Resuming Economic and Social Activities During COVID-19
For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
- Labour market recovery (LM)
- Economic recovery (ER)
- Health recovery (HR)
- Family and caregiving recovery (FCR)
- Commuting and travel (CT)
- Perceptions, trust and confidence (PTC)
- Preparing for potential future waves (PFW)
- Demographic questions (DEM)
Labour market recovery (LM)
Labour market recovery (LM) - Question identifier:LM_R05
The following questions concern your activities during the week of ^REFDATE_E.
Labour market recovery (LM) - Question identifier:LM_Q05
During that week, did you work at a job or business?
- 1: Yes
- 2: No
Labour market recovery (LM) - Question identifier:LM_Q10
During that week, did you have a job or business from which you were absent?
- 1: Yes
- 2: No
Labour market recovery (LM) - Question identifier:LM_Q15
What was the main reason you were absent from work that week?
- 1: Planned absence not related to COVID-19 (e.g., vacation, work schedule, maternity or parental leave, seasonal job or business)
- 2: Unplanned absence not related to COVID-19 (e.g., illness or disability other than COVID-19, caring for children or elder relative for non-COVID-19 reasons, labour dispute (strike or lockout))
- 3: Business closure or layoff related to COVID-19
- 4: Personal circumstances related to COVID-19 (e.g., personal safety, own or household member's diagnosis, self-isolation after recent travel, taking care of children due to school closure)
Labour market recovery (LM) - Question identifier:LM_Q20
Which of the following best describes your usual place of work at your main job or business?
- 1: Work at a fixed location outside the home
- 2: Work outside the home with no fixed location (e.g., driving, making sales calls)
- 3: Work at home
Labour market recovery (LM) - Question identifier:LM_Q25
During the week of ^REFDATE_E, in which of these locations did you work the most hours?
- 1: At a fixed location outside the home
- 2: Outside the home with no fixed location (e.g., driving, making sales calls)
- 3: At home
- 4: Absent from work
Labour market recovery (LM) - Question identifier:LM_Q50A
Have you been asked to return to your physical workplace?
- 1: Yes, I was told to return
- 2: Yes, I was given the choice of returning
- 3: No
- 4: Prefer not to say
Labour market recovery (LM) - Question identifier:LM_Q50B
Will you return to work as requested?
- 1: Yes
- 2: No
- 9: DK
Labour market recovery (LM) - Question identifier:LM_Q55
Do you feel safe returning to your physical workplace now?
- 1: Yes
- 2: No
- 9: DK
Labour market recovery (LM) - Question identifier:LM_Q60
Which of the following precautions would make you feel comfortable returning to your physical workplace?
- 01: Screening employees upon entry into the workplace for a fever, cough, or other signs of illness
- 02: Employers instructing employees displaying any signs of illness to stay home
- 03: Employers offering facemasks, gloves, and other personal protective equipment to employees
- 04: Employers increasing sanitization of the workplace
- 05: Employers offering more mental health services to employees
- 06: Employers adopting shiftwork to increase the distance between employees
- 07: Modifying the work space to increase the distance between employees
- 08: Other precautions
Labour market recovery (LM) - Question identifier:LM_Q65
What are your concerns about returning to your physical workplace now?
- 1: Fear of contracting virus in workplace
- 2: Fear of using public transit
- 3: Fear of infecting family members
- 4: Child care or caregiving issues (e.g., no child care, or no school, or do not want to send children to daycare or school, or caring for other dependents)
- 5: Other
Labour market recovery (LM) - Question identifier:LM_Q75A
When it comes to returning to your physical workplace, how concerned are you about the following?
My health
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Extremely concerned
- 5: Not applicable
Labour market recovery (LM) - Question identifier:LM_Q75B
When it comes to returning to your physical workplace, how concerned are you about the following?
The health of my family members
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Extremely concerned
- 5: Not applicable
Labour market recovery (LM) - Question identifier:LM_Q75C
When it comes to returning to your physical workplace, how concerned are you about the following?
Leaving my home
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Extremely concerned
- 5: Not applicable
Labour market recovery (LM) - Question identifier:LM_Q75D
When it comes to returning to your physical workplace, how concerned are you about the following?
Organizing child care
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Extremely concerned
- 5: Not applicable
Labour market recovery (LM) - Question identifier:LM_Q75E
When it comes to returning to your physical workplace, how concerned are you about the following?
Leaving other family members who need assistance at home
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Extremely concerned
- 5: Not applicable
Labour market recovery (LM) - Question identifier:LM_Q75F
When it comes to returning to your physical workplace, how concerned are you about the following?
Using public transit
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Extremely concerned
- 5: Not applicable
Labour market recovery (LM) - Question identifier:LM_Q75G
When it comes to returning to your physical workplace, how concerned are you about the following?
Attending meetings
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Extremely concerned
- 5: Not applicable
Labour market recovery (LM) - Question identifier:LM_Q75H
When it comes to returning to your physical workplace, how concerned are you about the following?
Taking elevators
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Extremely concerned
- 5: Not applicable
Economic recovery (ER)
Economic recovery (ER) - Question identifier:ER_Q05A
As stores and businesses reopen after COVID-19, do you expect to spend more, less or about the same amount of money as you did prior to COVID-19 on the following items?
Groceries
- 1: More
- 2: Less
- 3: Same
- 4: Not applicable
Economic recovery (ER) - Question identifier:ER_Q05B
As stores and businesses reopen after COVID-19, do you expect to spend more, less or about the same amount of money as you did prior to COVID-19 on the following items?
Eating at a restaurant
- 1: More
- 2: Less
- 3: Same
- 4: Not applicable
Economic recovery (ER) - Question identifier:ER_Q05C
As stores and businesses reopen after COVID-19, do you expect to spend more, less or about the same amount of money as you did prior to COVID-19 on the following items?
Ordering take-out food
- 1: More
- 2: Less
- 3: Same
- 4: Not applicable
Economic recovery (ER) - Question identifier:ER_Q05D
As stores and businesses reopen after COVID-19, do you expect to spend more, less or about the same amount of money as you did prior to COVID-19 on the following items?
Medicine
- 1: More
- 2: Less
- 3: Same
- 4: Not applicable
Economic recovery (ER) - Question identifier:ER_Q05E
As stores and businesses reopen after COVID-19, do you expect to spend more, less or about the same amount of money as you did prior to COVID-19 on the following items?
Entertainment
- 1: More
- 2: Less
- 3: Same
- 4: Not applicable
Economic recovery (ER) - Question identifier:ER_Q05F
As stores and businesses reopen after COVID-19, do you expect to spend more, less or about the same amount of money as you did prior to COVID-19 on the following items?
Housing
- 1: More
- 2: Less
- 3: Same
- 4: Not applicable
Economic recovery (ER) - Question identifier:ER_Q05G
As stores and businesses reopen after COVID-19, do you expect to spend more, less or about the same amount of money as you did prior to COVID-19 on the following items?
Transportation
- 1: More
- 2: Less
- 3: Same
- 4: Not applicable
Economic recovery (ER) - Question identifier:ER_Q05H
As stores and businesses reopen after COVID-19, do you expect to spend more, less or about the same amount of money as you did prior to COVID-19 on the following items?
Utilities
- 1: More
- 2: Less
- 3: Same
- 4: Not applicable
Economic recovery (ER) - Question identifier:ER_Q05I
As stores and businesses reopen after COVID-19, do you expect to spend more, less or about the same amount of money as you did prior to COVID-19 on the following items?
Saving, investing
- 1: More
- 2: Less
- 3: Same
- 4: Not applicable
Economic recovery (ER) - Question identifier:ER_Q05J
As stores and businesses reopen after COVID-19, do you expect to spend more, less or about the same amount of money as you did prior to COVID-19 on the following items?
Charity
- 1: More
- 2: Less
- 3: Same
- 4: Not applicable
Economic recovery (ER) - Question identifier:ER_Q05K
As stores and businesses reopen after COVID-19, do you expect to spend more, less or about the same amount of money as you did prior to COVID-19 on the following items?
Clothing or apparel
- 1: More
- 2: Less
- 3: Same
- 4: Not applicable
Economic recovery (ER) - Question identifier:ER_Q05L
As stores and businesses reopen after COVID-19, do you expect to spend more, less or about the same amount of money as you did prior to COVID-19 on the following items?
Child care
- 1: More
- 2: Less
- 3: Same
- 4: Not applicable
Economic recovery (ER) - Question identifier:ER_Q05M
As stores and businesses reopen after COVID-19, do you expect to spend more, less or about the same amount of money as you did prior to COVID-19 on the following items?
Recreation
- 1: More
- 2: Less
- 3: Same
- 4: Not applicable
Economic recovery (ER) - Question identifier:ER_Q05N
As stores and businesses reopen after COVID-19, do you expect to spend more, less or about the same amount of money as you did prior to COVID-19 on the following items?
Education
- 1: More
- 2: Less
- 3: Same
- 4: Not applicable
Economic recovery (ER) - Question identifier:ER_Q10
Overall, since the beginning of the COVID-19 restrictions, is your household income enough to meet your household's needs for transportation, housing, food, clothing and other necessary expenses?
- 1: More than enough
- 2: Enough
- 3: Not enough
- 4: Prefer not to say
- 9: DK
Health recovery (HR)
Health recovery (HR) - Question identifier:HR_Q05
If testing were widely available to all Canadians, why would you go to get tested for the COVID-19 virus?
- 1: If I were to experience symptoms
- 2: If I had been in contact or thought that I had been in contact with people who had symptoms or who had tested positive
- 3: If I did not have any symptoms but had concerns of infecting others
- 4: Other reason
- 5: I don't plan to get tested
Health recovery (HR) - Question identifier:HR_Q10
When a COVID-19 vaccine becomes available, how likely is it that you will choose to get it?
- 1: Very likely
- 2: Somewhat likely
- 3: Somewhat unlikely
- 4: Very unlikely
- 9: DK
Health recovery (HR) - Question identifier:HR_Q15
What are the reasons you would not get the COVID-19 vaccine?
- 01: Already had or think I have had COVID-19
- 02: Do not consider it necessary to get the vaccine
- 03: Not confident in the safety of the vaccine
- 04: Do not believe in vaccination
- 05: Concern about risks and side effects
- 06: Have a pre-existing medical condition
- 07: Will wait until it seems safe to get the vaccine
- 08: Have not yet decided
- 09: Other reason
- 99: DK
Health recovery (HR) - Question identifier:HR_Q20
Which of the following precautions will you take or continue to take as the COVID-19 safety measures are relaxed?
- 01: Wash hands more frequently
- 02: Wear a mask in public places where physical distancing is difficult
- 03: Keep a 2 meter or 6 foot distance from others
- 04: Avoid crowds and large gatherings
- 05: Work from home when possible
- 06: Use delivery services (e.g., groceries, prescriptions)
- 07: Self-isolate if I have symptoms
- 08: Other precaution
- 09: None of these precautions
Health recovery (HR) - Question identifier:HR_Q25A
Apps are available to report your COVID-19 symptoms and status, while tracing your movement.
If these apps were recommended by public health authorities, how likely is it that you would use them?
- 1: Very likely
- 2: Somewhat likely
- 3: Somewhat unlikely
- 4: Very unlikely
- 9: DK
Health recovery (HR) - Question identifier:HR_Q25B
Are you comfortable with data from the app being shared with government officials?
- 1: Yes
- 2: No
- 9: DK
Health recovery (HR) - Question identifier:HR_Q25C
Are you comfortable with data from the app being shared with government officials?
- 1: Yes
- 2: No
- 9: DK
Health recovery (HR) - Question identifier:HR_Q30
Why would you not install a contact tracing app?
- 01: The app would be too much hassle to install
- 02: I don't believe enough people will install it
- 03: It would negatively impact my mental health
- 04: I think it is an invasion of privacy
- 05: I don't want the government to have access to my location data
- 06: I don't believe I will catch the virus
- 07: I don't own a smart phone or have a data plan
- 08: Other reason
Health recovery (HR) - Question identifier:HR_Q35
Using a scale of 0 to 10, where 0 means "very dissatisfied" and 10 means "very satisfied", how do you feel about your life as a whole right now?
- 00: 0 - very dissatisfied
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 - very satisfied
Family and caregiving recovery (FCR)
Family and caregiving recovery (FCR) - Question identifier:FCR_Q05
Are you currently living with a spouse or partner?
- 1: Yes
- 2: No
Family and caregiving recovery (FCR) - Question identifier:FCR_Q10A
During the pandemic, who performed the following household tasks?
Preparing daily meals
- 1: Mostly you
- 2: Mostly your spouse or partner
- 3: Shared equally between spouse or partner
- 4: Always or usually someone else (e.g., relative, child, roommate)
- 5: Not applicable (i.e., no one performed these tasks)
Family and caregiving recovery (FCR) - Question identifier:FCR_Q10B
During the pandemic, who performed the following household tasks?
Doing housework
- 1: Mostly you
- 2: Mostly your spouse or partner
- 3: Shared equally between spouse or partner
- 4: Always or usually someone else (e.g., relative, child, roommate)
- 5: Not applicable (i.e., no one performed these tasks)
Family and caregiving recovery (FCR) - Question identifier:FCR_Q10C
During the pandemic, who performed the following household tasks?
Doing the dishes
- 1: Mostly you
- 2: Mostly your spouse or partner
- 3: Shared equally between spouse or partner
- 4: Always or usually someone else (e.g., relative, child, roommate)
- 5: Not applicable (i.e., no one performed these tasks)
Family and caregiving recovery (FCR) - Question identifier:FCR_Q10D
During the pandemic, who performed the following household tasks?
Doing the laundry
- 1: Mostly you
- 2: Mostly your spouse or partner
- 3: Shared equally between spouse or partner
- 4: Always or usually someone else (e.g., relative, child, roommate)
- 5: Not applicable (i.e., no one performed these tasks)
Family and caregiving recovery (FCR) - Question identifier:FCR_Q10E
During the pandemic, who performed the following household tasks?
Doing the grocery shopping
- 1: Mostly you
- 2: Mostly your spouse or partner
- 3: Shared equally between spouse or partner
- 4: Always or usually someone else (e.g., relative, child, roommate)
- 5: Not applicable (i.e., no one performed these tasks)
Family and caregiving recovery (FCR) - Question identifier:FCR_Q10F
During the pandemic, who performed the following household tasks?
The household finances and paying the bills
- 1: Mostly you
- 2: Mostly your spouse or partner
- 3: Shared equally between spouse or partner
- 4: Always or usually someone else (e.g., relative, child, roommate)
- 5: Not applicable (i.e., no one performed these tasks)
Family and caregiving recovery (FCR) - Question identifier:FCR_Q10G
During the pandemic, who performed the following household tasks?
Playing with the children or taking part in leisure activities with them
- 1: Mostly you
- 2: Mostly your spouse or partner
- 3: Shared equally between spouse or partner
- 4: Always or usually someone else (e.g., relative, child, roommate)
- 5: Not applicable (i.e., no one performed these tasks)
Family and caregiving recovery (FCR) - Question identifier:FCR_Q10H
During the pandemic, who performed the following household tasks?
Putting the children to bed or seeing that they go to bed
- 1: Mostly you
- 2: Mostly your spouse or partner
- 3: Shared equally between spouse or partner
- 4: Always or usually someone else (e.g., relative, child, roommate)
- 5: Not applicable (i.e., no one performed these tasks)
Family and caregiving recovery (FCR) - Question identifier:FCR_Q10I
During the pandemic, who performed the following household tasks?
Homeschooling or helping children with homework
- 1: Mostly you
- 2: Mostly your spouse or partner
- 3: Shared equally between spouse or partner
- 4: Always or usually someone else (e.g., relative, child, roommate)
- 5: Not applicable (i.e., no one performed these tasks)
Family and caregiving recovery (FCR) - Question identifier:FCR_Q10J
During the pandemic, who performed the following household tasks?
Staying at home with the children
- 1: Mostly you
- 2: Mostly your spouse or partner
- 3: Shared equally between spouse or partner
- 4: Always or usually someone else (e.g., relative, child, roommate)
- 5: Not applicable (i.e., no one performed these tasks)
Family and caregiving recovery (FCR) - Question identifier:FCR_Q10K
During the pandemic, who performed the following household tasks?
Taking the children to or from school or day care centre
- 1: Mostly you
- 2: Mostly your spouse or partner
- 3: Shared equally between spouse or partner
- 4: Always or usually someone else (e.g., relative, child, roommate)
- 5: Not applicable (i.e., no one performed these tasks)
Family and caregiving recovery (FCR) - Question identifier:FCR_Q15
How satisfied are you with the way household tasks are divided between you and your spouse or partner?
- 1: Very dissatisfied
- 2: Dissatisfied
- 3: Neither dissatisfied nor satisfied
- 4: Satisfied
- 5: Very satisfied
Family and caregiving recovery (FCR) - Question identifier:FCR_Q20
How does your satisfaction with this division of household tasks between you and your spouse or partner compare with how it was prior to the COVID-19 pandemic?
- 1: Much better than before
- 2: Somewhat better now than before
- 3: About the same
- 4: Somewhat worse than before
- 5: Much worse than before
- 6: Not applicable (i.e., was not living with my spouse or partner prior to the COVID-19 pandemic)
Commuting and travel (CT)
Commuting and travel (CT) - Question identifier:CT_Q05
What was your main mode of transportation to work or school prior to the COVID-19 pandemic?
- 01: Walking
- 02: Cycling
- 03: Personal motor vehicle
- 04: Carpooling or ridesharing
- 05: Public transit
- 06: Other
- 07: None - telework
- 08: Not applicable - was not going to work or school prior to the COVID-19 pandemic
Commuting and travel (CT) - Question identifier:CT_Q10
What is your current main mode of transportation to work or school?
- 01: Walking
- 02: Cycling
- 03: Personal motor vehicle
- 04: Carpooling or ridesharing
- 05: Public transit
- 06: Other
- 07: None - telework
- 08: Not applicable - not going to work or school
Commuting and travel (CT) - Question identifier:CT_Q15
What are the reasons for the change in your main mode of transportation?
- 1: Convenience
- 2: COVID-19 risk
- 3: Financial reasons
- 4: Telework
- 5: Warmer weather
- 6: Other
Perceptions, trust and confidence (PTC)
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q05A
How concerned are you about the health risks of resuming the following activities as the COVID-19 safety measures are relaxed?
Shopping in stores or at the mall
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Not applicable
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q05B
How concerned are you about the health risks of resuming the following activities as the COVID-19 safety measures are relaxed?
Going to restaurants, bars
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Not applicable
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q05C
How concerned are you about the health risks of resuming the following activities as the COVID-19 safety measures are relaxed?
Gathering in small groups, visiting between houses
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Not applicable
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q05D
How concerned are you about the health risks of resuming the following activities as the COVID-19 safety measures are relaxed?
Gathering in larger groups
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Not applicable
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q05E
How concerned are you about the health risks of resuming the following activities as the COVID-19 safety measures are relaxed?
Attending shows, festivals, movies or sporting events
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Not applicable
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q05F
How concerned are you about the health risks of resuming the following activities as the COVID-19 safety measures are relaxed?
Travelling by airplane
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Not applicable
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q05G
How concerned are you about the health risks of resuming the following activities as the COVID-19 safety measures are relaxed?
Travelling using your own car
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Not applicable
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q05H
How concerned are you about the health risks of resuming the following activities as the COVID-19 safety measures are relaxed?
Taking care of people not living with you
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Not applicable
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q05I
How concerned are you about the health risks of resuming the following activities as the COVID-19 safety measures are relaxed?
Visiting a retirement home or long-term care facility for the elderly
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Not applicable
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q05J
How concerned are you about the health risks of resuming the following activities as the COVID-19 safety measures are relaxed?
Going to the doctor or hospital
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Not applicable
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q05K
How concerned are you about the health risks of resuming the following activities as the COVID-19 safety measures are relaxed?
Appointments for personal care services
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Not applicable
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q05L
How concerned are you about the health risks of resuming the following activities as the COVID-19 safety measures are relaxed?
Appointments for hairdresser, esthetician, manicurist
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Not applicable
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q05M
How concerned are you about the health risks of resuming the following activities as the COVID-19 safety measures are relaxed?
Participating in organized sports or going to the gym
- 1: Not at all concerned
- 2: Somewhat concerned
- 3: Very concerned
- 4: Not applicable
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q10
Once your federal, provincial, territorial or municipal governments relax the measures put in place to fight COVID-19, do you fear being the target of unwanted behaviours because you may be judged for putting others at risk?
- 1: Yes
- 2: No
Perceptions, trust and confidence (PTC) - Question identifier:PTC_Q15
For which reasons do you fear being the target?
- 01: I don't wear a mask all the time
- 02: I work in a hospital, other healthcare facility, seniors' residence, nursing home or other long-term care residence
- 03: My place of employment or my job, other than those listed above, is associated with risk of COVID-19
- 04: I live in a collective dwelling (A collective dwelling refers to a dwelling of a commercial, instit. or communal nature. Incl. are lodging or rooming houses, hotels, motels, tourist estab., nursing homes, hospitals, staff residences, military bases, work camps, jails, group homes)
- 05: I have health conditions other than COVID-19 that cause me to cough or sneeze
- 06: I have other health conditions
- 07: I am elderly
- 08: My racial identity
- 09: Other reasons
Preparing for potential future waves (PFW)
Preparing for potential future waves (PFW) - Question identifier:PFW_Q05A
How likely are you to do the following to prepare for potential future outbreaks of COVID-19?
Prepare an educational plan for my children, if schools close again this fall or continue to be closed
- 1: Very unlikely
- 2: Somewhat unlikely
- 3: Somewhat likely
- 4: Very likely
- 5: Not applicable
Preparing for potential future waves (PFW) - Question identifier:PFW_Q05B
How likely are you to do the following to prepare for potential future outbreaks of COVID-19?
Make alternate arrangements to placement of myself or a loved one in a senior's residence or long-term care facility
- 1: Very unlikely
- 2: Somewhat unlikely
- 3: Somewhat likely
- 4: Very likely
- 5: Not applicable
Preparing for potential future waves (PFW) - Question identifier:PFW_Q05C
How likely are you to do the following to prepare for potential future outbreaks of COVID-19?
Stock up on food and other essentials before the next potential COVID-19 outbreak
- 1: Very unlikely
- 2: Somewhat unlikely
- 3: Somewhat likely
- 4: Very likely
- 5: Not applicable
Preparing for potential future waves (PFW) - Question identifier:PFW_Q05D
How likely are you to do the following to prepare for potential future outbreaks of COVID-19?
Change or cancel plans for travel this fall and winter
- 1: Very unlikely
- 2: Somewhat unlikely
- 3: Somewhat likely
- 4: Very likely
- 5: Not applicable
Preparing for potential future waves (PFW) - Question identifier:PFW_Q05E
How likely are you to do the following to prepare for potential future outbreaks of COVID-19?
Make changes or repairs to my home prior to the next potential COVID-19 outbreak
- 1: Very unlikely
- 2: Somewhat unlikely
- 3: Somewhat likely
- 4: Very likely
- 5: Not applicable
Preparing for potential future waves (PFW) - Question identifier:PFW_Q05F
How likely are you to do the following to prepare for potential future outbreaks of COVID-19?
Upgrade my internet speed
- 1: Very unlikely
- 2: Somewhat unlikely
- 3: Somewhat likely
- 4: Very likely
- 5: Not applicable
Preparing for potential future waves (PFW) - Question identifier:PFW_Q05G
How likely are you to do the following to prepare for potential future outbreaks of COVID-19?
Upgrade my home office by purchasing new furniture or equipment
- 1: Very unlikely
- 2: Somewhat unlikely
- 3: Somewhat likely
- 4: Very likely
- 5: Not applicable
Demographic questions (DEM)
Demographic questions (DEM) - Question identifier:DEM_Q05
Including yourself, how many people live in your household?
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20 or more
Demographic questions (DEM) - Question identifier:DEM_Q10
Including yourself, how many of these people are less than ^MINAGE years of age?
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20 or more
Demographic questions (DEM) - Question identifier:DEM_Q15
What is your sex?
- 1: Male
- 2: Female
Demographic questions (DEM) - Question identifier:DEM_Q20A
What is your date of birth?
Day
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20
- 21: 21
- 22: 22
- 23: 23
- 24: 24
- 25: 25
- 26: 26
- 27: 27
- 28: 28
- 29: 29
- 30: 30
- 31: 31
Demographic questions (DEM) - Question identifier:DEM_Q20B
What is your date of birth?
Month
- 01: January
- 02: February
- 03: March
- 04: April
- 05: May
- 06: June
- 07: July
- 08: August
- 09: September
- 10: October
- 11: November
- 12: December
Demographic questions (DEM) - Question identifier:DEM_Q20C
What is your date of birth?
Year
Min = 1900; Max = 2020
Demographic questions (DEM) - Question identifier:DEM_Q25
What is your marital status?
- 1: Married
- 2: Living common-law
- 3: Widowed
- 4: Separated
- 5: Divorced
- 6: Never legally married
Demographic questions (DEM) - Question identifier:DEM_Q30
In what country were you born?
- 1: Canada
- 2: United States (USA)
- 3: Other country
Demographic questions (DEM) - Question identifier:DEM_Q35
You indicated you were born in another country. Please specify the country.
Select a country from the dropdown menu below. Type the first few letters to narrow down the choices.
- 1: Country list
- 2: Other specify:
Demographic questions (DEM) - Question identifier:DEM_Q40
Are you now, or have you ever been, a landed immigrant in Canada?
- 1: Yes
- 2: No
Demographic questions (DEM) - Question identifier:DEM_Q45A
When did you first become a landed immigrant?
If exact date is not known, please provide your best estimate.
Year
Long Answer Length = 4
Demographic questions (DEM) - Question identifier:DEM_Q45B
When did you first become a landed immigrant?
If exact date is not known, please provide your best estimate.
Month
- 01: January
- 02: February
- 03: March
- 04: April
- 05: May
- 06: June
- 07: July
- 08: August
- 09: September
- 10: October
- 11: November
- 12: December
Demographic questions (DEM) - Question identifier:DEM_Q50
What is the highest grade of elementary or high school you ever completed?
- 1: Grade 8 or lower (In Québec, Secondary 2 or lower)
- 2: Grade 9 or 10 (In Québec, Secondary 3 or 4,
In Newfoundland and Labrador, 1st year of secondary) - 3: Grade 11, 12 or 13 (In Quebec, Secondary 5
In Newfoundland and Labrador, 2nd, 3rd or 4th year of secondary)
Demographic questions (DEM) - Question identifier:DEM_Q55
Did you graduate from high school (secondary school)?
- 1: Yes
- 2: No
Demographic questions (DEM) - Question identifier:DEM_Q60
Have you ever received any other education that could be counted towards a certificate, diploma or degree from an educational institution?
- 1: Yes
- 2: No
Demographic questions (DEM) - Question identifier:DEM_Q65
What is the highest certificate, diploma or degree you have obtained?
- 1: Has not obtained a post-secondary certificate, diploma or degree
- 2: Trade certificate or diploma from a vocational school or apprenticeship training
- 3: Certificate or diploma from a community college, CEGEP, school of nursing, etc.
- 4: University certificate below a bachelor's degree
- 5: Bachelor's degree
- 6: University certificate, diploma or degree above a bachelor's degree
Demographic questions (DEM) - Question identifier:DEM_Q70
What type of dwelling do you live in?
- 01: Single detached
- 02: Double
- 03: Row or Terrace
- 04: Duplex
- 05: Low-rise apartment of fewer than 5 stories or a flat
- 06: High-rise apartment of 5 stories or more
- 07: Institution
- 08: Hotel; rooming or lodging house; camp
- 09: Mobile home
- 10: Other
Demographic questions (DEM) - Question identifier:DEM_Q75
Is this dwelling owned by a member of this household?
- 1: Yes
- 2: No
Demographic questions (DEM) - Question identifier:DEM_Q80
To determine which geographic region you live in, please provide your postal code.
Postal code
Long Answer Length = 6
- Date modified: