Canadian Perspectives Survey Series 3 - 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)
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?
Select "Yes" if you worked at least one hour:
for pay (wages, salary, etc.)
in self-employment.
Select "No" if you:
were away from work for the entire week for a reason such as vacation, illness, work schedule or layoff
did not have 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?
Select "Yes" if you:
were away from work for the entire week for a reason such as vacation, illness, parental leave or work schedule
were self-employed with a business, but no work was available.
Select "No" if you:
did not have a job or business
had a casual job, but no work was available.
- 1: Yes
- 2: No
Labour market recovery (LM) - Question identifier:LM_Q15
What was the main reason you were absent from work that week?
Would you say:
- 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?
Exclude any recent changes related to COVID-19.
Would you say:
- 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?
Would you say:
- 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?
Select all that apply.
- 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?
Select all that apply.
- 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
Exclude take-out
- 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
e.g., electricity, gas
- 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?
Select all that apply.
- 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?
Select all that apply.
- 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?
Select all that apply.
- 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?
'Apps' refer to applications or programs downloaded by a user to a mobile device.
- 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?
Select all that apply.
- 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
e.g., vacuum-cleaning the house
- 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
Include automatic dishwasher tasks
- 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?
If you used more than one mode of transportation to work or school, select the one used for most of the travel distance.
If you teleworked prior to the pandemic, choose 'None - telework'.
- 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?
If you use more than one mode of transportation to work or school, select the one used for most of the travel distance.
- 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?
Select all that apply.
- 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
e.g., weddings, religious services
- 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
e.g., physiotherapy, dentist, massage therapist
- 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?
Select all that apply.
- 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
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