristics - Question identifier:b)
Heavy trucks and buses
- i: repair and maintenance (exclude washing, and regulatory inspections)
- ii: regulatory safety and emissions inspection services
- iii: washing and cleaning services
F - Industry characteristics - Question identifier:c)
Motor homes, travel trailers and campers
- i: repair and maintenance (include cleaning and washing services, regulatory inspections)
F - Industry characteristics - Question identifier:2.
Electronic and precision equipment repair and maintenance
- a): computer hardware and software
- b): communication and navigation equipment
- c): office equipment (exclude computer hardware and
peripherals) - d): consumer electronics (exclude computers)
- e): electronic medical equipment
- f): other electronic and precision equipment
F - Industry characteristics - Question identifier:3.
Commercial and industrial machinery and equipment repair and maintenance
- a): agricultural, construction, mining and forestry machinery
and equipment (exclude cleaning) - b): commercial and service industry machinery and
equipment (exclude cleaning) - c): manufacturing and metalworking machinery and
equipment (exclude cleaning) - d): commercial refrigeration equipment (exclude cleaning)
- e): other machinery and equipment (exclude cleaning)
- f): industrial and commercial machinery and equipment
cleaning services (e.g., high pressure water,
chemicals, vacuuming)
Sales not reported previously:
F - Industry characteristics - Question identifier:4.
Sale of merchandise, parts and accessories (for re-sale in the same condition as purchased - please refer to reporting guide)
F - Industry characteristics - Question identifier:5.
Other sales
(please specify):
F - Industry characteristics - Question identifier:6.
Total sales (sum of questions 1 to 5)
Inventory
Parts and accessories
For each category, please report the Value of opening inventory and the Value of closing inventory.
F - Industry characteristics - Question identifier:7.
Parts used in repair work only
F - Industry characteristics - Question identifier:8.
Other over-the-counter merchandise
F - Industry characteristics - Question identifier:9.
Total inventory (sum of questions 7 and 8)
G - Personnel
G - Personnel - Question identifier:1.
Number of partners and proprietors, non-salaried (if salaried, report at question 2 below)
G - Personnel - Question identifier:2.
Paid employees
G - Personnel - Question identifier:a)
Average number of paid employees during the reporting period (see reporting guide)
G - Personnel - Question identifier:b)
Percentage of paid employees (from question 2a) who worked full time
G - Personnel - Question identifier:3.
Number of contract workers for whom you did not issue a T4, such as freelancers and casual workers (estimates are acceptable)
H - Sales by type of client
Please provide a percentage breakdown of your sales by type of client.
H - Sales by type of client - Question identifier:1.
Clients in Canada
H - Sales by type of client - Question identifier:a)
Businesses
H - Sales by type of client - Question identifier:b)
Individuals and households
H - Sales by type of client - Question identifier:c)
Governments, not-for-profit organizations and public institutions (e.g., hospitals, schools)
H - Sales by type of client - Question identifier:2.
Clients outside Canada
Total: 100%
Not applicable
J - International transactions
Exports
J - International transactions
Exports - Question identifier:1.
Did you receive revenue from clients outside Canada for the export of goods, services, royalties, rights, licensing or franchise fees?
- 1: yes, complete questions 2, 3 and 4
- 2: no, go to question 5
J - International transactions
Exports - Question identifier:2.
Please report revenue received from exports. (Please report in Canadian dollars)
J - International transactions
Exports - Question identifier:3.
Please provide a percentage breakdown of exports by:
- a): goods
- b): services
- c): royalties, rights, licensing and franchise fees
Total: 100%
J - International transactions
Exports - Question identifier:4.
Please provide a percentage breakdown of exports by country:
- a): United States
- b): Mexico
- c): other countries (please specify):
Total: 100%
Imports
Imports - Question identifier:5.
Did you make payments to suppliers outside Canada for the import of goods, services, royalties, rights, licensing or franchise fees?
- 1: yes, complete questions 6, 7 and 8
- 2: no, go to next section
Imports - Question identifier:6.
Please report payments made for imports. (Please report in Canadian dollars)
Imports - Question identifier:7.
Please provide a percentage breakdown of imports by:
- a): goods
- b): services
- c): royalties, rights, licensing and franchise fees
Total: 100%
Imports - Question identifier:8.
Please provide a percentage breakdown of imports by country:
- a): United States
- b): Mexico
- c): other countries (please specify):
Total: 100%
Not applicable
L - Contact information
Name of person to contact about this questionnaire:
- 1: Mr.
- 2: Mrs.
- 3: Miss
- 4: Ms
- 1: Last name
- 2: First name
- 3: Title
- 4: Telephone number
- 5: Extension number
- 6: Fax number
- 7: E-mail address
- 8: Website address
I certify that the information contained herein is complete and correct to the best of my knowledge.
- 1: yyyy mm dd
M - Comments
We invite your comments below. Please be assured that we review all comments with the intent of improving the survey.
- Date modified: