National Household Survey 2011 - N2

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Table of Contents

Introduction

Purpose

Complementing the data collected by the census, the National Household Survey (NHS) is designed to provide information about people in Canada by their demographic, social and economic characteristics as well as provide information about the housing units in which they live.

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

ANY QUESTIONS?

- www.nhs.statcan.gc.ca
- Call us free of charge 1-877-308-2777
- TTY users call 1-866-753-7083

Ce questionnaire est disponible en français 1-877-308-2777

Introduction statement

Message from the Chief Statistician of Canada

The National Household Survey is an important survey for all people in Canada, including those living in northern and arctic regions, and in First Nations and other Aboriginal communities.

Your input is essential so that your community and Aboriginal organizations have the information they need for planning services such as child care, schooling, family services, housing, roads and public transportation, and skills training for employment.

By law, your responses will be kept confidential. Your information may be used by Statistics Canada in support of our other surveys or for analysis.

Thank you for your cooperation.

Reporting instructions

Complete the questionnaire:

- Please print using CAPITAL LETTERS.
- Mark circles with an "X".

STEP A

STEP A - Question identifier:1.

Print your telephone number

  • 1: Area Code, Telephone Number

STEP A - Question identifier:2.

Print the address:

  • 1: No. and street or lot and concession
  • 2: Apt. no
  • 3: City, municipality, town, village, Indian reserve
  • 4: Province/territory
  • 5: Postal code

STEP B

STEP B - Question identifier:1.

How many persons usually live at this address on May 10, 2011, including yourself?

  • 1: Number of Persons

STEP B - Question identifier:2.

Including yourself, list below all persons who usually live here.

  • 1: Family Name, Given Name

STEP C

Did you leave anyone out of Step B because you were not sure the person should be listed? (For example, a person living at this address who has another home, a person temporarily away, etc.)

  • 1: No
  • 2: Yes. See the instructions for Step B. Add the additional names in Step B, if applicable.

STEP D

Copy the names in Step B to Question 1. Keep the same order. Then answer the following questions for each person.

STEP D - Question identifier:1.

NAME

  • 1: Family Name, Given Name

STEP D - Question identifier:2.

SEX

  • 1: Male
  • 2: Female

STEP D - Question identifier:3.

DATE OF BIRTH AND AGE

  • 1: Day, Month, Year
  • 2: Age

STEP D - Question identifier:4.

MARITAL STATUS

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

STEP D - Question identifier:5.

Is this person living with a common-law partner?

  • 1: No
  • 2: Yes

STEP D - Question identifier:6.

RELATIONSHIP TO PERSON 1

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

Activities of daily living

Activities of daily living - Question identifier:7.

Does this person have any difficulty hearing, seeing, communicating, walking, climbing stairs, bending, learning or doing any similar activities?

  • 1: Yes, sometimes
  • 2: Yes, often
  • 3: No

Activities of daily living - Question identifier:8.

Does a physical condition or mental condition or health problem reduce the amount or the kind of activity this person can do:

(a) at home?

  • 1: Yes, sometimes
  • 2: Yes, often
  • 3: No

(b) at work or at school?

  • 1: Yes, sometimes
  • 2: Yes, often
  • 3: No
  • 4: Not applicable

(c) in other activities, for example, transportation or leisure?

  • 1: Yes, sometimes
  • 2: Yes, often
  • 3: No

Sociocultural information

Sociocultural information - Question identifier:9.

Where was this person born?

  • 1: Nfld.Lab.
  • 2: P.E.I.
  • 3: N.S.
  • 4: N.B.
  • 5: Quebec
  • 6: Ontario
  • 7: Manitoba
  • 8: Sask.
  • 9: Alberta
  • 10: B.C.
  • 11: Yukon
  • 12: N.W.T.
  • 13: Nunavut
  • 14: Born outside Canada - Specify country

Sociocultural information - Question identifier:10.

Of what country is this person a citizen?

Indicate more than one citizenship, if applicable. "Canada, by naturalization" refers to the process by which an immigrant is granted citizenship of Canada, under the Citizenship Act.

  • 1: Canada, by birth
  • 2: Canada, by naturalization
  • 3: Other country - Specify

Sociocultural information - Question identifier:11.

Is this person now, or has this person ever been, a landed immigrant?

  • 1: No. Go to Question 13.
  • 2: Yes

Sociocultural information - Question identifier:12.

In what year did this person first become a landed immigrant?

  • 1: Year

Sociocultural information - Question identifier:13.

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

Sociocultural information - Question identifier:14.

What language(s), other than English or French, can this person speak well enough to conduct a conversation?

Examples of Aboriginal languages: Cree, Inuktitut, Ojibway, Innu, Mi'kmaq, Dakota, Dene, Michif, etc.

  • 1: None
  • 2: Specify other language(s)

Sociocultural information - Question identifier:15.

(a) What language does this person speak most often at home?

  • 1: English
  • 2: French
  • 3: Other - Specify

(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 - Specify

Sociocultural information - Question identifier:16.

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

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

Sociocultural information - Question identifier:17.

What were the ethnic or cultural origins of this person's ancestors?

This question collects information on the ancestral origins of the population and provides information about the composition of Canada's diverse population.

An ancestor is usually more distant than a grandparent.

For example, Cree, Ojibway, Mi'kmaq, Salish, Dene, Blackfoot, Inuit, Métis, Canadian, French, English, German, etc.

  • 1: Specify as many origins as applicable using capital letters.

Sociocultural information - Question identifier:18.

Is this person an Aboriginal person, that is, First Nations (North American Indian), Métis or Inuk (Inuit)?

Note: First Nations (North American Indian) includes Status and Non-Status Indians.

If " Yes ", mark the circle(s) that best describe(s) this person now and go to Question 20.

  • 1: No, not an Aboriginal person
  • 2: Yes, First Nations(North American Indian)
  • 3: Yes, Métis
  • 4: Yes, Inuk (Inuit)

Sociocultural information - Question identifier:19.

Is this person:

Mark more than one or specify, if applicable.

This information is collected in accordance with the Employment Equity Act and its Regulations and Guidelines to support programs that promote equal opportunity for everyone to share in the social, cultural, and economic life of Canada.

  • 1: White
  • 2: South Asian (e.g., East Indian, Pakistani, Sri Lankan, etc.)
  • 3: Chinese
  • 4: Black
  • 5: Filipino
  • 6: Latin American
  • 7: Arab
  • 8: Southeast Asian (e.g., Vietnamese, Cambodian, Malaysian, Laotian, etc.)
  • 9: West Asian (e.g., Iranian, Afghan, etc.)
  • 10: Korean
  • 11: Japanese
  • 12: Other - Specify

Sociocultural information - Question identifier:20.

Is this person a Status Indian (Registered or Treaty Indian as defined by the Indian Act of Canada)?

  • 1: No
  • 2: Yes, Status Indian (Registered or Treaty)

Sociocultural information - Question identifier:21.

Is this person a member of a First Nation/Indian band?

If " Yes ", which First Nation/Indian band?

For example, Musqueam Indian Band, Sturgeon Lake First Nation, Atikamekw of Manawan.

  • 1: No
  • 2: Yes, member of a First Nation/Indian band (Specify name of First Nation/Indian band.)

Sociocultural information - Question identifier:22.

What is this person's religion?

Indicate a specific denomination or religion even if this person is not currently a practising member of that group.

For example, Roman Catholic, Anglican, United Church, Pentecostal, Traditional (Aboriginal) Spirituality, Longhouse, Baptist, Lutheran, Church of Jesus Christ of Latter-day Saints, Jehovah's Witnesses, Presbyterian, Moravian, Evangelical Missionary Church, etc.

  • 1: Specify one denomination or religion only.
  • 2: No religion

Mobility

Mark one circle only.

Note:
For those who mark the fourth circle:

Identify the community, municipality or Indian reserve rather than the name of
the First Nation / Indian band.

For example:
- Lac Brochet 197A, Manitoba, rather than Northlands Band;
- Wabamun 133A, Alberta, rather than Paul Band;
- Fort Providence, Northwest Territories, rather than Deh Gah Gotie Dene Council;
- Fort Hope 64, Ontario, rather than Eabametoong First Nation;
- Mingan, Québec, rather than Les Innus de Ekuanitshit.

Mobility - Question identifier:23.

Where did this person live 1 year ago, that is, on May 10, 2010?

  • 1: Born after May 10, 2010
  • 2: Lived at the same address as now
  • 3: Lived at a different address in the same city, town, village, township, municipality or Indian reserve
  • 4: Lived in a different city, town, village, township, municipality or Indian reserve in Canada (Specify)
  • 5: Lived outside Canada (Specify country)

Mobility - Question identifier:24.

Where did this person live 5 years ago, that is, on May 10, 2006?

  • 1: Born after May 10, 2006
  • 2: Lived at the same address as now
  • 3: Lived at a different address in the same city, town, village, township, municipality or Indian reserve
  • 4: Lived in a different city, town, village, township, municipality or Indian reserve in Canada (Specify)
  • 5: Lived outside Canada (Specify country)

Place of birth of parents

Place of birth of parents - Question identifier:25.

Where was each of this person's parents born?

Mark or specify country according to present boundaries.

  • a): Father
  • 1: Born in Canada
  • 2: Born outside Canada - specify country
  • b): Mother
  • 1: Born in Canada
  • 2: Born outside Canada - specify country

(a) Father

  • 1: Born in Canada
  • 2: Born outside Canada (Specify country)

(b) Mother

  • 1: Born in Canada
  • 2: Born outside Canada (Specify country)

Place of birth of parents - Question identifier:26.

Answer Questions 27 to 55 for each person aged 15 years and over (born before May 10, 1996).

Education

Education - Question identifier:27.

Has this person completed a secondary (high) school diploma or equivalent?

Examples of secondary (high) school equivalency certificates are General Educational Development (GED) and Adult Basic Education (ABE).

  • 1: Yes, secondary (high) school diploma
  • 2: Yes, secondary (high) school equivalency certificate
  • 3: No

Education - Question identifier:28.

Has this person completed a Registered Apprenticeship or other trades certificate or diploma?

Mark as many circles as applicable.

For example, hairstyling, cooking, electrician, carpentry.

  • 1: Yes, Registered Apprenticeship certificate (including Certificate of Qualification, Journeyperson's designation)
  • 2: Yes, other trades certificate or diploma
  • 3: No

Education - Question identifier:29.

Has this person completed a college, CEGEP, or other non-university certificate or diploma? (Other than certificates or diplomas reported in Question 28.)

Mark as many circles as applicable.

For example, accounting technology, real estate agent, industrial engineering technology, dental hygiene, legal assistant.

  • 1: Yes, certificate or diploma from a program of less than 3 months
  • 2: Yes, certificate or diploma from a program of 3 months to less than 1 year
  • 3: Yes, certificate or diploma from a program of 1 year to 2 years
  • 4: Yes, certificate or diploma from a program of more than 2 years
  • 5: No

Education - Question identifier:30.

Has this person completed a university certificate, diploma or degree?

Mark as many circles as applicable.

  • 1: Yes, university certificate or diploma below bachelor level
  • 2: Yes, bachelor's degree (including LL.B.)
  • 3: Yes, university certificate or diploma above bachelor level
  • 4: Yes, master's degree
  • 5: Yes, degree in medicine, dentistry, veterinary medicine
    or optometry
  • 6: Yes, earned doctorate
  • 7: No

Education - Question identifier:31.

What was the major field of study of the highest certificate, diploma or degree that this person completed?

Please be specific. For example, automobile mechanics, health care attendant, medical laboratory technology, early childhood education, civil engineering, natural resources conservation, agricultural economics.

Print in capital letters.

  • 1: Major field of study of highest certificate, diploma or degree
  • 2: No certificate, diploma or degree (higher than high school). Go to Question 33

Education - Question identifier:32.

In what province, territory or country did this person complete his or her highest certificate, diploma or degree?

  • 1: In Canada (Specify province or territory)
  • 2: Outside Canada (Specify country)

Education - Question identifier:33.

At any time since September 2010, has this person attended a school, college, CEGEP or university?

Mark as many circles as applicable.

Please include attendance only for courses that can be used as credits towards a certificate, diploma or degree.

  • 1: Yes, attended elementary, junior high school or high school
  • 2: Yes, attended trade school, business school, community college, technical institute, CEGEP or other non-university institution
  • 3: Yes, attended university
  • 4: No, did not attend school at any time since September 2010

Labour market activities

Note: Many of the following questions refer to the week from Sunday, May 1 to Saturday, May 7, 2011.
Call 1-877-308-2777 for more information.

Labour market activities - Question identifier:34.

During the week of Sunday, May 1 to Saturday, May 7, 2011, how many hours did this person spend working for pay or in self-employment?

Please enter the total number of hours worked for pay or in self-employment at all jobs held during the week of May 1 to May 7.

Include:
- working for wages, salary, tips or commission;

- working in his / her own business, farm or professional practice, alone or in
partnership;

- working directly towards the operation of a family farm or business without formal pay arrangements (e.g., assisting in seeding, doing accounts).

  • 1: Number of hours (to the nearest hour)
  • 2: None

Labour market activities - Question identifier:35.

During the week of May 1 to May 7, was this person on temporary lay-off or absent from his / her job or business?

Mark " X " one circle only.

  • 1: No
  • 2: Yes, on temporary lay-off from a job to which this person expects to return
  • 3: Yes, on vacation, ill, on strike or locked out, or absent for other reasons

Labour market activities - Question identifier:36.

During the week of May 1 to May 7, did this person have definite arrangements to start a new job within the next four weeks?

Note:
Many of the following questions refer to the week from Sunday, May 1 to Saturday, May 7, 2011.
Call 1-877-308-2777 for more information.

  • 1: No
  • 2: Yes

Labour market activities - Question identifier:37.

Did this person look for paid work during the four weeks from April 10 to May 7, 2011?

For example, did this person contact an employment centre, check with employers,place or answer newspaper ads, etc.?
Mark " X " one circle only.

  • 1: No (Go to Question 39)
  • 2: Yes, looked for full-time work
  • 3: Yes, looked for part-time work (less than 30 hours per week)

Labour market activities - Question identifier:38.

Could this person have started a job during the week of Sunday, May 1 to Saturday, May 7, 2011 had one been available?

Mark " X " one circle only.

  • 1: Yes, could have started a job
  • 2: No, already had a job
  • 3: No, because of temporary illness or disability
  • 4: No, because of personal or family responsibilities
  • 5: No, going to school
  • 6: No, other reasons

Labour market activities - Question identifier:39.

When did this person last work for pay or in self-employment, even for a few days?

  • 1: In 2011
  • 2: In 2010
  • 3: Before 2010
  • 4: Never

Labour market activities - Question identifier:40.

For whom did this person work?

Note: Questions 40 to 49 refer to this person's job or business during the week of May 1 to May 7, 2011. If this person held no job, answer for
the job of longest duration since January 1, 2010. If this person held more than one job, answer for the job at which he or she worked the most hours.

For self-employed persons, enter the name of their business. If the business does not have a name, enter the person's name.

Print in capital letters as follows: Name of firm, government agency, etc.

  • 1: Name of firm, government agency, etc.
  • 2: Section, plant, department, etc. (if applicable)

Labour market activities - Question identifier:41.

What kind of business, industry or service was this?

Please give details. For example:
- police
- fishing, trapping
- primary school
- community health centre
- freight trucking company
- independent artist
- hair salon

  • 1: Kind of business, industry or service

Labour market activities - Question identifier:42.

What was this person's work or occupation?

Please be specific. For example:
- police officer
- trapper
- primary school teacher
- community health nurse
- truck driver
- artisan
- hairdresser
(If in the Armed Forces, give rank.)

  • 1: Occupation

Labour market activities - Question identifier:43.

In this work, what were this person's main activities?

Please give details. For example:
- law enforcement
- skinning animals
- teaching Grade 2
- treating patients
- driving a truck
- carving soapstone
- cutting hair

  • 1: Main activities

Labour market activities - Question identifier:44.

In this job or business, was this person mainly:

Mark " X " one circle only.

  • 1: working for wages, salary, tips or commission?
  • 2: working without pay for his/her spouse or another relative in a family farm or business?
  • 3: self-employed without paid help (alone or in partnership)?
  • 4: self-employed with paid help (alone or in partnership)?

Labour market activities - Question identifier:45.

If self-employed, was this person's farm or business incorporated?

  • 1: No
  • 2: Yes

Labour market activities - Question identifier:46.

At what address did this person usually work most of the time?

Note:
For those who mark the fourth circle:
Identify the community, municipality or Indian reserve rather than the name of the First Nation / Indian band.
For example:
- Lac Brochet 197A, Manitoba, rather than Northlands Band;
- Wabamun 133A, Alberta, rather than Paul Band;
- Fort Providence, Northwest Territories, rather than Deh Gah Gotie Dene Council;
- Fort Hope 64, Ontario, rather than Eabametoong First Nation;
- Mingan, Québec, rather than Les Innus de Ekuanitshit.

If the address of work is different than the address of the employer, please provide the address where this person actually works (e.g., school teachers should provide the address of their school, not the address of the school board).

  • 1: Worked at home (including farms) Go to Question 49
  • 2: Worked outside Canada (Go to Question 49)
  • 3: No fixed workplace address
  • 4: Worked at the address specified below
    (Specify complete address: Street, City, Prov/Terr, Postal Code)

Labour market activities - Question identifier:47.a)

How did this person usually get to work?

If this person used more than one method of travel to work, mark the one used for most of the travel distance.
Mark "Subway or elevated rail" for:
- Vancouver SkyTrain
- Toronto Subway/RT
- Montréal Metro
Mark "Light rail, streetcar or commuter train" for:
- Vancouver West Coast Express
- Calgary CTrain
- Edmonton LRT
- Toronto streetcars
- Toronto GO Train
- Ottawa O-Train
- Montréal commuter trains
Mark "Other method" for:
- ATVs and snowmobiles
- airplane
- boat

  • 1: Car, truck or van - as a driver
  • 2: Car, truck or van - as a passenger
  • 3: Bus
  • 4: Subway or elevated rail
  • 5: Light rail, streetcar or commuter train
  • 6: Passenger ferry
  • 7: Walked to work
  • 8: Bicycle
  • 9: Motorcycle, scooter or moped
  • 10: Other method

Labour market activities - Question identifier:b)

How many people, including this person, usually shared the ride to work in this car, truck or van?

  • 1: Drove alone
  • 2: 2 people
  • 3: 3 or more people

Labour market activities - Question identifier:48.a)

What time did this person usually leave home to go to work?

  • 1: Time in hours and minutes. (a.m. or p.m.)

Labour market activities - Question identifier:b)

How many minutes did it usually take this person to get from home to work?

  • 1: Number of minutes

Labour market activities - Question identifier:49.a)

In this job, what language did this person use most often?

  • 1: English
  • 2: French
  • 3: Other - Specify

Labour market activities - Question identifier:b)

Did this person use any other languages on a regular basis in this job?

  • 1: No
  • 2: Yes, English
  • 3: Yes, French
  • 4: Yes, Other - Specify

Labour market activities - Question identifier:50.

In how many weeks did this person work in 2010?

Please enter the total number of weeks worked for pay or in self-employment at all jobs held in 2010.
Include those weeks in which this person:
- was on vacation or sick leave with pay;
- worked full time or part time;
- worked for wages, salary, tips or commission;
- was self-employed;
- worked directly toward the operation of a family farm or business without formal pay arrangements.

  • 1: None (Go to Question 53)
  • 2: Number of weeks

Labour market activities - Question identifier:51.

During most of those weeks, did this person work full time or part time?

Mark " X " one circle only.

  • 1: Full time (30 hours or more per week)
  • 2: Part time (Less than 30 hours per week)

Labour market activities - Question identifier:52.

In 2010, did this person pay for child care, such as day care or babysitting, so that this person could work at his or her paid job(s)?

When child care or day camps help several people work, enter the amount only once.
Answer " Yes" or "No". If "Yes", also enter the total amount for 2010.

  • 1: Yes (Enter the total amount for 2010)
  • 2: No

Labour market activities - Question identifier:53.

In 2010, did this person pay child or spousal support payments to a former spouse or partner?

Support payments are covered by an agreement to pay a fixed amount on a regular basis. Exclude all other gifts or transfers of money. Include only support payments actually paid.
Answer " Yes" or "No".
If "Yes", also enter the total amount for 2010.

  • 1: Yes (Enter the total amount for 2010)
  • 2: No

Income in 2010

Income in 2010 - Question identifier:54.

Does this person give Statistics Canada permission to use the income information available in his / her income tax files for the year ending December 31, 2010?

  • 1: Yes (Go to STEP E)
  • 2: No

Income in 2010 - Question identifier:55.

During the year ending December 31, 2010, did this person receive any income from the following sources?

Answer " Yes " or " No " for all sources. If " Yes ", also enter the amount; in case of a loss, also mark " Loss ".

Income in 2010 - Question identifier:a)

Did this person receive any wages or salaries from paid employment?

Include commissions, bonuses, tips, taxable benefits, research grants, royalties, etc. Report total amount before any deductions.

  • 1: Yes (Enter the amount)
  • 2: No

Income in 2010 - Question identifier:b)

Did this person make a profit or loss from farm self-employment
activities in 2010?

Report gross receipts minus expenses and capital cost allowance.

  • 1: Yes (Enter the amount)
  • 2: No

Income in 2010 - Question identifier:c)

Did this person make a profit or loss from non-farm self-employment activities in 2010, such as trapping, making handicrafts, running a business or from professional practice?

Report gross receipts minus expenses.

  • 1: Yes (Enter the amount)
  • 2: No

Income in 2010 - Question identifier:d)

Did this person receive any child benefits from federal, provincial or territorial governments?

Include amounts such as child tax benefits, universal child care benefits and family allowances.

  • 1: Yes (Enter the amount)
  • 2: No

Income in 2010 - Question identifier:e)

Did this person receive any Old Age Security Pension, Guaranteed Income Supplement,Allowance or Allowance for the Survivor from the federal government?

Provincial income supplements should be reported in (h).

  • 1: Yes (Enter the amount)
  • 2: No

Income in 2010 - Question identifier:f)

Did this person receive any benefits from the Canada or Quebec Pension P Plan?

  • 1: Yes (Enter the amount)
  • 2: No

Income in 2010 - Question identifier:g)

Did this person receive any benefits from Employment Insurance from
the federal government or the Quebec P Parental Insurance Plan?

Include maternity and parental benefits. Report total benefits before tax deductions.

  • 1: Yes (Enter the amount)
  • 2: No

Income in 2010 - Question identifier:h)

Did this person receive any other income from government sources?

Include income such as provincial income supplements and grants, the GST/QST/HST credit, provincial tax credits, workers'compensation, veterans' pensions, and welfare payments.

  • 1: Yes (Enter the amount)
  • 2: No

Income in 2010 - Question identifier:i)

Did this person receive any other money income?

Include income such as net rents from real estate and interest from mortgages.

  • 1: Yes (Enter the amount)
  • 2: No

Income in 2010 - Question identifier:j)

Did this person make any capital gains or losses?

Also include gains or losses from mutual funds. Do not include non-taxable capital gains on the sale of a principal residence.
Report the full amount, not just the taxable portion.

  • 1: Yes (Enter the amount)
  • 2: No

Income in 2010 - Question identifier:k)

Did this person receive any retirement pensions, superannuation or
annuities?

Also include those from RRSPs and RRIFs. Do not include withdrawals from a pension plan or RRSP.

  • 1: Yes (Enter the amount)
  • 2: No

Income in 2010 - Question identifier:l)

Other money income, such as alimony, child support, scholarships

Include income such as treaty money, alimony, child support and scholarships.

  • 1: Yes (Enter the amount)
  • 2: No

TOTAL INCOME in 2010 from all sources

  • 1: Yes (Enter the amount)
  • 2: No

INCOME TAX PAID on 2010 income (federal, provincial and territorial)

If none, enter "0".

  • 1: Enter total amount

STEP E: Answer Questions E1 to E10 about this dwelling.

The questions refer to May 10, 2011 unless otherwise specified.

A dwelling is a separate set of living quarters with a private entrance from the outside or from a common hallway or stairway inside the building. This entrance should not be through someone else's living quarters.

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E1

Who pays the rent or mortgage, taxes, electricity, etc., for this dwelling?

If more than one person contributes to such payments, mark as many circles as apply.

  • 1: Person 1
  • 2: Person 2
  • 3: Person 3
  • 4: Person 4
  • 5: Person 5
  • 6: A person who is listed on another questionnaire for this dwelling
  • 7: A person who does not live here

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E2

(a) Is this dwelling band housing, or rented, or owned by you or a member of this household?

  • 1: Band housing
  • 2: Owned (even if it is still being paid for)
  • 3: Rented (even if no cash rent is paid)

(b) Is this dwelling rented or owned by you or a member of this household?

  • 1: Owned (even if it is still being paid for)
  • 2: Rented (even if no cash rent is paid)

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E3

Is this dwelling part of a condominium development?

  • 1: Yes
  • 2: No

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E4a)

How many rooms are there in this dwelling?

Count: kitchen, bedrooms, finished rooms in attic or basement, etc.

Do not count: bathrooms, halls, vestibules and rooms used solely for business purposes.

  • 1: Number of rooms

How many of these rooms are bedrooms?

Include all rooms designed as bedrooms, even if they are now used for something else. Also include basement bedrooms.

  • 1: Number of bedrooms

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E5

When was this dwelling originally built?

Mark the period in which the building was completed, not the time of any later remodelling, additions or conversions. If year is not known, give best estimate.

  • 1: 1920 or before
  • 2: 1921-1945
  • 3: 1946-1960
  • 4: 1961-1970
  • 5: 1971-1980
  • 6: 1981-1985
  • 7: 1986-1990
  • 8: 1991-1995
  • 9: 1996-2000
  • 10: 2001-2005
  • 11: 2006-2011

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E6

Is this dwelling in need of any repairs?

Do not include desirable remodelling or additions.

  • 1: No, only regular maintenance is needed (painting, furnace cleaning, etc.)
  • 2: Yes, minor repairs are needed (missing or loose floor tiles, bricks or shingles, defective steps, railing or siding, etc.)
  • 3: Yes, major repairs are needed (defective plumbing or electrical wiring, structural repairs to walls, floors or ceilings, etc.)

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E7

Is this dwelling located on an agricultural operation that is operated by a member of this household?

  • 1: Yes (Go to Step F)
  • 2: No (Continue this section)

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E8

For this dwelling, what are the YEARLY payments (last 12 months) for:

Answer Questions E8 to E10 for this dwelling even if you own or rent more than one dwelling. If the exact amount is not known, please give a best estimate.

If " Band housing " was checked in Question E2(a), Go to Step F on next page.
If " Rented " was checked in Question E2(a) or E2(b),Continue with Question E9.
If " Owned " was checked in Question E2(a) or E2(b), Go to Question E10.

Electricity?

  • 1: None
  • 2: Included in rent or other payments; OR Enter the amount per year

Oil, gas, coal, wood or other fuels?

  • 1: None
  • 2: Included in rent or other payments; OR Enter the amount per year

Water and other municipal services?

  • 1: None
  • 2: Included in rent or other payments; OR Enter the amount per year

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E9

For RENTERS only, answer parts (a) and (b):

What is the monthly rent paid for this dwelling?

  • 1: Rented without payment of cash rent; OR
  • 2: Enter the amount per month

Is this dwelling subsidized?

Subsidized housing includes rent geared to income,social housing, public housing, government assisted housing, non-profit housing, rent supplements, and housing allowances.

  • 1: Yes
  • 2: No

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E10

For OWNERS only, answer parts (a) through (e):

What are the total regular monthly mortgage or loan payments for this dwelling?

  • 1: None. Go to part c); OR
  • 2: Enter the amount per month

Are the property taxes (municipal and school) included in the amount shown in part a)?

  • 1: Yes. Go to part d).
  • 2.: No

What are the estimated yearly property taxes (municipal and school) for this dwelling?

  • 1: None; OR
  • 2: Enter the amount per year

If you were to sell this dwelling now, for how much would you expect to sell it?

  • 1: Enter the amount

What are the monthly condominium fees?

  • 1: None; OR
  • 2: Enter the amount per month

STEP F: If you are answering on behalf of other people, please consult each person.

STEP F: If you are answering on behalf of other people, please consult each person. - Question identifier:F1

Does this person agree to make his or her 2011 National Household Survey information available in 2103 (92 years after the National Household Survey)?

This question is for all persons including children younger than 15.

Only if you mark " YES " to this question will your National Household Survey responses and family history be part of the historical record of Canada. A " YES " means your responses will be available to family members and historical researchers, 92 years after the 2011 National Household Survey, in 2103.

If you mark " NO " or leave the answer blank, your responses will never be made available to future generations.

  • 1: Yes
  • 2: No
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